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28 Cards in this Set

  • Front
  • Back

Co-Payment (Co-Pay)

A Specific Amt. Paid By The Patient For Each Medical Service, Such As $15.00 For Each Doctor Visit Or Each Prescription Filled

Deductible

Amt. The Patient Must Pay Before The Insurance Starts To Pay For Services

Group Plan

The Insured And, Usually, Their Employer Share The Amt. Of The Premium

Co-Insurance

The Percentage Of The Bill For Services That The Policy Holder Must Pay

Health Maintenance Org (HMO)

Insurance Method That Focuses On Prevention Of Disease, Must See Providers From An Approved List

Individual Plan

The Insured Pays The Total Amt. Of The Premium

Indemnity Plan

Traditional Health Insurance Plan With Freedom To Visit Physician Of Choice

Medicaid

Govt. Payment For Of HC Services For People With Low Income, Children Who Qualify For Services And People Who Are Disabled Or Blind

Medicare

Govt. Payment For HC For Patients Over 65, Any Person With A Disability That Has Received Social Security Benefits For At Least 2 Yrs, Or Anyone With End Stage Renal Disease

Miedgap

A Private Insurance Policy That Pays The Difference Between The Medical Charge And The Amt. That Medicare Pays

Out-Of-Pocket

Medical Bill That Is Not Covered By The Insurance And Must Be Paid By The Patient

Preferred Provider Org (PPO)

Group Of HC Providers That Provide Services To A Specific Group, Often At A Reduced Rate

Premium

The Periodic Amt. Paid To An Insurance Company For HC Or Prescription Drugs

Private Insurance

The Insured Pays A Monthly Premium For Insurance Plan

Reimbursement

Amt. Paid To Patient Toward The Cost Of HC Services

TRICARE

Military Health Plan The Provides Services For Active Duty Personnel And Their Families, Survivors Of Military Personnel And Retired Military Personnel And Their Families

Veterans Health Admin.

Provides HC Services To Anyone Who Served The Military

Worker's Compensation

Health Insurance Plan That Pays For The HC Of Workers Injured On The Job

Cost Containment

Methods Used To Control The Cost Of HC

Diagnostic Related Groups (DRGs)

System To Classify Diagnosis Into Similar Groups And Is Used To Determine The Amt. Of Medicare Payment To A HC Provider

For-Profit Agency

Facility That Operates For A Monetary Profit

Govternment Agency

Agency Sponsored By The Govt. And Supported By Taxes

Health Information Management Systems (HIMS)

Management Of Personal HC Information By The HC Agency

In-Patient Care

Services Provided To A Patient Within A Hospital

Managed Care

HC System Designed To Reduce The Cost Of HC

Outpatient Care

Services That Do Not Require The Patient To Stay Overnight In The Hospital

Preventative Care

The Focus To Promote Good Health And Prevent Illness

Telemedicine

HC Services Provided From A Distant Place