Relacionar Columnas Risk Chp. 15Versión en línea Risk Chp. 15 por Ryan Brown 1 Preexisting condition 2 Health Savings Account (HSA) 3 Managed Care 4 Co-payment 5 Individual medical expense insurance 6 Preferred provider organization (PPO) 7 Benefit Triggers 8 Coinsurance 9 Long-term care insurance 10 Affordable Care Act (ACA) a plan that contracts with physicians, hospitals, and other healthcare providers to provide covered medical services to policyholders at discounted fees. generic term for medical expense plans that provide covered medical services to the members in a cost-effective manner. percentage of the bill in excess of the deductible, which the insured,must pay out-of-pocket up to some maximum annual dollar limit. a physical or mental condition that existed during some specified time period prior to the effective date of the policy. has made health insurance available to millions of uninsured Americans. It provides substantial subsides to uninsured individuals and to small business firms and contains numerous provisions to lower healthcare costs in the long run. is a tax-exempt or custodial account established exclusively for the purpose of paying qualified medical expenses of the account beneficiary who is covered under a high-deductible health insurance plan. protects an individual or family for covered medical expenses because of sickness or injury. coverage that pays a daily or monthly benefit for medical or custodial care received in a nursing facility, in a hospital, or at home. provisions in long-term care insurance that make an insured eligible for benefits, such as being unable to perform a certain number of activities of daily living, or an insured who has a sever cognitive impairment. is a flat amount that the insured must pay for certain benefits, such as $40 for a visit to a primary care physician, or a $10 co-payment for a generic drug.
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