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Glossary

Here you can quickly access medical terms and definitions through an alphabetized listing.

Effective Date

The date member coverage begins.  SCAN provides this date in writing to each member.

Election Periods

Time when an eligible person may choose to join the Original Medicare Plan or a Medicare Advantage plan. These include during the Annual Election Period as well as when you first become eligible for Medicare, if you move out of your current health plan's service area, and if you qualify for a Special Needs Plan.

Electronic Health Record

An electronic record of health-related information on an individual that is created, gathered, managed, and consulted by authorized health care clinicians and staff.

Emergency

A medical emergency is when you, or any other prudent layperson with an average knowledge
of health and medicine, believe that you have medical symptoms that require immediate medical attention to prevent loss of life, loss of a limb, or loss of function of a limb. The medical symptoms may be an illness, injury, severe pain, or a medical condition that is quickly getting worse.

End-Stage Renal Disease

Permanent kidney failure that is treated with regular dialysis or a kidney transplant.  ESRD patients are eligible for Social Security payments if found to be disabled. A Special Enrollment Period may apply. If you have End-Stage Renal Disease, you might be interested in VillageHealth, a Medicare Advantage Special Needs Plan offered by SCAN Health Plan in partnership with DaVita.

Evidence of Coverage

The Evidence of Coverage (EOC) explains the rights, benefits, and responsibilities of a Medicare Advantage Plan member. It also explains the Plan's responsibilities to the member.

Explanation of Benefits (EOB)

A written statement of claims payment activity. And EOB is not a bill, but is a record of the medical services or prescriptions you filled using your health plan benefits.