health insurance vocal

• premium- Monthly pay
• deductible- amounts that must be paid by the patient for medical services before the policy begins to pay
• out of pocket maximum- a cap, or limit, on the amount of money you have to pay for covered health care services in a plan year
• preventive care- a plan that covers care received in order to prevent the onset of illness.
• copay- a specific amount of money a patient pays for a particular service, for example, $20 for each physician visit regardless of the total cost of the visit
• coinsurance- requires that specific percentages of expenses are shared by the patient and insurance company; for example, in an 80–20 percent co-insurance plan, the company pays 80 percent of covered expenses, and the patient pays the remaining 20 percent
• in network- a list of doctors, other health care providers, and hospitals that a plan contracts with to provide medical care to its members
• out of network- those that do not participate in that health plan's network
• aca- Creates affordable insurance exchanges in every state that provide a more organized and competitive market for insurance, offers a choice of plans to individuals or small businesses, and establishes common rules regarding the offering and pricing of insurance
• has- account that lets you set aside money on a pre-tax basis to pay for qualified medical expenses
• fsa- employer that lets you pay for many out-of-pocket medical expenses with tax-free dollars
• open enrollment period- a window of time that happens once a year — typically in the fall — when you can sign up for health insurance, adjust your current plan or cancel your plan
• hmo- primarily directed toward preventive health care for a fee that is usually fixed and prepaid. examinations, basic medical services, health education, and hospitalization or rehabilitation services as needed. only HMO-affiliated health care providers (doctors, laboratories, hospitals) for health care.
• ppo- contract with certain health care agencies, such as a large hospital and specific doctors and dentists, to provide certain types of health care at reduced rates. PPOs usually require a deductible and a co-payment. If an enrollee uses a nonaffiliated provider, the PPO may require co-payments of 40–60 percent.
• pos- A type of plan in which you pay less if you use doctors, hospitals, and other health care providers that belong to the plan's network
• epo- A managed care plan where services are covered only if you go to doctors, specialists, or hospitals in the plan's network (except in an emergency).
• medicare- federal government program that provides health care for almost all individuals over the age of 65, for any person with a disability who has received Social Security benefits for at least 2 years, and for any person with end-stage renal (kidney) disease. type A for hospital insurance, type B for medical insurance, and type D for pharmaceutical (medication) expenses.