Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Mr. G’s Insurance Terms

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
Deductible   Amount of money a patient must pay for services BEFORE health insurance pays its share of the bill.  
🗑
Co-Insurance   A specific percent of the expenses are shared by the patient and the insurance company; for example, in a 80 - 20 percent co insurance, the company pays 80% and the patient pays 20%.  
🗑
Co-payment   An out of pocket fee aid by a person with health insurance at the time a covered service, such as an office visit or prescription, is received.  
🗑
Premium   The monthly fee paid by the subscriber (patient) for insurance coverage; may be deducted from payroll check.  
🗑
Preferred Provider Organization or PPO   A type of managed care: practitioners are grouped together to provide health care and agree to a set fee paid by the insurance company.  
🗑
Health Maintenance Organization or HMO   Type of managed care provider that focuses on preventive care.  
🗑
Point of Service Plans or POS   A hybrid of a HMO and PPO. Have smaller deductibles and co payments, but they require the patient to get a referral before seeing a specialist.  
🗑
Medicare   Health insurance for those 65+ and disabled - funded through social security taxes  
🗑
Medigap   A supplement health insurance plan used to covers health care cost not covered by Medicare.  
🗑
Medicaid   State-funded insurance for blind, disabled, low income people  
🗑
CHIP   Health insurance for children that do not qualify for Medicaid.  
🗑
TRICARE   Health care plan provided for active duty personnel, family, retired military personnel, and survivors of military personnel  
🗑
Worker's Compensation   Health insurance through the employer that pays for the healthcare of workers injured on the job  
🗑
Managed care   The general term used by insurance companies to describe the attempt to provide quality health care at minimal cost. Used to limit healthcare costs.  
🗑
HIPAA   Health Insurance Portability and Accountability Act - health care law that gave standard way to transfer patient files and protect CONFIDENTIALITY.  
🗑
Protected health information or PHI   All individually identifiable personal information obtained through health care. Includes a patients name, medical record number, birth date, Social security number, address, telephone number, email, employer and so on.  
🗑
Electronic Health Record or EHR   A medical record that contains information from all of the clinicians involved in a patients care which can be created and managed by authorized clinicians and staff across more than one health care organization.  
🗑
Explanation of Benefits or EOB   A detailed account of each claim processed by the insurance company. which is sent to the patient as notification of claim or denial.  
🗑
   
🗑


   

Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
 
To hide a column, click on the column name.
 
To hide the entire table, click on the "Hide All" button.
 
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
 
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.

 
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how
Created by: rotechams
Popular Medical sets