Medical vocabulary

1. Care for an illness, injury or condition serious enough that a reasonable person would seek care right away, but not so severe as to require emergency room care.
3. Health care services or supplies needed to prevent, diagnose or treat an illness, injury, condition, disease or its symptoms and that meet accepted standards of medicine.
5. A physician specialist focuses on a specific area of medicine or a group of patients to diagnose, manage, prevent or treat certain types of symptoms and conditions.
10. When a provider bills you for the difference between the provider's charge and the allowed amount.
11. Emergency services you get in an emergency room.
13. your share of the costs of a covered health care service, calculated as a percentage of the allowed amount for the service.
15. The most you pay during a policy period before your healthy insurance or plan begins to pay 100% of the allowed amount.
17. Health care services that help a person keep, get back or improve skills and functioning for daily living that have been lost or impaired because of person was sick, hurt or disabled.
18. Care in a hospital that requires admission as an impatient and usually requires an overnight stay.
19. The amount paid for a medical service in a geographic area based on what providers in the area usually charge for the same or similar medical service.

2. Health care services that your health insurance or plan doesn't pay for or cover.
4. A request for your health insurer or plan to review a decision or a grievance again.
6. A decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary.
7. The facilities, providers and suppliers your health insurer or plan has contracted with to provide health care services.
8. A fixed amount you pay for a covered health care service, usually when you receive the service.
9. The amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay.
12. A complaint that you communicate to your health insurer or plan.
14. Services to provide comfort and support for persons in the last stages of a terminal illness and their families.
16. A contract that requires your health insurer to pay some or all of your health care costs in exchange for a premium.