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Health Team Relations Health
Health
Insurance
Team Plans
Relations
Study
Health
Guide
Health
Insurance
Questions
Team Plans
Relations
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Plans
and Study
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,Health Team Relations- Health insurance plans.pdf Health Team Relations- Health insurance plans.pdf Health Team Relations- Health insurance plans.pdf
Terms in this set (19)
premium The check we send every month to pay fro health insurance.
deductible Amounts that must be paid by the patient for medical services before the policy
begins to pay
75%/20% co-insurance Requires that specific percentages of expenses are shared by the patient and
insurance company
co-payment A specific amount of money a patient pays for a particular service
Health Team Relations- Health insurance plans.pdf Health Team Relations- Health insurance plans.pdf Health Team Relations- Health insurance plans.pdf
,Health Team Relations- Health insurance plans.pdf Health Team Relations- Health insurance plans.pdf Health Team Relations- Health insurance plans.pdf
HMOs Name: health maintenance organization
1)A type of health insurance plan. For a monthly fee, a person receives health
care from affiliated health care providers. 2)Provides managed care plan for the
delivery of health care services.
3) self-employed
disadvantage: you can only go to certain HMO physicians if not you have to
PAY!
PPOs Name: Preferred provider organization
1)Usually provided by large companies who have a contract with certain health
care agencies, employees are restricted to using a specific hospital or doctor.
2)provides certain types of healthcare at reduced rates
3) self-employed
Medicare Federal government program that provides health care for individuals who are
over age 65 or someone with a disability that has been receiving social security
for two years.
contains type a, b and d
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Medicaid 1)Medical assistance offered by states for individuals with low income
2) jointly funded by federal government and state government-operated by
individual states
ex) blind person
State Children's Health Insurance Program date: 1997
provides health care to uninsured children of working families who earn too little
but earn more than the requirement of medicaid
Workers Compensation 1)Health insurance plan for workers injured on the job
2) state administration
TRICARE(CHAMPUS) A health insurance plan for military personnel and their families
managed care 1)Developed in response to rising health care costs.
2) A second opinion is often required before treatment can be provided, with
the focus on preventive care
3) managed care NETWORKS are required to provide quality care at the lowest
possible cost while managed care is required to provide quality care at a
reasonable rate.
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