Desision daytoy maipapan iti pannakataripato ti salun-atmo a nasaksakbay nga impakaammom inkaso a saanmonton a mayebkas ti kayatmo. This will let your family and your doctors know what decisions you would make if you were able to.
ASC/SPU
Ambulatory surgical center/short procedure unit.
Autorisasion
Pananganamong wenno panangipalubos iti serbisio.
B
Dagiti Benepisio
Services, procedures and medications that UnitedHealthcare Community Plan for Kids will cover for you.
C
Clinical Care Management
One-on-one help by a nurse providing education and coordination of UnitedHealthcare Community Plan for Kids benefits, tailored to your needs.
D
Disenrollment
To stop your membership in UnitedHealthcare Community Plan for Kids.
E
Emerhensia
When you reasonably believe that your health is in serious danger.
F
Panangloko
An untruthful act – an example is someone other than you using your UnitedHealthcare Community Plan for Kids member ID card and pretending to be you.
H
Home Health Agency
A company hired by UnitedHealthcare Community Plan for Kids to provide care for you in your home.
I
ID Card
Identification card – a card that says you are a UnitedHealthcare Community Plan for Kids member. Sika ket masapul nga addaan iti daytoy a kard iti amin nga oras.
Informed Consent
You agree to all medical treatments.
Inpatient
No naadmitarka iti maysa a hospital ket napaut ti panagyanmo dita.
M
Medical Necessity
Your health care provider decides if a treatment, admission, procedure, medical supply, equipment, service or supply is medically necessary.
Miembro
A person who is eligible for UnitedHealthcare Community Plan for Kids.
O
Outpatient
Maysa a saan a naka-ospital a pasiente nga umaw-awat kadagiti masakupan a serbisio iti ruar ti ospital, kas iti opisina ti mangngagas wenno iti bukod a pagtaengan ti pasiente, wenno iti departamento nga outpatient wenno emerhensia ti ospital wenno iti sentro ti operasion.
P
Primary Care Physician (PCP)
A doctor you choose to be your family physician. They have their own private practices.
Prior Authorization
The process for any service that needs an O.K. from UnitedHealthcare Community Plan before it can take place.
If you have questions about prior authorization please call Customer Service at 888-611-2341, Monday – Friday, 8 AM - 6 PM Central Time.
Providers can check on the status of an existing request by calling our clinical authorization services at 866-604-3267, 24 hours a day, seven days a week.
If you have questions about a pharmacy prior authorization, please call our Pharmacy Help Desk at 800-310-6826. You can get answers to prescription prior authorization questions Monday – Friday, 7 AM to 7 PM Central Time, with voicemail intake after-hours.
Any medical professional that UnitedHealthcare Community Plan has contracted with to take care of you.
Direktorio ti Mangipapaay Serbisio
A list of providers who participate with UnitedHealthcare Community Plan for Kids to help take care of your healthcare needs.
R
Referral
When you and your primary care provider agree you need to see another doctor, your primary care provider will send you to a UnitedHealthcare Community Plan for Kids specialist.
S
Self-Referred Services
Dagiti serbisio a saanmo a kasapulan ti rekomendasion ti kangrunaan a mangtaripato kenka.
Special Needs Unit (SNU)
A voluntary service offered by UnitedHealthcare Community Plan for Kids that can give you extra help in understanding and using your benefits if you have a disability or other special need.
Espesialista
A doctor that has specific, detailed training in one certain medical field.
T
Treatment
The care that you may receive from doctors and facilities.
U
Maganat a Pannakataripato
When you need care, treatment or medical advice within a 24-hour time period.
W
WIC
Women, Infants and Children program, a supplemental nutrition program that provides nutritious food, education support and health care referrals for women, infants and children.
