Glossary of Health Coverage and Medical Terms …2 OMB Control Numbers 1545-2229, 1210-0147, and...
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1 OMB Control Numbers 1545-2229, 1210-0147, and 0938-1146 ( ) Co-insurance - 20% - ( )
Transcript of Glossary of Health Coverage and Medical Terms …2 OMB Control Numbers 1545-2229, 1210-0147, and...
1 OMB Control Numbers 1545-2229, 1210-0147, and 0938-1146
(
)
Co-insurance
-
20%
-
(
)
2 OMB Control Numbers 1545-2229, 1210-0147, and 0938-1146
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hahalzhish-
Durable Medical Equipment (DME)
Emergency Medical Transportation
Emergency Room Care
Emergency Services
Excluded Services
Grievance
Habilitation Services
3 OMB Control Numbers 1545-2229, 1210-0147, and 0938-1146
Health Insurance
Home Health Care
Hospice Services
Hospitalizatiion
Hospital Outpatient Care
In-network Co-insurance
ha-insurance
(
)
In-network Co-payment
( )
Medically Necessary
Network
Non-Preferred Provider
4 OMB Control Numbers 1545-2229, 1210-0147, and 0938-1146
Out-of-network Co-insurance
(40%),
Out-of-Network Co-payment
Out-of-Pocket Limit
ha-insurance
-insurance
-
co-insurance
Physician Services
(MD-Medical Doctor, doodago DO –
Doctor of Osteopathic Medicine )
Plan
Preauthorization
5 OMB Control Numbers 1545-2229, 1210-0147, and 0938-1146
Preferred Provider
-insurance
Premium
Prescription Drug Coverage
Prescription Drugs
Primary Care Physician
(MD-Medical Doctor,
doodago DO – Doctor of Osteopathic
Medicine )
Primary Care Provider
(MD-Medical Doctor,
doodago DO – Doctor of Osteopathic
Medicine ),
Provider
(MD-Medical Doctor,
doodago DO – Doctor of Osteopathic
Medicine )
Reconstructive Surgery
Rehabilitation Services
ọọ
6 OMB Control Numbers 1545-2229, 1210-0147, and 0938-1146
Skilled Nursing Care
Specialist
UCR (Usual, Customary and Reasonable)
Urgent Care
At 7
$1,500; 20%; : $5,000
$1500.00,
$125
$125
$ 0
$1500.00
co-insurance
$1500.00
$ 75
$ 15
$ 60
$5,000.00
$ 200
$ 0
$ 200
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025742 (08-2012)
