Shared Flashcard Set

Details

Insurance
Insurance Abbreviations and Definitions
18
Insurance
Professional
07/28/2011

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Cards

Term
CDHP
Definition
Consumer Driven Health Plan
Term
CHA
Definition
Tricare
Term
EPO
Definition
Exclusive Provider Organization
Term
HMO
Definition
Health Maintenance Organization
Term
IND
Definition
Indemnity Plan
Term
MCR
Definition
Medicare
Term
MCA
Definition
Medicare Assignment
Term
MCD
Definition
Medicaid
Term
MED
Definition
Medi-Medi
Term
POS
Definition
Point of Sale
Term
PPO
Definition
Preffered Provider Organization
Term
WC
Definition
Worker's Compensation
Term
What is an HMO?
Definition
Plan that requires you to-
*have a Primary Care Physician (PCP)
*requires referrals for specialist
Term
What is a PPO?
Definition
Plan that is a hybrid of a fee-for service and an HMO.
No referrals/PCPs required
Term
What is a Fee for Service Policy?
Definition
80/20 or Indemnity plan
Play up front plan
flexible
Term
What is Worker's Compensation?
Definition
State and Federal government regulated plan that covers workers hurt on the job.
Term
What is Medicaid?
Definition
Plan funded by State and Federal government for low income people or families.
Term
What is Medicare?
Definition
Federally funded program for people over 65, disabled for more than 24 months or have end-stage renal failure, or ALS.
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