| A | B |
|---|
| deductible | amount patient pays before policy begins to pay |
| co-insurance | percentage of bill shared by patient & insurance company |
| co-payment | amount of money patient pays for service regardless of total cost |
| HMO/PPO | types of managed care plans |
| Medicare | federal provider of health care services |
| patients 65 or older, disabilities | Medicare |
| Medigap | helps pay expenses not covered by Medicare |
| Medicaid | medical assistance program funded by federal and state government |
| benefits vary from state to state | Medicaid |
| federal government program | Medicare |
| Medicaid | low income, children who qualify for public assistance, physically disabled patients |
| State Children's Health Insurance Program | uninsured children of working families not eligible for Medicaid, earn too little to pay for private insurance |
| Worker's Compensation | provides treatment for employees injured on the job |
| TRICARE | plan for all military personnel and their families |
| Managed care plans | all health care services must have a purpose |
| HIPPA | federal agency with methods to prevent health insurance fraud and abuse |
| HIPPA | prevents discrimination against patient based on health status |
