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Vocabulary
Health Insurance
13
Economics
12th Grade
06/21/2009

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Term
Universal Health Insurance
Definition
A system in which all residents of a state, country, or other, geographical area have access to health care
Term
Medicare
Definition
federal health insurance for individuals over age 65 and the disabled. there are no financial or income eligibility requirements. hospital insurance which covers inpatient hospital stays, care in a nursing facility, hospice care and some home health care, pays for doctors' services, outpatient hospital care and medical equipment.
Term
Medicaid
Definition
Insurance progam funded jointly by the federal and state governments for individuals and families with limited incomes or resources. each state determines its elegibility requirements.
Term
Health Maintenance Organization (HMO's)
Definition
type of health plan in which members pay a monthly premium for comprehensive care, including preventive and routine doctors' visits. typically, HMO's contract or employ their own health care providers, and members must visit those doctors, except in emergencies or when medically necessary.
Term
Co-Insurance
Definition
System in which an insured person is required to pay a percentage of covered medical costs. For example, the insurance company might pay 70% and the insured person pays 30%.
Term
Co-Payment
Definition
a flat fee paid by an insured individual for a covered health service. For example, the insured individual might pay $20 for a doctor visit and the insurance company would pay the rest of the bill.
Term
Preferred Provider Organization
Definition
Health plan in which enrollees use doctors, hospitals and providers that belong to the insurer's network and that agree to provide specific services for a set fee. Enrollees can use doctors, hospitals and providers outside of the network for an additional cost.
Term
premium
Definition
the amount paid, usually monthly, for health insurance.
Term
deductible
Definition
the amount an insured person must pay each year for medical expenses before the insurance policy begins to pay
Term
individual insurance
Definition
health insurance purchased individually by a person or family; premiums vary by age, health status other factors
Term
Out of Pocket Expenses
Definition
Payment for health services not covered by an individual's health plan
Term
Subsidized Health Insurance
Definition
health care in which the government pays for a portion of health services
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