Health care glossary of terms

This limit generally does not include things like your premium or noncovered services. Exclusive provider organization epo plans offer a higher level of choice and flexibility than many other managed care plans. Mvp health cares glossary of health insurance, health care, and health plan terms and definitions can help you understand your benefits and coverage, as well as help you to shop for a plan. Homecare therapies provides you with a glossary of home care terms so you can better understand the terminology used. Think care careers has everything you need to know about working in social care. Glossary of health insurance terms excellus bluecross. Health care services that help a person keep, learn or. Glossary of common health insurance terms cf foundation. Major provisions are scheduled to gradually go into effect between now and 2014. But with this glossary, you can find commonlyused healthcare terms hat will come in handy when looking for treatment and coverage options. For adults over the age of 65, the picture is somewhat different.

Some terms may have multiple and varying definitions based on the context and primary source of authority. It is the education, support, and assistance to enable clients with intellectual or developmental disabilities to acquire, maintain, and improve skills related to activities of daily living in order to function as meaningfully and independently as possible in the community. Military health system mhs health care glossary serves as the official repository and consolidated reference as a secondary source for terms and definitions used within the mhs. Health insurance a contract that requires your health insurance company to pay some or all of your health care costs in exchange for a premium. Acute care is a branch of secondary healthcare where necessary treatment of a disease for only a short period of time in which a patient is. Find understandable and helpful definitions for common health insurance and healthcare terms in medical mutuals health insurance glossary. Get definitions for common health insurance expressions and terms for a better understanding of medical insurance terminology. The following is a glossary of health insurance terms that may help answer your questions. Glossary of health care terms florida department of. We want to help you to understand health insurance so you can make the most of your health plan.

A health care plan or system that tries to control medical costs by contracting with a specific network of providers. A comprehensive law passed in 2010, aimed at reforming americas health care system. A complaint that you communicate to your health insurer or plan. Glossary of health care business terms accountable care organizations acos accountable care organizations acos are designed to be patientcentered and to network physicians, hospitals, and other health care professionals, such as audiologists and speechlanguage pathologists, with the patients and each other for partnering in care decisions. This is a type of medical treatment offered in a patients home. Health insurance is full of terms you may not know. Aahcc american accreditation health care commission aahcc accreditation is an important quality. Durable medical equipment dme early and periodic screening, diagnostic, and treatment services epsdt eligibility assessment. The controversial law is designed to lower health care and insurance costs and improve accessibility to health care. Appeal the process of requesting a provider or health plan pay for a service for which payment has been denied autoenrollment the automatic assignment of a person to a health insurance plan broker a salesperson that has obtained a state license to sell and service health plan and insurer contracts claim a request by an individual that his or her insurance. Some excerpts were taken from wikipedia, healthcare coverage glossary. Reading about medical insurance can sometimes get technical and confusing.

Health care procedures that are still being tested, but not yet proven to treat a condition. A benefit your employer, union or other group sponsor provides to you to pay for your health care services. Your plan may have several tiers,and your copayment amount depends on which tier your drug is listed. Glossary of health care terms blue cross blue shield of.

This glossary of terms and definitions is intended to be a resource to help you better understand many commonly used terms in the medical field. Your share for example, 20% of the allowed amount for covered health care services. A procedure to remove excess abdominal skin and tighten the underlying stomach muscles. Health care terminology glossary aaahcc american accreditation health care commission aahcc accreditation is an important quality seal of approval for provider networks and managed care organizations. A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically. Ahps are individuals trained to support, complement, or supplement the professional functions of physicians, dentists, and other health professionals in the delivery of health care to patients.

A chemical that changes the sex hormone testosterone into a substance called dihydrotestosterone. These limits put a cap on health care costs if you ever have a major illness or injury. Traditional health care coverage where the patient or insurance company is billed for services provided. Coverage depends on the patients needs and health plan. Your share of the costs of a covered health care service, calculated as a. Webmd provides definitions of terms related to health insurance, the affordable care act and medicare. Continuum of carea comprehensive and integrated system of health care that includes a broad range of care levels meant to promote the health of an individual throughout the span of their lifetime. Computerized provider order entry cpoe a computer application that allows a physicians orders for diagnostic and treatment services such as medications, laboratory, and other tests to be entered electronically instead of being recorded on order sheets or prescription pads. Coinsurance a percentage of a health care providers charge for which the patient is financially responsible under the terms of the policy copayment a flatdollar amount which a patient must pay when visiting a health care provider deductible a dollar amount that a patient must pay for. Adult nursing is a bayada home health care specialty practical nurses at home for adults and seniors dealing with primarily on an ongoing shift basis home health care glossary this glossary is to help our home health care community better understand the terms used in relation to care.

They include physician assistants, dental hygienists, medical technicians, nurse midwives, nurse practitioners, physical therapists, psychologists, and nurse anesthetists. Individual coverage health reimbursement arrangement. Managed care is a health care system in which the health care provider, in return for a fixed fee per year from a health plan, manages the care of the individual, including decisions about whether a specialist is required. The most you pay in a year before your health insurance pays 100% of qualifying costs. Glossary of health insurance terms blue cross and blue shield of. The definition given is the general meaning and the word may have other. Department of health and human services hhs dependent coverage. Health care glossary childrens community health plan. Flexible spending account fsa health insurance marketplace. Terms used in talking about health care this glossary contains all of the terms provided by the united states government in their glossary of health coverage and medical terms, as well as additional terms and phrases commonly used.

A flat sheet of muscles on the front of the abdomen, between the ribcage and the pelvis. To help you better understand health insurance, heres a list of the most commonly used health care terms and definitions. Find the definitions you need to help better understand your health care. Eskaton glossary of health care terms this glossary of terms and definitions is intended to be a resource to help you better understand many commonly used terms in the medical field. Health it terms glossary of selected terms related to health it. Abortion services accountable care organization accreditation. Home health care means health care services a patient receives at home. Services along the continuum include preventive health services, care management, acute care, postacute care and longterm care. Health care services that your health insurance or plan doesnt pay for or cover. Medicaid provides comprehensive medical coverage for all of its recipients but because many health care providers do not accept medicaid, access to medical care is often limited. An overall deductible applies to all or almost all covered items and services.

For health studies sm actuarial value a health plans actuarial value is the percentage of total aver. Health care that you get when youre admitted as an inpatient to a health care facility, like a hospital or skilled nursing facility. This program is funded by state and federal dollars. Medical is a california health coverage program for lowincome families. Glossary of lgbt terms for health care teams as a provider in a health center or other health care organization, becoming familiar with terms used by lesbian, gay, bisexual, transgender lgbt communities can help you provide these patients with the highest quality care. Our comprehensive, easytouse glossary provides definitions for common health insurance terms to help you better understand your health care. For a complete list of health insurance terms and meanings.

Health insurance glossary texas department of insurance. Below is a list of words and meanings that you may come across as you use your cchp health plan. Habilitation is a bayada home health care specialty practice. Health maintenance organization hmo is an organization that, through a coordinated system of health care, provides or assures the delivery of an agreed upon set of comprehensive health maintenance and treatment services for an enrolled group of persons through a predetermined, periodic fixed prepayment. Insurance that pays money pays a benefit to a beneficiary if an accident causes the death of the insured person. Health insurance glossary health insurance definitions and terms.

This hormone can cause the prostate gland to grow abnormally. Plans can choose their own tiers, so members should refer to their benefit booklet or contact the plan for more. Certified application counselor childrens health insurance program chip. Vermont health care resources 2 health care terms a academic medical center a group of related institutions including a teaching hospital or hospitals, a medical school and its affiliated faculty practice plan, and other health professional schools. Health insurance glossary understanding health care. Members can see any provider in the epo network, which contains family and general practitioners as well as specialists in all areas of medicine. Glossary of health coverage and medical terms page 2 of 6 deductible an amount you could owe during a coverage period usually one year for covered health care services before your plan begins to pay.

Sweeping health care reform legislation signed into law by president obama in march 2010. If you need help with health insurance jargon and terminology, please see the information below for definitions of important health insurance terms, abbreviations, and acronyms. With health insurance coverage, there are many terms that can be difficult to understand. Health care glossary of terms pa office of attorney general. Behavioral health care treatment of mental health andor substance abuse disorders. If you need help with health insurance jargon and terminology, please see the information below for definitions of important health insurance terms. To understand the basics of health insurance, it is helpful to first know some common terms.