Government
This government program provides health insurance for Americans age 65 and older.
What is Medicare?
This type of doctor is your first point of contact for general health concerns and annual checkups.
What is a primary care physician?
This test measures electrical activity in the heart and is commonly used to diagnose arrhythmias and other cardiac conditions.
What is an electrocardiogram (ECG or EKG)?
POS code 11 is used when services are provided in this type of outpatient facility.
What is an office?
This is the approval from a health plan that is often required before a patient can receive service or medication.
What is prior authorization?
This federal agency oversees the Medicare and Medicaid programs, ensuring healthcare access for millions of Americans.
What is the Centers for Medicare & Medicaid Services (CMS)?
This specialist focuses on diagnosing and treating heart and blood vessel conditions.
What is a cardiologist?
This screening test is recommended every 1-2 years for women aged 50-74 to detect breast cancer early.
What is a mammogram?
POS Code of 21 refers to this facility where patients are admitted for care.
What is an inpatient hospital?
This type of plan requires members to use a network of providers and typically requires referrals from a primary care doctor.
What is a Health Maintenance Organization (HMO)?
This federal-state program helps with medical costs for people with limited income and resources.
What is Medicaid?
These doctors focus on the care of infants, children, and adolescents, ensuring their growth and development are on track.
What is a pediatrician?
A colonoscopy is typically first recommended at this age for individuals at average risk of colorectal cancer.
What is age 45?
This POS Code represents a facility that provides outpatient surgical procedures outside of a hospital setting.
What is POS 24-ambulatory surgical center (ASC)?
This is the fixed amount a patient pays for a healthcare service, usually at the time of service.
The federal agency responsible for overseeing public health and controlling disease outbreaks.
What is the CDC (Centers for Disease Control and Prevention?
This specialist deals with disorders of the brain, spinal cord and nervous system.
What is a Neurologist?
This diagnostic imaging test combines x-rays and computer technology to produce cross sectional images of the body.
What is CT (Computed Tomography)?
POS Code 31 is designated for this type of long term care facility, often used after hospitalization.
What is a skilled nursing facility (SNF)?
This term refers to the amount a patient must pay out of pocket each year before their insurance begins to pay.
What is a deductible?
This federal agency, part of the Department of Health and Human Services, is responsible for regulating food, drugs, medical devices, and cosmetics, and cosmetics to ensure public safety.
What is the FDA (Food & Drug Administration)?
This medical specialty focuses on the diagnosis and treatment of diseases using medical imaging techniques such as x-rays, CT scans and MRIs.
What is radiology?
This imaging technique uses powerful magnets and radio waves to create detailed images of organs and tissues, often used to examine brain, spine and joints.
What is an MRI (Magnetic Resonance Imaging)?
POS Code 02 designates this setting, which became increasingly used during the COVID-19 pandemic for remote patient care.
What is telehealth?
This three-letter acronym refers to the portion of medical costs the insured shares with the insurance company after the deductible is met.
What is (COI) coinsurance?