Key Terms
This is a health insurance offered to many low-income and disabled people.
What is Medicaid?
This person helps patients maintain overall health by focusing on preventative care.
What is a Primary Care Physician?
This is a savings account that forfeits their funds at the end of the year.
The money a person has to pay before the insurance company provides benefits.
What is a deductible?
This act provided government funds for uninsured children.
What is CHIP?
This is someone not contracted with the health insurance plan.
What is Out of Network Provider?
Your Primary Care Physician will make this if you need to see a specialist.
What is a referral?
This is the most common savings account.
What is an FSA?
The monthly amount paid to an insurance company for healthcare coverage.
What is a premium?
This government health care provides coverage for active and retired service personnel and their dependents.
What is TRICARE?
This is a primary physician who delivers primary care services, makes referrals, and coordinates health care services of the patient.
What is a Gatekeeper?
This person provides patients with information, counseling, and makes referrals.
What is the role of a healthcare specialist?
This is put into your FSA.
What is pre-taxed money?
A flat fee that a health insurance provider requires patients to pay each time they receive a healthcare service.
What is co-pay?
This Act lowers health care costs, guarantees more health care choices, and improves the quality of healthcare for all Americans.
What is the Affordable Care Act?
This is the process in which an insurer reviews decisions by physicians and other providers about how much care to provide?
What is Utilization Review?
Blood pressure checks, mammograms, cholesterol, and body temperature checks are examples of this that you can get at a doctor's office.
What is preventative services?
An Health Savings Account (HSA) is commonly paired with this.
What is a high deductible, and low monthly premiums?
This is commonly paired with a low deductible.
What is a higher premium?
DOUBLE JEOPARDY
This program provided states with matching funds to help expand healthcare coverage to over 6 million uninsured children.
What is The State Children's Health Insurance Program?
DOUBLE JEOPARDY
What is a classification system used by Medicare and Medicaid to determine payment for health services?
What is DRGs (diagnostic related groups)?
The patient or physician must obtain this for the procedure/hospitalization, and the insurance company determines if the proposed procedure is medically necessary and decides whether to pay.
What is Pre-Authorization?
You are allowed to do this with your HSA account if you are 65 and older (or become disabled).
What is withdrawal in an HSA?
This is the primary purpose of co-insurance.
What is lowering monthly premiums?
This is the healthcare reform that the US Congress debated during the new healthcare reforms in the US.
What is public option?