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Healthcare Terms (Grades 11-12)

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Healthcare Terms

1. 
                is a fixed % of the allowed amount for a covered item or service that the insured must contribute
  1. Co-pay
  2. Coinsurance
  3. Deductible
  4. Premium
2. 
What is the fixed amount of money the customer has to pay before most, if not all, of the policy's benefits can be used?
  1. Coinsurance
  2. Co-pay
  3. Deductible
  4. Premium
3. 
                is a standard fee based on the type of insurance you have and is usually due at the time of service.
  1. Coinsurance
  2. Deductibles
  3. Co-pay
  4. Premiums
4. 
This type of insurance can be purchased directly or through an employer.
  1. Public Insurance
  2. EPO
  3. Managed Care
  4. Private Insurance
5. 
A public or private agency primarily engaged in providing pain relief, symptom management, and supportive services to terminally ill patients and their families in their own homes or in a homelike center.
  1. Formulary
  2. Respite Care
  3. Hospice
  4. Advance Beneficiary
6. 
A request for your insurer to review a claim again
  1. Prior authorization
  2. Outpatient care
  3. Appeal
  4. Policy
7. 
A request for your insurer to review a claim again
  1. Prior authorization
  2. Outpatient care
  3. Appeal
  4. Policy
8. 
Services covered under your insurance plan
  1. Policy
  2. Benefits
  3. Appeal
  4. Actualities
9. 
An act designed to protect patients' medical information
  1. HIPAA
  2. COBRA
  3. Medicaid
  4. Medicare
10. 
An amount you must pay for services before your insurance will pay in full
  1. Co-pay
  2. Coinsurance
  3. Deductible
  4. Dividend
11. 
A drug that is similar in composition and cost to another drug, but usually comes at a cheaper price
  1. Prescription
  2. Generic
  3. Name-Brand
  4. Allowed
12. 
A complaint made to your insurance company
  1. Deductible
  2. Appel
  3. Competition
  4. Grievance
13. 
A service that provides care for those in the last stages of life
  1. Hospice
  2. Hospitalization
  3. Inpatient care
  4. Outpatient care
14. 
Services provided when someone is admitted to a hospital or other facility
  1. Hospice
  2. Hospitalization
  3. Inpatient care
  4. Outpatient care
15. 
Procedures performed at a hospital or clinic where the patient does not spend the night
  1. Hospice
  2. Hospitalization
  3. Inpatient care
  4. Outpatient care
16. 
Facilities, providers, and suppliers connected with your insurance plan
  1. Doctors
  2. Grievances
  3. Appeal
  4. Network
17. 
Medical visits and treatments designed to keep illnesses from developing
  1. Cancer care
  2. Hospice care
  3. Preventative care
  4. Surgical care
18. 
A written order from your physician so you can see a particular specialist
  1. Prior authorization
  2. Referral
  3. Policy
  4. Prescription
19. 
Getting permission from the insurance company to allow a procedure before it happens
  1. Prior authorization
  2. Policy
  3. Appeal
  4. Referral
20. 
A doctor that focuses on a specific area of medicine
  1. primary care physician
  2. specialist
  3. surgeon
  4. pharmacist
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