Health Insurance Terms
A part of insurance where insured pays a percentage of the claim payment after the deductible has been met
Coinsurance
What does HMO stand for in healthcare?
Health Maintenance Organization
A wrongful act leading to legal action
Tort
Private dispute between community members
To keep private means to keep something
Confidential
The amount a patient pays for each health care service (ie,Doctor office visit)
Copayment
A savings account used with a high-deductible health policy
Health Savings Account (HSA)
The term that indicates someone is underage
Minor
Which area of law deals with punishing those who commit crimes?
Criminal Law
The care a providers is able to provide a patient
Scope of practice
The amount the insured must pay before insurance starts paying
Deductible
Health insurance that contracts with a large network of healthcare providers you can choose from
Preferred Provider Organization (PPO)
A document specifying desired end-of-life care
Living will
A healthcare worker provides bad care or neglects a patient
Malpractice
Formally agreed upon in writing or verbally
Expressed Contracts
Items or conditions not covered by the insurance
Exclusions
Procedures or visits to detect or prevent serious diseases ( well visits, vaccines, mammograms)
Preventative Care
Authority for someone else to make medical decisions for you
Being legally responsible
Liable
Patient rights and guidelines for privacy in health care facilities
HIPAA
The maximal amount a patient pays a year for medial bills
Maximum Out of Pocket
A physician that offers general medical care , wellness visits, and referrals to specialists
Primary Care Physician
What does 'legal disability' refer to in a healthcare context?
Physical impairment
the term for moral principles guiding behavior
Ethics
An individual who ensures patient rights and prevent abuse
ombudsman