Medicare
Government Insurance
Health Insurance plans
Vocabulary
Practice Settings
100

for hospital care

part A

100

insurance for those over the age of 65

Medicare

100

covers patients with work related injuries 

worker's compensation

100

family members covered by the insurance policy

dependents 

100

patients stay here limited time to receive PT/ OT/ other therapy services

Rehabilitation facility 

200

do not pay a premium as long as you contribute 10 years to social security 

Part A

200

insurance for those that have very low income

Medicaid 

200

combination of PPO and HMO

Point of Service (POS)

200

a list of charges for specific medical services and procedures 

fee-schedule 

200

outpatient surgical procedures 

surgery center

300

Covers prescription drugs

Part D

300

insurance for those disabled, or with end stage renal disease 

Medicare

300

insurance with strict guidelines and narrow choice of providers 

HMO

300

policy holder contributes to insurance by paying a set amount of money each month/ paycheck 

premium 

300

private practice physicians join together to offer discounted rates or rates based on capitation to members

independant practice association

400

a.k.a. Medicare Advantage Plan

Part C

400

insurance for active members of the armed forces and retired personnel and their families 

TRICARE

400

most popular type of private insurance, greater choice of providers.

PPO

400

calculated based on a percentage of a charge ex. 80/20

coinsurance 

400

outpatient care, can be specialized care or care offered at low or no cost

ambulatory clinic

500

Covers outpatient services and DME

Part B

500

insurance for veterans with service related disabilities 

CHAMPVA

500

employers pay directly for employee's medical bills

self-insure

500

set amount a patient has to pay before they can receive benefits or insurance company beings to pay

deductible 

500

Mrs. Smith is referred to as a resident and requires help with ADLs

nursing home

M
e
n
u