Terminology
The amount a person must pay for health expenses before the insurance covers the cost
What is a Deductible?
The amount that the insured person must pay out of pocket for services at a doctor's office.
What is Co-payment?
(DOS)
Treatment date or Date of Service
This is a federal health insurance program that pays for hospital and medical care for elderly and certain disable Americans?
What is Medicare?
A standard designed to protect medical records and all personal health information.
What is the Health Insurance Portability and Accountability Act
The amount you pay each month to belong to a health plan.
What is a Premium?
The amount you must pay after your insurance has paid its portion, according to your Benefit Contract
Co-insurance
A person who pays out-of-pocket for healthcare services in absence of insurance.
Self-Pay
Covers outpatient health care services, services by physicians and durable medical equipment.
What is Medicare Part B
A fee for service plan for the dependents of men and women in the military.
What is Tricare
Person financially responsible if insurance does not pay
Guarantor
Inpatient health care services, services in hospitals, nursing facilities, home health care, and hospice care.
What is Medicare Part A
Jointly funded federal and state health insurance plan administered by states for low income adults, pregnant women, children and people with certain disabilities
Medicaid
True or False: If you are receiving Medicare, you are not eligible for the Medicaid program?
False.
If you qualify for both Medicare and Medicare, you are "dual eligible." Sometimes the two programs can work together to cover most of your health care costs.
Part A, B, C or D? The advantage Plan is an example of which part?
What is Part C?