Insurance Card
Health Insurance Plans
Health Insurance Terminology
Healthcare Services
USF Student Insurance & Services
100
Your unique number to show that you are a member of your health plan
Typically found on your health plan card
What is member identification (ID)?
100
Health insurance plan that typically has lower out of pocket costs and focused on prevention and wellness
This plan needs referrals from your PCP
What is a HMO? (Health Maintenance Organization)
100
A portion of the medical cost you pay after your deductible has been met.
Usually a fixed ratio or percentage (Example: 20%)
What is coinsurance?
100
The most expensive type of care service
You should go here when immediate care is needed.
What is emergency care?
100
This service is planned to be included in the future USF plan
What is vision care? (+dental, with the exception of pediatric dental)
200
Displays as HMO, PPO, EPO, or HDHP
What is plan type/ plan name?
200
This plan gives flexibility in choosing doctors and specialists, and costs less to use providers within the network
This plan does not require a referral for specialty care
What is a PPO? (preferred provider organization)
200
A fixed amount you pay for a covered health care service after you have paid your deductible
What is copay? (Copayment)
200
You are experiencing some flu-like symptoms, such as runny nose and a cough. Over-the-counter medication is not helping much. I should go visit a local _________. (can be subjective)
What is a medical clinic or student health clinic? OR Urgent care (depending on you!)
200
The nearest clinic from the USF main campus
Accessible to anyone with the student health insurance plan!
What is UCSF St. Mary's Hospital? (Dignity Health)
300
The main doctor you consult for health care issues
HMOs require you to identify this doctor to direct and approve referrals.
What is PCP? (Primary care provider)
300
This is USF'S student insurance! (What kind of plan?)
What is an EPO (Exclusive Provider Organization)?
300
___________________ does not apply to preventative care and specific other services.
It is the amount of healthcare expenses you have to pay with your own money before your health plan will pay.
What is an annual deductible?
300
Walk-ins are accepted at this service, but appointments are typically preferred.
What is urgent care?
300
This service is planning to be included in the future USF plan
What is dental service? (basic service, dental diagnostic & preventative)
400
The maximum amount of money that you would have to pay, when looking at services within your network
What is the out-of-pocket max?
400
Copays, deductible, and coinsurance will be the patient's responsibility. The rest is ______________.
This term is used to describe services that are eligible under the terms of the plan.
What is covered by insurance?
400
The amount you pay for health insurance every month
What is a monthly premium?
400
St. Mary's Hospital is USF's _____________.
What is student health clinic/ medical clinic?
400
USF's health insurance plan!
What is AETHNA?
500
The amount of money you pay out of pocket for covered services before your insurance starts to cover the costs
Doctor's visits, prescriptions, and urgent care
What is a deductible?
500
This plan only allows you to utilize doctors, services, and hospitals covered under the plan's specific network
- except in the case of an emergency
What is an EPO? (Exclusive Provider Organization) OR HMO (Health Maintenance Organization)?
500
These providers may or may not be covered or contracted with your plans, and the more costly option.
What is out of network?
500
Fill in the blank: When you book within your contract with your healthcare plan, you usually end up with the lowest cost option. This is when you use ______________ providers and services.
What is in-network?
500
A USF HPS resource you are able to book online to meet with someone to inquire for healthcare information
What is a 1:1 appointment? (with HPS)