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The Healthcare System

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AB
Services provided by the Healthcare IndustryDiagnosis, Prevention, Treatment, Research
Primary Care PhysicianYour regular Doctor
Outpatient FacilityMedical care is provided on an outpatient basis (doesn't require a hospital stay)
Inpatient FacilityPatients reside at when receiving comprehensive care
CopayA fixed amount someone pays each time they have a doctor's visit
DeductibleThe amount a person pays each year for healthcare services BEFORE the insurance company takes over costs
PremiumMonthly fee paid to the insurance company for health insurance
MedicaidGovernment funded health insurance for people living in poverty
MedicareGovernment funded health insurance for individulas over age 65 or age 65 and under with a disability
Affordable Care ActIncrease quality care; decrease number of people uninsured; insurance companies cannot deny coverage for preexisting conditions; can remain insured by parents until age 26; Patient Bill of Rights
Patient Bill of RightsRight to: informed consent; privacy; a second opinion; continuity of care; refuse treatment; change doctors; all costs and fees up front
HMOMust choose a PCP; referral from PCP to see a specialist; lower cost
PPOAllows coberga for out of network providers; no PCP or referral; costs more $$
Metal plansBronze, Silver, Gold Platinum (lowest to highest costs; higher the premium the greater the coverage)
Strategies to reduce healthcare costsRegular check ups; use of generic drugs vs. name brand; comparing insurance costs
Consequences of not having health insuranceLack of healthcare services and preventive care; debt; bankruptcy; poor health etc.


Wellness Teacher
Milford High School
Milford, NH

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