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Glossary

Healthcare and health insurance definitions.

A B C D E F G H I L M N O P Q R S T U V W

S

SBC :

See Summary of Benefits and Coverage

Service area :

The geographic area in which a health insurance plan’s benefits are available. Some health insurance plans will not provide coverage outside of the plan’s service area.

Skilled nursing care :

Services or care from nurses, therapists, or technicians in your home or in a nursing home.  See ACA Uniform Glossary

Skilled nursing facility (SNF) :

A facility, either freestanding or part of a hospital, that accepts patients in need of rehabilitation and/or medical care that is of a lesser intensity than that received in a hospital.

SNF :

See skilled nursing facility.

Special enrollment :

A time outside of the open enrollment period during which you and your family have a right to sign up for health insurance if you experienced certain life events that involve a change in family status (for example, marriage, or birth of a child) or loss of other health coverage. 

Specialist :

A physician specialist focuses on a specific area of medicine or a group of patients to diagnose, manage, prevent, or treat certain types of symptoms and conditions. A non-physician specialist is a provider who has more training in a specific area of healthcare. See ACA Uniform Glossary

Subrogation :

When healthcare costs of enrollees are the responsibility of an entity other than the insurer, such as workers’ compensation, automobile coverage, or a third party.

Subscriber :

The person responsible for payment of premiums to the insurance company, or whose employment or other status, except for family dependency, makes them eligible for enrollment in a health plan.

Summary of Benefits and Coverage (SBC) :

A summary of the costs and coverage of a health plan. The SBC must be used by all insurance companies to make it easier for people to compare plans based on price, benefits, or other features.