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UnitedHealthcare Community Plan of California Medi-Cal 용어해설

A

  • 사전 의료 지시서/사전연명의료 의향서(Advance Directive)

    직접 말할 수 없는 경우에 대비하여 미리 의료 관리에 대해 결정한 사항들입니다. This will let your family and your doctors know what decisions you would make if you were able to.

  • 승인

    서비스에 대한 긍정적 의사 표현 또는 승인

B

  • 혜택

    Services, procedures and medications that UnitedHealthcare Health Link will cover for you.

C

  • Clinical Care Management

    One-on-one help by a nurse providing education and coordination of UnitedHealthcare Health Link benefits, tailored to your needs.

D

  • Disenrollment

    To stop your membership in UnitedHealthcare Health Link.

E

  • Emergency(응급 상황)

    When you reasonably believe that your health is in serious danger.

F

  • Federal Poverty Level (FPL)

    Poverty income thresholds by family size that are annually updated by the Census Bureau for inflation.

  • 사기(Fraud)

    An untruthful act – an example is someone other than you using your UnitedHealthcare Health Link member ID card and pretending to be you.

H

  • Home Health Agency

    A company contracted by UnitedHealthcare to provide care for you in your home.

I

  • ID Card

    Identification card – a card that says you are a UnitedHealthcare Community Plan of 캘리포니아 member. You should have this card and the BIC with you at all times.

  • Informed Consent

    You agree to all medical treatments.

  • 입원 환자

    일정 기간 병원에서 생활하도록 허가되는 경우입니다.

M

  • Medical Necessity

    Your health care provider decides if a treatment, admission, procedure, medical supply, equipment, service or supply is medically necessary.

  • 가입자

    A person who is eligible for UnitedHealthcare Community Plan of 캘리포니아.

O

  • 외래 환자

    병원에 입원할 필요가 없는 치료를 받는 경우입니다.

P

  • Primary Care Physician (PCP)

    A doctor you choose to be your family physician. They have their own private practices or work at Federally Qualified Health Centers and local clinics.

  • Prior Authorization

    The process for any service that needs an O.K. from UnitedHealthcare before it can take place.

  • 제공자

    Any medical professional that UnitedHealthcare has contracted with to take care of you.

  • 의료 서비스 제공자 주소록

    A list of providers who participate with UnitedHealthcare Community Plan to help take care of your healthcare needs.

S

  • Special Needs Unit (SNU)

    A voluntary service offered by UnitedHealthcare that can give you extra help in understanding and using your benefits if you have a disability or other special need.

  • 전문의(Specialist)

    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

  • 긴급 치료

    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.

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UnitedHealthcare Community Plan of California Medi-Cal

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