Health SCI.

3. A person's ability to obtain healthcare services.
4. Health Insurance- Health insurance that provides coverage for treating severe or lengthy illnesses or disability.
7. plan- An account that lets workers set aside pretax dollars to pay for medical benefits, childcare, and other services.
8. Large businesses, small businesses, and individuals who form a group for insurance coverage.
9. Eligible- Reference to medical specialists who have completed all required training but have not completed the exam in his/her specialized area.
10. clause- A contractual agreement between a managed care organization and a provider that restricts what the provider can say about the managed care company
11. Medical services that are separated out and contracted for independently from any other benefits.
13. The services that members are entitled to receive based on their health plan.
16. Bills for serCo-pay- Flat fees or payments (often $5-10) that a patient pays for each doctor visit or prescription.
17. access- The ability to see a doctor or receive a medical service without a referral from your primary care physician.
18. A medical condition that starts suddenly and requires immediate care.
19. Services- Supplemental services, including laboratory, radiology and physical therapy, that are provided along with medical or hospital care.

1. Physicians or other providers bill separately for each patient encounter or service they provide. This method of billing means the insurance company pays all or some set percentage of the fees that hospitals and doctors set and charge. Expenditures increase if the increaseThis is still the main system of paying for healthcare services in the United States.
2. plan-This benefit plan gives employees a set amount of funds that they can choose to spend on a different benefit options, such as health insurance or retirement savings
5. Disease- A medical problem that will not improve, that lasts a lifetime, or recurs.
6. A person's healthcare costs are paid by their insurance or by the government..
12. The amount of money, or value of certain services (such as one physician visit), a patient or family must pay before costs (or percentages of costs) are covered by the health plan or insurance company, usually per year.
14. Doctors, hospitals, labs and other providers send billed claims to health insurance plans, and what the plans pay are called paid claims.
15. Benefits- The specific services and procedures covered by a health plan or insurer.
20. Guidelines- A set of medical treatments for a particular condition or group of patients that has been reviewed and endorsed by a national organization, such as the Agency for Healthcare Policy Research.