Study sets matching "health insurance"

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Study sets matching "health insurance"

16 terms
Health Insurance
premium
co-pay
co-insurance
medical bill
Your monthly payment in order to keep health insurance. Somet…
The flat fee (usually $25 - 50) that you pay every time you s…
After you pay your deductible, you pay this percentage of the…
The cost of your healthcare expenses, usually sent in the mai…
premium
Your monthly payment in order to keep health insurance. Somet…
co-pay
The flat fee (usually $25 - 50) that you pay every time you s…
12 terms
Health Insurance
mandatory
provide
The Health Exchange
HMO
required by rule
to give; to offer
Obama Care USA
Health Maintenance Organization
mandatory
required by rule
provide
to give; to offer
10 terms
Health Insurance
Copayment
Deductible
Exclusion
Health Savings Account (HSA)
A way of sharing medical costs. You pay a flat fee every time…
The amount of money you must pay each year to cover your medi…
Specific conditions or circumstances for which the policy wil…
A type of medical savings account that allows you to save mon…
Copayment
A way of sharing medical costs. You pay a flat fee every time…
Deductible
The amount of money you must pay each year to cover your medi…
Health Insurance
Health Insurance
Pre authorization (proir apporoval)
Hold Harmless Clause
Health Care Provider
is the documentation submitted to a thrid- party payer or gov…
for treatment by specialists and documentation of post-treatm…
Patient is not responsible for paying what the insurance plan…
A physician or other healthcare practitioner (eg physician as…
Health Insurance
is the documentation submitted to a thrid- party payer or gov…
Pre authorization (proir apporoval)
for treatment by specialists and documentation of post-treatm…
15 terms
Health Insurance
Coinsurance
Copayment
Deductible
Exclusion
The amount you are required to pay for medical care in certai…
A way of sharing medical costs. You pay a flat fee every time…
The amount of money you must pay each year to cover your medi…
Specific conditions or circumstances for which the policy wil…
Coinsurance
The amount you are required to pay for medical care in certai…
Copayment
A way of sharing medical costs. You pay a flat fee every time…
22 terms
Health insurance
Protection against financial loss by u…
An organization that provides a compre…
An agreement between managed care orga…
Federal program that provides insuranc…
health insurance
HMO
PPO
Medicare
Protection against financial loss by u…
health insurance
An organization that provides a compre…
HMO
73 terms
Health Insurance
Insurance Policy
Transfer of risks
Pooling of risks
The premium
Is a social device, legal contract, or policy for the transfe…
Through insurance individuals transfer to insurance companies…
Is when a large group of people contribute money to a fund ou…
Is the money paid by the policyowner to the insurance company…
Insurance Policy
Is a social device, legal contract, or policy for the transfe…
Transfer of risks
Through insurance individuals transfer to insurance companies…
64 terms
Health Insurance
New patient (NP)
Established patient (EP)
Referring physician
Participating provider (PAR)
patient who has not seen a provider within the past three years
patient who has seen a provider within the past three years
physician who refers a patient to another physician
provider who agrees to provide medical services to a payer's…
New patient (NP)
patient who has not seen a provider within the past three years
Established patient (EP)
patient who has seen a provider within the past three years
16 terms
Health Insurance
premium
co-pay
co-insurance
medical bill
Your monthly payment in order to keep health insurance. Somet…
The flat fee (usually $25 - 50) that you pay every time you s…
After you pay your deductible, you pay this percentage of the…
The cost of your healthcare expenses, usually sent in the mai…
premium
Your monthly payment in order to keep health insurance. Somet…
co-pay
The flat fee (usually $25 - 50) that you pay every time you s…
23 terms
Health Insurance
premium
co-pay
co-insurance
medical bill
Your monthly payment in order to keep health insurance. Somet…
The flat fee (usually $25 - 50) that you pay every time you s…
After you pay your deductible, you pay this percentage of the…
The cost of your healthcare expenses, usually sent in the mai…
premium
Your monthly payment in order to keep health insurance. Somet…
co-pay
The flat fee (usually $25 - 50) that you pay every time you s…
44 terms
Health insurance
cpt is published annually by
the hospital assigns cpt codes to report
cpt category I contains how many secti…
when reporting cpt codes on the cms 15…
AMA; american medical association
outpatient services and procedures
six
linking the cpt code to its icd 10 cm counterpart
cpt is published annually by
AMA; american medical association
the hospital assigns cpt codes to report
outpatient services and procedures
Health Insurance
Health Skills
Interpersonal Communicaton
Refusal Skills
Conflict Resolution
specific tools and strategies that help you maintain, protect…
the process by which people exchange information, feelings, a…
a set of skills designed to help children avoid participating…
a way for two or more parties to find a peaceful solution to…
Health Skills
specific tools and strategies that help you maintain, protect…
Interpersonal Communicaton
the process by which people exchange information, feelings, a…
23 terms
Health/Health Insurance
premium
co-pay
co-insurance
medical bill
Your monthly payment in order to keep health insurance. Somet…
The flat fee (usually $25 - 50) that you pay every time you s…
After you pay your deductible, you pay this percentage of the…
The cost of your healthcare expenses, usually sent in the mai…
premium
Your monthly payment in order to keep health insurance. Somet…
co-pay
The flat fee (usually $25 - 50) that you pay every time you s…
Health Insurance
premium
co-pay
co-insurance
medical bill
Your monthly payment in order to keep health insurance. Somet…
The flat fee (usually $25 - 50) that you pay every time you s…
After you pay your deductible, you pay this percentage of the…
The cost of your healthcare expenses, usually sent in the mai…
premium
Your monthly payment in order to keep health insurance. Somet…
co-pay
The flat fee (usually $25 - 50) that you pay every time you s…
20 terms
Health Insurance
Mandatory
Coinsurance
The Health Exchange
Health Maintenance Organization (HMO)
required by rule
The amount you are required to pay for medical care in certai…
Obama Care USA
A health insurance plan that allows you to pay a monthly or q…
Mandatory
required by rule
Coinsurance
The amount you are required to pay for medical care in certai…
19 terms
Health Insurance
Mandatory
Coinsurance
The Health Exchange
Health Maintenance Organization (HMO)
required by rule
The amount you are required to pay for medical care in certai…
Obama Care USA
A health insurance plan that allows you to pay a monthly or q…
Mandatory
required by rule
Coinsurance
The amount you are required to pay for medical care in certai…
75 terms
Health Insurance
Health Insurance
Perils of Health Insurance
Disability Income Insurance
Medical Expense Insurance
Broad term used to describe policies that cover loss of incom…
1. Accidental injury is an unforeseen and unintentional bodil…
Pays periodic benefits when an insured cannot work because of…
Covers the cost of medical treatments, physician's fees, hosp…
Health Insurance
Broad term used to describe policies that cover loss of incom…
Perils of Health Insurance
1. Accidental injury is an unforeseen and unintentional bodil…
HEALTH INSURANCE
emphasize
personal
regardless
suit
nhấn mạnh
cá nhân
bất chấp
phù hợp
emphasize
nhấn mạnh
personal
cá nhân
29 terms
Health Insurance
Preferred Provider Organization
Disability Income Insurance
Accidental Death and Dismemberment
Medical Expense Benefits
(PPO) Selected group of independent hospitals and medical pra…
A weekly or monthly benefit for disabilities resulting from a…
Pay the policy's principal sum for accidental death in accord…
Hospitilizaiton Insurance. Provides benefits for expenses inc…
Preferred Provider Organization
(PPO) Selected group of independent hospitals and medical pra…
Disability Income Insurance
A weekly or monthly benefit for disabilities resulting from a…
Health Insurance
Annual Out of Pocket Maximum
Beneficiary
Coinsurance
Copay
the most a person has to pay for medical services in a full y…
the people that are financially protected under a life insura…
money that a person is required to pay for services, after a…
a fixed fee you pay for specific medical services.
Annual Out of Pocket Maximum
the most a person has to pay for medical services in a full y…
Beneficiary
the people that are financially protected under a life insura…
15 terms
Health Insurance
Coinsurance
Copayment
Deductible
Exclusions
The amount you are required to pay for medical care in certai…
A way of sharing medical costs. You pay a flat fee every time…
The amount of money you must pay each year to cover your medi…
Specific conditions or circumstances for which the policy wil…
Coinsurance
The amount you are required to pay for medical care in certai…
Copayment
A way of sharing medical costs. You pay a flat fee every time…
HEALTH INSURANCE
allow
allowance
allowable
alternative
(v) cho phép
(n) sự cho phép
(a) có thể cho phép được, được phép
(n) lựa chọn khác
allow
(v) cho phép
allowance
(n) sự cho phép
Health Insurance
Health Skills
Interpersonal Communicaton
Refusal Skills
Conflict Resolution
specific tools and strategies that help you maintain, protect…
the process by which people exchange information, feelings, a…
a set of skills designed to help children avoid participating…
a way for two or more parties to find a peaceful solution to…
Health Skills
specific tools and strategies that help you maintain, protect…
Interpersonal Communicaton
the process by which people exchange information, feelings, a…
44 terms
Life & Health Insurance Terms
A & H
Absolute Assignment
Accident
Accidental Death Insurance
Accident and Health
Assignment by the policy owner of all control and rights to a…
A fortuitous event, unforeseen and unintended
Form of health insurance that provides payment if death of in…
A & H
Accident and Health
Absolute Assignment
Assignment by the policy owner of all control and rights to a…
257 terms
Health Insurance
Pure Risk
Speculative Risk
Peril
Hazard
that there is only a chance of loss—the loss may or may not h…
Involves both an uncertainty of loss and of gain. Insurance d…
the immediate specific event causing loss and giving rise to…
any factor that gives rise to a peril. For purposes of life i…
Pure Risk
that there is only a chance of loss—the loss may or may not h…
Speculative Risk
Involves both an uncertainty of loss and of gain. Insurance d…
153 terms
Health Insurance
Accident
Accident and sickness
Accidental means
Actuary
A sudden event, unforeseen and unintended.
Insurance against bodily injury, disability or death by accid…
The unexpected cause of an accidental bodily injury. Under an…
One concerned with the application of probability and statist…
Accident
A sudden event, unforeseen and unintended.
Accident and sickness
Insurance against bodily injury, disability or death by accid…
16 terms
Health Insurance
premium
co-pay
co-insurance
medical bill
Your monthly payment in order to keep health insurance. Somet…
The flat fee (usually $25 - 50) that you pay every time you s…
After you pay your deductible, you pay this percentage of the…
The cost of your healthcare expenses, usually sent in the mai…
premium
Your monthly payment in order to keep health insurance. Somet…
co-pay
The flat fee (usually $25 - 50) that you pay every time you s…
10 terms
Health Insurance
Policy
TennCare
Medicaid
Premium
A contract between an insurance company and an individual tha…
Tennessee's state health care plan
- government-funded health insurance that's available only to…
the amount paid or to be paid by the policyholder for coverag…
Policy
A contract between an insurance company and an individual tha…
TennCare
Tennessee's state health care plan
9 terms
Health Insurance
Lower
Higher
Premium
Deductible
The higher your deductible, the ________ your premium
The lower your premium, the _________ your deductible
Yearly Cost to Maintain an Insurance Policy
The amount you pay out of pocket for an insurance claim befor…
Lower
The higher your deductible, the ________ your premium
Higher
The lower your premium, the _________ your deductible
12 terms
Health insurance
Alternative
Concern
aspect
emphasize
thay thế (adj)
sự lo ngại (n)
khía cạnh (n)
nhấn mạnh (v)
Alternative
thay thế (adj)
Concern
sự lo ngại (n)
180 terms
Health Insurance
Loss of Income From Disability
Classes of Health Insurance Policies
Individual Health Insurance
Limited health insurance policies
From an accident or sickness is covered under Disability Inco…
Individual vs. Group
these policies are underwritten to cover the applicant, their…
Covers specific accidents and diseases
Loss of Income From Disability
From an accident or sickness is covered under Disability Inco…
Classes of Health Insurance Policies
Individual vs. Group
14 terms
Health Insurance
Hospital Insurance
Basic Health Insurance
Surgical Insurance
Physician Expense Insurance
Insurance that covers costs associated with: ... hospital stay…
most health insurance: ... combination of hospital, surgical, an…
lists specific operations it covers and either sets a maximum…
covers physicians' fees outside of surgery including: ... office…
Hospital Insurance
Insurance that covers costs associated with: ... hospital stay…
Basic Health Insurance
most health insurance: ... combination of hospital, surgical, an…
29 terms
Health Insurance
What is Health Insurance?
Premium
Deductible
(high premium plans tend to ...)
- insurance company third party payer assumes most health car…
amount paid regularly to purchase insurance coverage
money you must pay yourself for health services before your h…
have low deductibles
What is Health Insurance?
- insurance company third party payer assumes most health car…
Premium
amount paid regularly to purchase insurance coverage
Insurance - Other Health Insurance Concepts
Change of Beneficiary Provision
age 26
Frequency
Birthday Rule
This provision gives the power to change the beneficiary, for…
Up to what age must health insurance policies provide coverag…
In regards to insurance premiums MODE refers to the ______ th…
Using this, for dependents the coverage of the parent whose b…
Change of Beneficiary Provision
This provision gives the power to change the beneficiary, for…
age 26
Up to what age must health insurance policies provide coverag…
14 terms
Health/Health Insurance
premium
co-pay
co-insurance
medical bill
Your monthly payment in order to keep health insurance. Somet…
The flat fee (usually $25 - 50) that you pay every time you s…
After you pay your deductible, you pay this percentage of the…
The cost of your healthcare expenses, usually sent in the mai…
premium
Your monthly payment in order to keep health insurance. Somet…
co-pay
The flat fee (usually $25 - 50) that you pay every time you s…
12 terms
Health Insurance
Amount paid regularly to purchase insu…
Money you must pay yourself for health…
______ premium plans tend to have low…
Shared cost with you --- money you wil…
Premium
Deductible
High
Copay
Amount paid regularly to purchase insu…
Premium
Money you must pay yourself for health…
Deductible
116 terms
Health Insurance
Accidental Insurance
Accidental Death and Dismemberment
Accidental Death Benefits
Actual Charge
A type of insurance that protects the insured against loss du…
An insurance policy which pays a specified amount or a specif…
A policy rider that states that the cause of death will be an…
The amount a physician or supplier actually bills for a parti…
Accidental Insurance
A type of insurance that protects the insured against loss du…
Accidental Death and Dismemberment
An insurance policy which pays a specified amount or a specif…
Health Insurance
90 days
accidental death and dismemberment (AD…
accidental means provision
adverse selection
in the proof of loss provision, the insured must submit writt…
insurance providing payment if the insureds death results fro…
accident policies require that claims must result from an acc…
selection against the company. tendency of less favorable ins…
90 days
in the proof of loss provision, the insured must submit writt…
accidental death and dismemberment (AD…
insurance providing payment if the insureds death results fro…
75 terms
Health Insurance
Health Insurance
Perils of Health Insurance
Disability Income Insurance
Medical Expense Insurance
Broad term used to describe policies that cover loss of incom…
1. Accidental injury is an unforeseen and unintentional bodil…
Pays periodic benefits when an insured cannot work because of…
Covers the cost of medical treatments, physician's fees, hosp…
Health Insurance
Broad term used to describe policies that cover loss of incom…
Perils of Health Insurance
1. Accidental injury is an unforeseen and unintentional bodil…
5 terms
Health Insurance
Premium
Deductable
Co-insurance
Copayment
Money paid to health insurance company to buy insurance; does…
Money the patient must pay to their provider BEFORE their ins…
Percent of providers bill that a patient pays after they have…
Set fee a patient pays a provider for insurance
Premium
Money paid to health insurance company to buy insurance; does…
Deductable
Money the patient must pay to their provider BEFORE their ins…
12 terms
Health insurance
Allow
Alternative
Aspect
Concern
Permit. Admit. Stand for . Authorize. Accept. Green-light
Choice. Option. Selection. Way. Preference. Different.
Phase. Element. Side. Angle. Hand. Facet. Part.
Worry. Involve. Affect. Relate. Occupy. Engage.
Allow
Permit. Admit. Stand for . Authorize. Accept. Green-light
Alternative
Choice. Option. Selection. Way. Preference. Different.
Health Insurance
Assignment
Deductible
Coinsurance (Percentage Participation:…
Stop Loss
Assign benefits to the provider of health care.
Expenses that the client must pay prior to insurance coverage.
Portion (%) of each claim that the client pays.
Limits the insureds coinsurance to a set amount per year.
Assignment
Assign benefits to the provider of health care.
Deductible
Expenses that the client must pay prior to insurance coverage.
18 terms
Health Insurance
Premium
Copay
Deductible
Medicare Type A
what is paid to have a policy
the amount you pay every time you use the plan
the flat fee paid to use the service before the policy begins
provides specialized services
Premium
what is paid to have a policy
Copay
the amount you pay every time you use the plan
21 terms
Health Insurance
Gross National Product (GNP)
System
Premium
Deductible
is the total amount spent on goods and services in one year
is a group of individual parts that work together to form a u…
is the amount paid to an insurance agency for a health insura…
is the amount that must be paid by the patient before the ins…
Gross National Product (GNP)
is the total amount spent on goods and services in one year
System
is a group of individual parts that work together to form a u…
Health Insurance
Individual Plan
Group Plan
Rider
Health Maintenance Organization (HMO)
purchasing a health insurance plan on your own
health insurance issued to an employer to cover individuals (…
something added to an insurance plan
group health insurance plan that offers prepaid medical car t…
Individual Plan
purchasing a health insurance plan on your own
Group Plan
health insurance issued to an employer to cover individuals (…
76 terms
Health Insurance
Limited Coverage
Comprehensive Coverage
Co-Insurance
HMO
Only pays for specific perils
Designed to pay for any reasonable and necessary medical care
Applies after the deductible has been satisfied.... -Typically 8…
Collects subscriber fees, accepts all sorts of risks, even ca…
Limited Coverage
Only pays for specific perils
Comprehensive Coverage
Designed to pay for any reasonable and necessary medical care
Health insurance
Premium
Co-payment
Deductible
HMO
Periodic payment for healthcare coverage
Amount the subscriber pays for medical service, day of
Amount the subscriber must pay before insurance will
Health maintenance organization
Premium
Periodic payment for healthcare coverage
Co-payment
Amount the subscriber pays for medical service, day of
11 terms
Health Insurance
Advance Beneficiary Notice (ABN)
Capitation
COBRA
Coinsurance
Notice given to Medicare patients that insurance may not cove…
Fixed, prepaid premium
Consolidated Omnibus Reconciliation Act. Health Insurance cov…
Percentage or the amount of the bill the patient is responsib…
Advance Beneficiary Notice (ABN)
Notice given to Medicare patients that insurance may not cove…
Capitation
Fixed, prepaid premium
55 terms
Health insurance
Business overhead expense insurance
Blackout period
Assignment of benefits
Aleatory
If a business owner becomes disabled this policy will not rep…
Social Security pays a benefit to a surviving spouse left to…
The policyowner allows a healthcare provider to out the insur…
Insurance premiums will always be unequal to the benefits rec…
Business overhead expense insurance
If a business owner becomes disabled this policy will not rep…
Blackout period
Social Security pays a benefit to a surviving spouse left to…
Insurance - Types of Health Insurance Policies
Medical Expense Insurance
Basic Hospital Expense Coverage
Basic Medical Expense Coverage
Basic Surgical Expense Coverage
Basc hospital, surgical, and medical policies and major medic…
Hospital expense policies cover hospital room and board, and…
This is often referred to as Basic Physicians Nonsurgical Exp…
This coverage is commonly written in conjunction with Hospita…
Medical Expense Insurance
Basc hospital, surgical, and medical policies and major medic…
Basic Hospital Expense Coverage
Hospital expense policies cover hospital room and board, and…
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