覆盖的好处
一种健康服务或项目，包含在你的健康计划中，由你支付部分或全部费用.
可扣除的
登记人每年支付的服务金额. The deductible must be met before the insurer pays for services.
覆盖的指控
Services or benefits that a health plan makes either partial or full payment.
招收
加入健康计划.
独家供应商组织(EPO)
这种管理式医疗计划类似于HMO计划，因为成员必须选择一名初级保健十大赌博平台排行榜. The health plan administers the plan and pays providers directly. If specialty services are not authorized, the plan usually does not cover the services.
看门人
The primary care physician in a managed care plan through which all other care (e.g., visits to specialists and other providers, lab and radiology tests, hospitalizations, etc.), with the exception of emergencies, must be coordinated.
健康保险折扣计划
A discount plan allows members to access health care providers, 比如十大赌博平台排行榜和牙医, who have agreed to provide services to plan members at discounted rates. Such plans typically charge members a monthly membership fee. Discount plans are not a substitute for health insurance. Only those discount plans licensed through the state of California are valid. 许多保险公司不接受这种类型的保险.
健康维护组织(HMO)
健康维护组织通过指定的十大赌博平台排行榜和十大赌博平台排行榜网络提供护理. Members of HMOs select a primary care physician who coordinates all care. A co-payment is typically required for each office visit. Aside from the co-payment, the patient does not pay for services from a physician or hospital. 然而, 患者应自行承担未包括在福利范围内的服务费用或患者选择接受未经授权的服务的费用.
健康储蓄帐户(HSA)
This savings account is an alternative to traditional health insurance. It provides an option for consumers to set aside pre-tax dollars for medical expenses, 比如共同支付, 免赔额和药物, 为将来的医疗费用而存钱. You must be covered by a "high deductible health plan (HDHP)" to take advantage of HSAs. 高免赔额的健康计划通常比传统计划花费更少，所以你在保险上省下的钱可以存入健康储蓄账户. 更多信息，请访问 医疗保健.gov网站.
健康保险 Portability and Accountability Act (HIPAA)
《十大赌博平台排行榜》(HIPAA)是1996年通过的一项法律，如果你失业或换工作，它将扩大你的医疗保险范围. 它还要求对管理医疗保健服务的提供和支付以及患者健康信息的安全性和保密性的法律和监管环境进行重大改革.
赔偿
一种传统的医疗保险计划，允许投保人选择任何医疗服务提供者并支付部分医疗费用. 投保人支付免赔额和共同保险.
独立执业协会(IPA)
为了签订卫生组织合同而联合起来提供医疗服务的提供者组织，作为十大赌博靠谱网络平台医疗集团.
网内
这里指的是十大赌博平台排行榜, 十大赌博平台排行榜, 同意以折扣价向某一保险计划的成员提供服务和用品的药店和其他卫生保健提供者. Under some insurance plans, your care is covered only if you get it from in-network providers.
管理式医疗
Managed care refers to a variety of approaches to managing health care, from managed indemnity plans to health maintenance organizations. The focus of managed care is on controlling health care costs and utilization. 这可以通过多种方式实现, 包括与特定供应商签订的合同, 鼓励这些提供者降低成本，并开展审查程序，促进适当利用保健服务.
加州医保
A California state sponsored assistance program for medical care.
加州医保管理医疗
一种加州医保计划，十大赌博靠谱网络平台者选择初级保健十大赌博平台排行榜作为看门人来管理所提供的所有护理.
医疗保险
A federally funded health insurance program for patients who are disabled or over age 65. 最初的医疗保险计划有两部分:A部分是包括住院在内的十大赌博平台排行榜保险, 临终关怀和专业护理设施服务. 医疗保险 Part B is medical insurance with coverage including physician services, 医疗用品和诊所护理.
医疗保险的优势
These are health plan options approved by 医疗保险 but run by private companies. 他们是医疗保险计划的一部分. You may have to use the plan's doctors and 十大赌博平台排行榜 to get services. 有了这些计划，你通常会收到:
- All your 医疗保险-covered health care through that plan
- 保险范围可以包括处方药
- Extra benefits, such as vision, hearing, dental or health and wellness programs
- Lower out-of-pocket costs than the original 医疗保险 plan
高免赔额医疗保险政策
This is a type of policy that has a high deductible but a lower premium. You must pay the deductible before the Medigap policy pays anything. 免赔额每年都可以改变.
医疗保险私人服务收费计划
这种医疗保险优势计划, 由私人保险公司提供, 允许病人从任何接受医疗保险和服务收费计划的十大赌博平台排行榜或十大赌博平台排行榜寻求治疗. The plan provides 医疗保险 benefits and may provide additional benefits. 保险公司, 从医疗保险中获得资金, decides how much it will pay for each service and the share the patient pays.
医疗保险优先提供者组织(PPO)
这是一种医疗保险优势计划，在当地或地区提供，如果你看十大赌博平台排行榜，你支付的费用更少, 十大赌博平台排行榜 and other providers that belong to a network. If you use providers outside of the network, there is an additional cost.
医疗保险风险hmo
这是一种医疗保险优势计划，是传统医疗保险的替代方案，患者将他们的医疗保险福利分配到从联邦医疗保健融资管理局获得每月保费的健康计划中. Care is provided like HMOs with gatekeepers or primary care physicians coordinating care. Seniors elect these plans to eliminate the paperwork and deductibles associated with 医疗保险. 这些计划提供与医疗保险相同的福利，通常还提供额外的福利，如处方保险，作为加入的激励.
医疗保险补充保险
这是一个补充保险计划，帮助支付医疗保险不包括的医疗费用和服务. 这些计划也被称为“中等差距”计划.
补充医疗保险
一种补充保险政策，帮助弥补批准的医疗费用和医疗保险支付的福利之间的差额. 这些计划也被称为“中等差距”计划.
十大赌博靠谱网络平台医疗集团(PMG)
作为健康计划网络成员的医师团体(初级保健或多专业团体)，因此可以为该健康计划所涵盖的成员提供服务.
Point-Of-Service (POS)
一种健康计划，提供通过初级保健十大赌博平台排行榜协调护理或向其他提供者寻求医疗护理的选择. 行使第一个选择权, 有时被称为“一级”," the patient selects a primary care physician to coordinate all care. As with a health maintenance organization, the patient is responsible for a nominal co-payment.
为了更高程度的选择, 或者“第2层”,患者可以选择从该计划的十大赌博平台排行榜和十大赌博平台排行榜网络中接受治疗，而无需通过初级保健十大赌博平台排行榜进行协调. 与首选提供商组织一样, the patient is generally responsible for a deductible and for paying a percentage of the bill.
在“第三层”," the patient may choose any doctor outside the network, 但却要支付更高比例的账单.
Precertification
Obtaining approval from a health plan for an elective hospital stay, 在入院之前. Expected length of stay is also determined during precertification.
首选提供者组织(PPO)
首选提供者组织通过指定的十大赌博平台排行榜和十大赌博平台排行榜网络提供护理. 一般来说，没有守门人. 很多服务, 然而, 需要事先得到保险公司的授权，否则病人可能要为大部分账单负责. Some plans have an annual deductible that must be met before services are covered by the insurer. 其他计划则有共同支付. 如果看到非十大赌博靠谱网络平台的提供者, the patient is responsible for a higher percentage of the bill.
推荐
A referral is when a physician sends a patient to another physician for a specific, 通常是复杂的问题.
自我保险的
自行投保的雇主在自行管理的计划中或通过与第三方管理人签订的合同承担医疗费用的风险. This form of coverage is regulated by the Employee Retirement Income Security Act of 1974.
