Insurance Plans
Before this reform, people relied on charity or paid out of pocket
What is Health Insurance?
Receives state and federal funding.
What is Medicaid?
Monthly payment to keep insurance.
What is a Premium?
The reform which places conditions into price groups.
What are Diagnostic Related Groups?
Name 1 government funded health insurance.
What are Medicare, Medicaid, TRICARE, or CHIP?
Extra plan for medicare, covers both A and Bs services as well as lower coinsurance and extra prescriptions.
What is Medicare C?
A flat fee paid by the patient on top of the deductible.
What is a Copay?
Education, Environments, Economics, Community, etc. Are examples of. . .
What are Social Determinants of Health (SDOHs)?
This plan allows use of only in-network providers and requires referrals.
What is a HMO?
Extra plan for medicare, provides outpatient care.
Payment without any insurance plan covering the patient at all.
What is a Direct Payment?
Existing medical conditions prior to receiving insurance.
What are comorbidities?
This plans requires use of in-network providers but a referral is NOT required.
What is a EPO?
The term for someone eligible for both Medicaid and Medicare.
What is Dual Eligibility?
Non-taxed savings account that can only be taken out for medical purposes/at retirement.
What is a Health Savings Accounts?
The federal division responsible for the safety and review of pharmaceutical drugs or treatments.
What is the FDA?
Managed healthcare plan, combination of PPO and HMO.
The system created by Medicare to increase hospital efficiency.
What is the Prospective Payment System?
A spending account that is funded by part of a patient's paycheck from the employer, and goes to the employer at the end of the year.
What is a Flexible Spending Account?
The annual measure of income for eligibility, benefits and programs.
What is the Federal Poverty Level (FPL).