annual benefit limit

Limit on the amount of claims an insurer will pay in a given year for an individual. In 2010, the ACA banned annual dollar limits for most covered health benefits on all employer-based and individual health insurance plans.

annual wellness visit

Annual visits covered by Medicare to develop a personalized prevention plan that takes a comprehensive approach to improving health and preventing disease.

anti-kickback statute

A criminal statute that prohibits the exchange of anything of value in an effort to encourage the referral of federal health care program business.

any willing provider

A requirement — typically a state law — that a managed care organization must accept any properly licensed provider willing to meet the terms of a plan’s contract, whether the organization wants or needs that provider. It is often described by...