Medicare

4. hospital stay of more than 24 hours
5. the maximum amount that the insured is responsible for paying based on eligible health plan expenses.
7. physician or medical care facility that provides health care services
9. privacy and security laws for medical records
11. person(s) covered by a health insurance plan
12. the process to object a decision
13. an expression of dissatisfaction by a member
14. a list of rx drug costs which an insurance company will reimburse
15. the amount a person is responsible to pay before the insurance coverages begins

1. a physician who provides initial care and coordinates additional care if necessary
2. the set amount paid by the patient at each visit
3. when a patient sees a specialist without permission of primary doctor.
5. insurance provided by the federal government for people over 65, those with disabilities, or ESRD
6. healthcare for terminally ill patients
8. when one provider refers a patient to another provider
10. a patient obtains services or gives payment by deliberate, dishonest, or misleading circumstances