Healthcare Insurance Concepts

Front

A designated amount of annual medical cost that must be paid by the patient before the full coverages by insurances pays

Back

deductible

Front

Insurance plan that is used only when a person has experienced a severe accident or unexpected debilitating illness or disease

Back

catastrophic

Front

Is the average price that pharmacies, hospitals, and other healthcare facilities pay for stock of a specific drug?

Back

Average wholesale price

Front

42% of people have this drug insurance coverage: Third-party insurances (private or employer)

Back

Third-party insurances (private or employer)

Front

Which party directly receives the benefits, services or products and is responsible for covering medical cost? Options: Second Party, Third Party, First Party, Tiered copayment

Back

First Party

Front

paying a certain percentage for a medical service or drug product along with any potential further billing

Back

coinsurance

Front

The insurance billing code that records supplies, equipment, and devices supplied for medical purposes

Back

HCPCS (healthcare common procedure coding system)

Front

The ___ of 2010 attempted to extend insurance coverage to the uninsured or underinsured Americans.

Back

Affordable Care Act

Front

For specialized services that the system and primary care physician cannot provide, patients need a

Back

referral

Front

to cover illness or injuries caused by or related to one's job

Back

worker's compensation