Healthcare! (:

co-insurance

the percentage of the bill for services that the policy holder must pay

co-payment

a specific amount paid by the patient for each medical service, such as $15.00 for each doctor visit or each prescription filled

deductible

amount the patient must pay before the insurance starts to pay for services

group plan

the insured and, usually, their employer share the amount of the premium

health maintenance organization

insurance method that focuses on prevention of disease, must see providers from an approved list

indemnity plan

traditional health insurance plan with freedom to visit physician of choice

individual plan

the insured pays the total amount of the premium

medicaid

government payment of healthcare services for people with low income, children who qualify for services and people who are disabled or blind.

medicare

government payment for healthcare for patients over 65, any person with a disability that has received social security benefits for at least 2 years, or anyone with end stage renal disease.

medigap

a private insurance policy that pays the difference between the medical charge and the amount that Medicare pays

out-of-pocket

medical bill that is not covered by insurance and must be paid by the patient

Preferred provider organization

group of healthcare providers that provide services to a specific group, often at a reduced rate

Premium

the periodic amount paid to an insurance company for healthcare or prescription drugs

Private insurance

the insured pays a monthly premium for insurance plan

reimbursement

amount paid to patient toward the cost of healthcare services

tricare

military health plan that provides services for active duty personnel and their families, survivors of military personnel and retired military personnel and their families

Veterans health administration

provides healthcare services to anyone who served in the military

workers compensation

health insurance plan the pays for the healthcare of workers injured on the job

cost containment

methods used to control the cost of healthcare

Diagnostic related groups

system to classify diagnoses into similar groups and is used to determine the amount of Medicare payment to a healthcare provider

for-profit agency

facility that operates for a monetary profit

government agency

agency sponsored by the government and supported by taxes

Health information management systems

management of personal healthcare information by the healthcare agency

in-patient care

services provided to a patient within a hospital

Out-patient care

services that do not require the patient to stay overnight in the hospital

Managed care

healthcare system designed to reduce cost of healthcare

Preventative care

the focus is to promote good health and to prevent illness

telemedicine

healthcare services provided from a distant place