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UnitedHealthcare Community Plan - Heritage Health Glossary

A

  • 事前指示

    A decision about your healthcare that you make ahead of time in case you are ever unable to speak for yourself. This will let your family and your doctors know what decisions you would make if you were able to.

  • ASC/SPU

    Ambulatory Surgical Center / Short Procedure Unit .

  • 授權

    同意或核准某項服務。

B

  • 承保福利

    Services, procedures and medications that UnitedHealthcare Community Plan will cover for you.

C

  • Clinical Care Management

    One-on-one help by a nurse providing education and coordination of UnitedHealthcare Community Plan benefits, tailored to your needs.

D

  • Disenrollment

    To stop your membership in UnitedHealthcare Community Plan.

E

  • 急診

    When you reasonably believe that your health is in serious danger.

F

  • Federal Poverty Level (FPL)

    Poverty income thresholds by family size that are annually updated by the Census Bureau.

  • 欺詐

    An untruthful act – an example is someone other than you using your UnitedHealthcare Community Plan member ID card and pretending to be you.

H

  • Home Health Agency

    A company hired by UnitedHealthcare Community Plan to provide care for you in your home.

I

  • ID Card

    Identification card – a card that says you are a UnitedHealthcare Community Plan member. 您應隨時將此卡攜帶在身上。

  • Informed Consent

    You agree to all medical treatments.

  • 住院病患

    必須住在醫院一段期間。

M

  • Medical Necessity

    Your health care provider decides if a treatment, admission, procedure, medical supply, equipment, service, or supply is medically necessary.

  • 保戶

    A person who is eligible for UnitedHealthcare Community Plan

O

  • 門診病患

    接受不需住院過夜的醫療程序。

P

  • Primary Care Physician (PCP)

    A doctor you choose to be your family physician. They have their own private practices.

  • Prior Authorization

    The process for any service that needs an O.K. from UnitedHealthcare Community Plan before it can take place.

  • 服務提供者

    Any medical professional that UnitedHealthcare Community Plan has contracted with to take care of you.

  • 服務提供者名錄

    A list of providers who participate with UnitedHealthcare Community Plan to help take care of your healthcare needs.

S

  • Special Needs Unit (SNU)

    A voluntary service offered by UnitedHealthcare Community Plan that can give you extra help in understanding and using your benefits if you have a disability or other special need.

  • 專科醫生

    A doctor that has specific, detailed training in one certain medical field.

T

  • Treatment

    The care that you may receive from doctors and facilities.

U

  • 緊急護理

    When you need care, treatment or medical advice within a 24-hour time period.

W

  • WIC

    Women, Infants and Children program, a supplemental nutrition program that provides nutritious food, education support and health care referrals for women, infants and children.

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