|
HIPAA: Health Insurance
Portability &
Accountability Act. The purpose of HIPAA is
to improve efficiency in
the delivery of health care by creating and enforcing standards for
electronic data interchange and to protect the confidentiality and
security of health information to be adapted nation wide. Also contains
provisions designed to ensure that enrollees in a group health plan are
not discriminated against based on health status.
HMO: Health Maintenance
Organization. [Managed Care] Prepaid health plans.
Designated doctors and hospitals must be used to
receive the benefits of an HMO. You pay a monthly premium and the HMO
covers your doctors' visits, hospital stays, emergency care, etc.
Medicaid:
Health care for the needy and disabled. A
federally and state funded program for qualifying persons without
insurance.
Medicare:
Health care for the aged. A federally
administered system of health insurance available to qualifying persons
aged 65 and over.
PCP: Primary Care
Physician. Your main doctor for
health care. Could be an internal medicine doctor, family physician or
sometimes for women, their gynecologist. They monitor your health and
diagnose and treat health problems. If another degree of care is
needed, they refer you to a specialist.
PPO: Preferred Provider
Organization. [Managed Care] Participating providers
at reduced costs. The benefits of using a PPO
is you have a larger part of your medical expenses covered. Using non
PPO doctors and hospitals results in you having to pay higher costs
Pre-existing
condition: A medical condition that
existed before a health insurance policy was issued.
|