Causing harm to a person on purpose. This includes yelling, ignoring a person's need, hurting or inappropriate touching.
申訴
當不滿意您的健康計劃所做出的決定時，所採取之正式請求審查的行動。
C
共同保險
您必須支付給服務提供者某個比例的服務費。
共付額
Copayments (copays) are a dollar amount that you pay to the doctor at your visit.
D
扣減款
The annual deductible is the total amount of money you must pay for some services that require coinsurance over the eligibility year. You must pay the annual deductible before UnitedHealthcare will cover services that have coinsurance.
E
急診
A situation where your health, or the health of an unborn baby, could be threatened. Medical help is needed right away.
G
投訴
您對照護任何的部份不滿意的聲明。可在電話上或以書面提出投訴，但必須直接對您的計劃提出。
I
Immunization
A shot that protects from a disease.
網內
Doctors, specialists, hospitals, pharmacies and other providers who have an arrangement to provide health care services to members.
Income Band
Identification of a group of members based on income and poverty level.
L
Living Will
A document that tells what you want done with your health care. The doctor uses this if you are not able to express what you want. It lists specific treatments you do or do not want, and whether or not to make special efforts to save your life.
M
Medically Necessary
Services that are required to maintain your health and by not receiving those services, could affect your condition or quality of care.
保戶
投保 UnitedHealthcare Health Plan 的合格人士。
O
Out-of-Network
Doctors, specialists, hospitals, pharmacies and other providers who do not have an arrangement with your plan to provide health care services.
P
保險費
A monthly fee that you pay to stay enrolled in UnitedHealthcare.
Prescription
醫師的藥物或治療書面指示。
主要照護提供者 (PCP)
The doctor who treats you for all normal health care needs. Your PCP may refer you to a specialist or admit you to a hospital. PCPs are usually family practitioners, internists, pediatricians, and sometimes nurse practitioners and physician's assistants, and can include Obstetricians and certified nurse midwives for pregnant members.
Prior Authorization
The process of reviewing a request for services to make sure it is a necessary service or plan of treatment and providing approval for those services before you receive them.
服務提供者
A person or facility that provides health care services and treatment such as a doctor, pharmacy, dentist, clinic or hospital.
R
轉診
Process when your primary care provider requests additional care for you from a specialist.
S
Second Medical Opinion
A review of a medical condition that is done by another doctor.
