Insurance Terms
A fixed amount you pay for a service when you receive the service.
What is a co-payment?
What year did Medicare & Medicaid come about?
What is 1965?
An admitting clerk, medical illustrator and medical coder are in this healthcare pathway.
What is health informatics?
A toxicologist, forensic scientist and pharmaceutical scientist are careers in this pathway.
What is biotechnology research and development?
Public health insurance funded by the government primarily for those 65 years and older.
What is Medicare?
This may need to be completed in order to receive treatment, medication or equipment to determine if its medically necessary.
What is preauthorization?
This law/government policy said you can't be denied for pre-existing conditions, immediate coverage would be offered for maternal and prenatal care and you would be fined if you did not purchase health insurance.
What is the Affordable Care Act?
A biomedical technician, maintenance engineer and interpreter are careers in this pathway.
What is support services?
In this pathway, health care workers perform tests and evaluations on patients.
What is diagnostic services?
A set dollar amount you owe for services before health insurance will start helping to pay.
What is deductible?
Money that is paid, typically each month, in order to have health insurance. This may be paid by your employer or you.
What is a premium?
Public health insurance funded by the government for those with low incomes.
What is Medicaid?
A mental health counselor, physical therapist and dental hygienist are careers in this pathway.
What is theraputic services?
In this pathway, health care workers research information in order to come up with new tests and treatment options.
What is biotechnology research and development?
A healthcare facility for patients needing long term care as they are unable to care for themselves.
What is a nursing home/skilled nursing facility?
The most you pay during a policy period before insurance pays 100% of the allowed amount.
What is out-of-pocket limit/max?
Define/describe Consolidated Omnibus Budget Reconciliation Act (COBRA)?
What is, when changing jobs, you can stay under your previous employer's health insurance as long as you pay the full premium?
In this pathway, health care workers work directly with patients to improve their condition if they are sick or injured.
What is theraputic pathway?
In this pathway, healthcare workers usually do more office work and don't provide direct patient care.
What is health informatics?
A professional degree from a medical school that qualifies a person to become a physician.
What is a medical degree?
Your share of the costs of a covered health care service, calculated as a percent.
What is co-insurance?
Name a company that provides private health insurance.
What is BCBS, Aetna, United Health Care and others?
In this pathway, health care workers work behind the scenes to create clean and safe environments.
What is support services?
A phlebotomist and dentist are careers in this pathway.
What is diagnostic services?
A state regulated process to ensure a professional has met all requirements to perform a job duty. Criteria can include specific degree/training, background check and completing continuing education.
What is licensure?