Mapan iti kangrunaan a linaon
Kangrunaan a Linaon

UnitedHealthcare Community Plan Listaan iti Termino

A

  • Panangabuso

    Causing harm to a person on purpose. This includes yelling, ignoring a person's need, hurting or inappropriate touching.

  • Apela

    Maysa a pormal a kiddaw tapno marepaso ti maysa nga addang no saankayo a mapnek iti desision nga inaramid ti planoyo iti salun-at.

C

  • Ti Coinsurance

    Ti porsiento ti gastos iti serbisio a masapul a bayadanyo iti mangipapaay iti dayta a serbisio.

  • Copayment

    Copayments (copays) are a dollar amount that you pay to the doctor at your visit.

D

  • Ti Deductible

    The annual deductible is the total amount of money you must pay for some services that require coinsurance over the eligibility year.  You must pay the annual deductible before UnitedHealthcare will cover services that have coinsurance. 

E

  • Emerhensia

    A situation where your health, or the health of an unborn baby, could be threatened. Medical help is needed right away.

G

  • Reklamo

    Ti kasuratan ti saanyo a pannakapnek mainaig iti aniaman a paset ti pannakataripatoyo. Mabalin a maidatag ti reklamo babaen iti telepono wenno babaen iti surat, ken nasken a maidatag mismo iti planoyo.

I

  • Immunization

    A shot that protects from a disease.

  • In-network

    Doctors, specialists, hospitals, pharmacies and other providers who have an arrangement to provide health care services to members.

  • Income Band

    Identification of a group of members based on income and poverty level.

L

  • Living Will

    A document that tells what you want done with your health care. The doctor uses this if you are not able to express what you want. It lists specific treatments you do or do not want, and whether or not to make special efforts to save your life.

M

  • Medically Necessary

    Services that are required to maintain your health and by not receiving those services, could affect your condition or quality of care.

  • Miembro

    Maysa a maikari a tao a nakalista iti Plano iti Salun-at ti UnitedHealthcare.

O

  • Out-of-Network

    Doctors, specialists, hospitals, pharmacies and other providers who do not have an arrangement with your plan to provide health care services.

P

  • Bayad iti seguro

    A monthly fee that you pay to stay enrolled in UnitedHealthcare.

  • Prescription

    Ti naisurat nga instruksion ti doktor a pannakaagasmo.

  • Tagaipaay iti kangrunaan a taripato (PCP)

    The doctor who treats you for all normal health care needs. Your PCP may refer you to a specialist or admit you to a hospital. PCPs are usually family practitioners, internists, pediatricians, and sometimes nurse practitioners and physician's assistants, and can include Obstetricians and certified nurse midwives for pregnant members.

  • Prior Authorization

    The process of reviewing a request for services to make sure it is a necessary service or plan of treatment and providing approval for those services before you receive them.

  • Mangipapaay Serbisyo

    A person or facility that provides health care services and treatment such as a doctor, pharmacy, dentist, clinic or hospital.

R

  • Referral

    Process when your primary care provider requests additional care for you from a specialist.

S

  • Second Medical Opinion

    A review of a medical condition that is done by another doctor.

  • Espesialista

    Uray asino a doktor nga addaan iti espesial a pannakasanay a mangtaming iti espesipiko a sagubanit wenno sakit.

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