Vocab
Types of insurance
Terminology
Top 5 most incurred medical costs
Definitions
1

The amount of time that an individual must wait to become eligible for coverage or a specific benefit.

What is a waiting period?

1

Type of insurance that would help to cover the cost of glasses and/or contacts.


What is vision insurance?

1

MOOP

What is Max out of pocket

1

typically include services like blood panels and urinalysis

What are Lab Fees?

1

A document sent by an insurer to a patient explaining what was covered for a medical service.


What is Explanation of Benefits?

2

Conditions like acquired immunodeficiency syndrome, attempted suicide, cancer, losses due to injury on the job, and pregnancy are reasons why a person should not be allowed to deduct expenses

What is a Policy Limitation?

2

Insurance that would cover fillings, teeth cleaning and/or braces.

What is dental insurance?

2

CHIP

What is the Childrens Health Insurance Program

2

medical procedures or tests that can be done in a medical center without an overnight stay.

What are Outpatient Services?

2

The amount that the insured person must pay out of pocket for services at a doctor's office.

What is Co-payment?

3

The approval of or concurrence with the treatment plan proposed by a medical professional before the provision of services will be covered by insurance

What is Preauthorization


3

Insurance to help covers expenses should you not be able to work due to an injury.

What is disability insurance?



3

HMO

What is health maintenance organization

3

the department of a hospital that provides immediate treatment for acute illnesses and trauma

What is the Emergency Room?

3

The amount a person must pay for health expenses before the insurance covers the cost.

What is a deductible?

4

A federal program for people age 65 or older that pays for certain healthcare expenses.

What is Medicare?

4

Insurance that provides financial payment to a beneficiary in the event of death.

What is life insurance?

4

PPO

What is preferred provider organization

4

 A type of test used to help diagnose a disease or condition. Mammograms and colonoscopies are examples

What is Diagnostic Testing?

4

A Federal law that lets you continue to buy health insurance for up to 18 months after you lose your job?

What is COBRA?

5

A type of health insurance that covers certain services for a set time period (12 months or less).


What is short term health insurance?

5

Form of insurance that provides payment for medical care when a person in injured on the job.

What is Worker's Compensation?

5

ACA

What is the affordable care act

5

 is a meeting between a patient with a physician to get health advice or treatment

What are Doctors Visits?

5

The amount the policy-holder or his/her employer pays to the health plan each month to purchase health coverage.

What is a Premium?