Insurance Vocab
A part of insurance where insured pays a percentage of the claim payment after the deductible has been met
Co - Insurance
Health Maintenance Organization
A provider offering general medical care , wellness visits, and referrals to specialists
Primary Care Physician ( PCP )
A document specifying desired end-of-life care
Living will
Some one who is under age is referred to as a
Minor
The amount a patient pays for each health care service
Co- payment
A savings account used with a high-deductible health policy is called
and HSA (Health Savings Account)
Seeing the same health care provider over and over
Continuity of Care
Moral principles guiding behavior
Ethics
Private dispute between community members is referred to as what type of law
Civil law
The amount the insured must pay before insurance starts paying
Deductible
A health insurance that contracts with a large network of healthcare providers you can choose from is called
PPO
The person that ensures patient rights and prevent abuse
Ombudsman
Authority for someone else to make medical decisions for you
durable power of attorney
Which area of law deals with punishing those who commit crimes?
Criminal law
The maximal amount a patient pays a year for medial bills
Max Out of Pocket / Out of Pocket Max
Well visits, vaccinations and Screenings like colonoscopies and Mamograms are considered
Preventative care
Patient rights and guidelines for confidentiality in health care facilities is inference to
HIPAA
To inform the patient of the procedure or treatment and allow physician to move forward with care is called
Informed Consent
A wrongful act leading to legal action is called
a Tort
Items or conditions not covered by the insurance
Exclusions
Sue has surgery done to remove her gallbladder. She has a PPO plan with a deductible of $1000.00 and a co insurance of 10% and Max Out if pocket of 8,000. How much does Sue pay total on her $10,000 bill?
$1900.00
A healthcare worker provides bad care or neglects a patient
Malpractice
What does it mean for information to be defamatory?
It ruins someones reputation
The care they are able to provide a patient
Scope of practice