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.
ASC/SPU
Ambulatory surgical center/short procedure unit.
승인
서비스에 대한 긍정적 의사 표현 또는 승인
B
혜택
Services, procedures and medications that UnitedHealthcare Community Plan for Kids will cover for you.
C
Clinical Care Management
One-on-one help by a nurse providing education and coordination of UnitedHealthcare Community Plan for Kids benefits, tailored to your needs.
D
Disenrollment
To stop your membership in UnitedHealthcare Community Plan for Kids.
E
Emergency(응급 상황)
When you reasonably believe that your health is in serious danger.
F
사기(Fraud)
An untruthful act – an example is someone other than you using your UnitedHealthcare Community Plan for Kids member ID card and pretending to be you.
H
Home Health Agency
A company hired by UnitedHealthcare Community Plan for Kids to provide care for you in your home.
I
ID Card
Identification card – a card that says you are a UnitedHealthcare Community Plan for Kids member. 이 카드를 항상 소지해야 합니다.
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 for Kids.
O
외래 환자
의사 진료실이나 환자 자택, 병원 외래환자 또는 병원 응급실 또는 수술 센터와 같이 병원에서 멀리 떨어진 곳에서 보장 서비스를 받는 비입원 환자.
P
Primary Care Physician (PCP)
A doctor you choose to be your family physician. They have their own private practices.
Prior Authorization
The process for any service that needs an O.K. from UnitedHealthcare Community Plan before it can take place.
If you have questions about prior authorization please call Customer Service at 888-611-2341, Monday – Friday, 8 오전 - 6 오후 Central Time.
Providers can check on the status of an existing request by calling our clinical authorization services at 866-604-3267, 24 hours a day, seven days a week.
If you have questions about a pharmacy prior authorization, please call our Pharmacy Help Desk at 800-310-6826. You can get answers to prescription prior authorization questions Monday – Friday, 7 오전 to 7 오후 Central Time, with voicemail intake after-hours.
Any medical professional that UnitedHealthcare Community Plan has contracted with to take care of you.
의료 서비스 제공자 주소록
A list of providers who participate with UnitedHealthcare Community Plan for Kids to help take care of your healthcare needs.
R
추천/의뢰/소개
When you and your primary care provider agree you need to see another doctor, your primary care provider will send you to a UnitedHealthcare Community Plan for Kids specialist.
S
Self-Referred Services
진료 의뢰서를 받기 위해 주치의 서비스 제공자를 만날 필요가 없는 서비스입니다.
Special Needs Unit (SNU)
A voluntary service offered by UnitedHealthcare Community Plan for Kids 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.
