Causing harm to a person on purpose. This includes yelling, ignoring a person's need, hurting or inappropriate touching.
이의제기/항소
건강 보험에서 내린 의사 결정에 만족하지 않을 경우 조치를 재검토해 달라는 공식 요청을 의미합니다.
C
공동보험금
여러분이 해당 서비스의 제공자에게 지불해야 하는 서비스 비용의 일정 비율입니다.
코페이먼트/공동부담금
Copayments (copays) are a dollar amount that you pay to the doctor at your visit.
D
공제액
The annual deductible is the total amount of money you must pay for some services that require coinsurance over the eligibility year. You must pay the annual deductible before UnitedHealthcare will cover services that have coinsurance.
E
Emergency(응급 상황)
A situation where your health, or the health of an unborn baby, could be threatened. Medical help is needed right away.
G
고충/불만사항
치료의 어떤 부분에 대해서든 불만이 있는 경우 해당 불만에 대해 작성한 진술서입니다. 불만사항은 전화나 서면으로 제기할 수 있으며, 자신의 플랜에 직접 제기해야 합니다.
I
Immunization
A shot that protects from a disease.
네트워크 내
Doctors, specialists, hospitals, pharmacies and other providers who have an arrangement to provide health care services to members.
Income Band
Identification of a group of members based on income and poverty level.
L
Living Will
A document that tells what you want done with your health care. The doctor uses this if you are not able to express what you want. It lists specific treatments you do or do not want, and whether or not to make special efforts to save your life.
M
Medically Necessary
Services that are required to maintain your health and by not receiving those services, could affect your condition or quality of care.
가입자
UnitedHealthcare 건강 플랜에 가입한 적격자.
O
Out-of-Network
Doctors, specialists, hospitals, pharmacies and other providers who do not have an arrangement with your plan to provide health care services.
P
보험료
A monthly fee that you pay to stay enrolled in UnitedHealthcare.
Prescription
의사가 작성한 의약품 또는 치료에 대한 지시서입니다.
주치의 서비스 제공자(PCP)
The doctor who treats you for all normal health care needs. Your PCP may refer you to a specialist or admit you to a hospital. PCPs are usually family practitioners, internists, pediatricians, and sometimes nurse practitioners and physician's assistants, and can include Obstetricians and certified nurse midwives for pregnant members.
Prior Authorization
The process of reviewing a request for services to make sure it is a necessary service or plan of treatment and providing approval for those services before you receive them.
제공자
A person or facility that provides health care services and treatment such as a doctor, pharmacy, dentist, clinic or hospital.
R
추천/의뢰/소개
Process when your primary care provider requests additional care for you from a specialist.
S
Second Medical Opinion
A review of a medical condition that is done by another doctor.
