Health maintenance organization (HMO) – A form of managed care in which you receive all of your care from participating providers. You usually must obtain a referral from your primary care physician before you can see a specialist. Health reimbursement arrangement – An account established by an employer to pay an employee’s medical expenses. Only the employer can contribute to a health reimbursement account. Health savings account – An account established by an employer or an individual to save money toward medical expenses on a tax-free basis. Any balance remaining at the end of the year “rolls over” to the next year. High-deductible health plan – A plan that provides comprehensive coverage for high-cost medical events. It features a high deductible and a limit on annual out-of-pocket expenses. This type of plan is usually coupled with a health savings account or a health spending account. High-risk pool – A State-operated program that offers coverage for individuals who cannot get health insurance from another source due to serious illness. Indemnity insurance – Traditional, fee-for-service health insurance that does not limit where a covered individual can get care. Individual health insurance – Coverage purchased independently (not as part of a group), usually directly from an insurance company. Long-term care insurance – Coverage that pays for all or part of the cost of home health care services or care in a nursing home or assisted living facility. Managed care – An organized way of getting health care services and paying for care. Managed care plans feature a network of physicians, hospitals, and other providers who participate in the plan. In some plans, covered individuals must see an in-network provider; in other plans, covered individuals may go outside of the network, but they will pay a larger share of the cost. 27