A term referring to the population who fall into a void between eligibility for Medicaid and the ability to afford private health insurance, often due to income limitations or lack of access to employer-sponsored coverage.
A provision under the Affordable Care Act (ACA) allowing states to extend Medicaid coverage to low-income individuals and families, potentially reducing the coverage gap by providing insurance to those who were previously ineligible.
The maximum income level at which individuals or families qualify for Medicaid or subsidies under the ACA. Those whose income exceeds this threshold may find themselves in the coverage gap if they cannot afford private insurance.
Financial assistance provided by the government to help individuals or families purchase health insurance coverage through the Health Insurance Marketplace, aimed at reducing out-of-pocket costs for those with lower incomes.
The percentage of individuals within a population who do not have any form of health insurance coverage, often used as an indicator of the extent of the coverage gap in a given area.
Differences in access to healthcare services and health outcomes among different population groups, often exacerbated by the coverage gap and socioeconomic factors such as race, ethnicity, and geographic location.
Programs and resources, such as community health centers and free clinics, that provide essential healthcare services to uninsured and underinsured individuals who fall into the coverage gap.
Expenses that individuals are required to pay for healthcare services or medications not covered by insurance, which can be particularly burdensome for those in the coverage gap who lack adequate coverage.
Healthcare services aimed at preventing or detecting diseases early, often covered by insurance plans to encourage regular check-ups and screenings, but may be inaccessible to those in the coverage gap due to cost barriers.
Policy initiatives aimed at addressing issues such as the coverage gap, expanding access to affordable healthcare coverage, and improving the overall quality and efficiency of the healthcare system.