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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 |
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Deductible |
Amt. The Patient Must Pay Before The Insurance Starts To Pay For Services |
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Group Plan |
The Insured And, Usually, Their Employer Share The Amt. Of The Premium |
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Co-Insurance |
The Percentage Of The Bill For Services That The Policy Holder Must Pay |
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Health Maintenance Org (HMO) |
Insurance Method That Focuses On Prevention Of Disease, Must See Providers From An Approved List |
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Individual Plan |
The Insured Pays The Total Amt. Of The Premium |
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Indemnity Plan |
Traditional Health Insurance Plan With Freedom To Visit Physician Of Choice |
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Medicaid |
Govt. Payment For Of HC Services For People With Low Income, Children Who Qualify For Services And People Who Are Disabled Or Blind |
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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 |
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Miedgap |
A Private Insurance Policy That Pays The Difference Between The Medical Charge And The Amt. That Medicare Pays |
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Out-Of-Pocket |
Medical Bill That Is Not Covered By The Insurance And Must Be Paid By The Patient |
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Preferred Provider Org (PPO) |
Group Of HC Providers That Provide Services To A Specific Group, Often At A Reduced Rate |
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Premium |
The Periodic Amt. Paid To An Insurance Company For HC Or Prescription Drugs |
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Private Insurance |
The Insured Pays A Monthly Premium For Insurance Plan |
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Reimbursement |
Amt. Paid To Patient Toward The Cost Of HC Services |
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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 |
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Veterans Health Admin. |
Provides HC Services To Anyone Who Served The Military |
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Worker's Compensation |
Health Insurance Plan That Pays For The HC Of Workers Injured On The Job |
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Cost Containment |
Methods Used To Control The Cost Of HC |
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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 |
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For-Profit Agency |
Facility That Operates For A Monetary Profit |
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Govternment Agency |
Agency Sponsored By The Govt. And Supported By Taxes |
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Health Information Management Systems (HIMS) |
Management Of Personal HC Information By The HC Agency |
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In-Patient Care |
Services Provided To A Patient Within A Hospital |
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Managed Care |
HC System Designed To Reduce The Cost Of HC |
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Outpatient Care |
Services That Do Not Require The Patient To Stay Overnight In The Hospital |
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Preventative Care |
The Focus To Promote Good Health And Prevent Illness |
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Telemedicine |
HC Services Provided From A Distant Place |