Term |
Definition |
GAPFILLING
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Used when no comparable, existing test is available. Carrier specific amounts are used to establish a national limitation amount for the following year.
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GAPS
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The costs or services that are not covered under the Original Medicare Plan.
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GATEKEEPER
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In a managed care plan, this is another name for the primary care doctor. This doctor gives you basic medical services and coordinates proper medical care and referrals.
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GENERAL ENROLLMENT PERIOD (GEP)
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The GEP is January 1 through March 31 of each year. If you enroll in Part B or Part A (if you don't get it automatically without paying a premium) during the GEP, your coverage starts on July 1. (See Enrollment.)
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GENERAL FUND OF THE TREASURY
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Funds held by the Treasury of the United States, other than revenue collected for a specific trust fund (such as SMI) and maintained in a separate account for that purpose. The majority of this fund is derived from individual and business income taxes.
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GENERAL REVENUE
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Income to the SMI trust fund from the general fund of the Treasury. Only a very small percentage of total SMI trust fund income each year is attributable to general revenue.
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GERONTOLOGY*
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The study of, and learning about, older people and the process of aging.
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GOVERNMENTAL ASSETS, LIABILITIES
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Assets or liabilities that arise from transactions between a federal entity and a nonfederal entity.
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GRAMM-RUDMAN-HOLLINGS ACT
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The Balanced Budget and Emergency Deficit Control Act of 1985.
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GRIEVANCE
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A complaint about the way your Medicare health plan is giving care. For example, you may file a grievance if you have a problem with the cleanliness of the health care facility, problems calling the plan, staff behavior, or operating hours. A grievance is not the way to deal with a complaint about a treatment decision or a service that is not covered.
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GRIEVANCES AND COMPLAINTS
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Information about grievances and complaints submitted to the health plan.
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GROSS DOMESTIC PRODUCT
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The total dollar value of all goods and services produced in a year in the United States, regardless of who supplies the labor or property.
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GROUP HEALTH PLAN
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A health plan that provides health coverage to employees, former employees, and their families, and is supported by an employer or employee organization.
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GROUP OR NETWORK HMO
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A health plan that contracts with group practices of doctors to give services in one or more places.
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GUARANTEED ISSUE RIGHTS (ALSO CALLED "MEDIGAP PROTECTIONS")
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Rights you have in certain situations when insurance companies are required by law to sell or offer you a Medigap policy. In these situations, an insurance company can't deny you insurance coverage or place conditions on a policy, must cover you for all pre-existing conditions, and can't charge you more for a policy because of past or present health problems.
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GUARANTEED RENEWABLE
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A right you have that requires your insurance company to allow you to automatically renew or continue your Medigap policy, unless you commit fraud or do not pay your premiums.
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GUIDELINES
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Guidelines are systematically developed by appropriate groups to assist practitioners and patient decisions about appropriate health care for specific clinical circumstances.
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