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24 Cards in this Set
- Front
- Back
Health insurance |
Insurance offered by private insurance companies or government that covers health care expenses |
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Blue Cross/Blue Shield |
Nations largest health care insurer |
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Private health insurance |
Health insurance that can be purchased from private insurance companies to provide coverage for health care expenses |
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Fee for service plan (indemnity plan) |
Insurance that reimburses individuals for some or all of the expenses they incur |
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Fee for service plan (indemnity plan) |
Insurance where policyholder is free to decide if they want care from a primary care physician or specialist |
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Managed health care plan |
Requires individuals to receive services from specific doctors and hospitals |
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Health maintenance organization |
Insurance plan that covers health care services approved by doctors; PMPM |
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HMO |
Insurance that requires patients to get a referral before they can seek a specialist |
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Preferred provider organization |
Health insurance plan that allows individuals to select a health care provider and covers most of the fees |
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Discount on charge arrangement |
Arrangement where PPO pays a specific percentage of charges |
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Per diem rate arrangement |
Arrangement where PPO pays provider a specific sum each day a patient is hospitalized |
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Preexisting conditions |
Prevents people from buying insurance to treat existing illness or injuries |
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Flexible spending account |
Account established by the employer for the employee to use pretax income |
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Medicare |
Program that provides health insurance to individuals over 65 & qualify for social security benefits |
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Medigap insurance |
Insurance provided by private companies to cover medical expenses not covered by medicare |
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Medicare prescription drug improvement and modernization act of 2003 |
Allows seniors to buy various forms of coverage for prescription drugs |
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Health savings account |
An account that shelters income from taxes and can be used to pay health care expenses |
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Medicaid |
Federal program that provides health care to the aged, blind, disabled, and needy families with dependent children |
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COBRA |
States an individual can continue to have health insurance for 18 months after they stop working for that employer |
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HIPAA |
Ensures workers can continue their health insurance coverage when switching jobs |
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HIPAA |
Prohibits insurance companies from denying insurance based on applicants health satus, medical history, etc. |
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Privacy rule |
Part of the HIPAA Act; protects personal information |
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Probationary period |
Period extending from the time the disability income application is approved and time coverage goes into effect |
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Waiting period |
Period from the time you are disabled and when you receive benefits |