Harming someone on purpose (this includes yelling, ignoring a person's needs and inappropriate touching).
事前指示
考慮到自己萬一無法言語的情況，事前所做關於自己健康照護的決定。This will let your family and your doctors know what decisions you would make if you were able to.
申訴
An appeal is a dispute made by a member, his or her representative or a provider with the member's permission, challenging an action by the health plan to deny or limit authorization of a service, including the type or level of service or reduce, suspend, or terminate payment for a previously authorized service; or any failure to authorize services in a timely manner or decide a grievance or appeal within the required time frames.
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.
DME
耐用醫療設備包括必須使用一段期間的輪椅、助行器、糖尿病血糖儀、點滴架等物品。It can also be equipment that must be thrown away such as bandages, catheters and needles. DME must be requested by your doctor.
E
急診
A sudden and, at the time, unexpected change in a person's physical or mental condition which, if a procedure or treatment is not performed right away, could be expected to result in 1) the loss of life or limb, 2) significant impairment to a bodily function, 3) permanent damage to a body part or health of unborn child.
F
欺詐
不實行為（例如：他人假裝是您本人使用您的保戶識別卡）。
G
投訴
A grievance is an expression of dissatisfaction about the health plan, or a practitioner or any matter other than an action taken by the plan. Grievances can include issues with the quality of care or services provided, aspects of interpersonal relationships such as rudeness of a provider or employee, or failure to respect a member's rights.
H
健康資訊
關於您健康和照護的實際資料。This information may come from UnitedHealthcare Community Plan or a provider. 包括關於您身心健康和照護付費的資訊。
I
ID Card
An identifcation card that says you are a UnitedHealthcare Community Plan member. 您應隨時將此卡攜帶在身上。
Immunization
A medicine (usually a shot) that protects, or "immunizes" a member from a disease. 兒童應在不同年齡接受不同的疫苗注射。通常是在定期健檢就診中進行這類疫苗注射。
網內
Doctors, specialists, hospitals, pharmacies and other providers who have an arrangement with UnitedHealthcare Community Plan to provide health care services to members.
Informed Consent
已向您說明所有醫藥治療；您了解並同意這些治療。
住院病患
必須住在醫院一段期間。
M
保戶
An eligible person enrolled with UnitedHealthcare Community Plan in the Medicaid program.
O
ODJFS
Ohio Department of Job and Family Services
OhioRISE
OhioRISE is a specialized Medicaid health plan for youth with complex behavioral health needs. This program provides behavioral healthcare services to eligible youth. Children and youth who are eligible are under the age of 21 and demonstrate the need for additional behavioral health care as identified through the Ohio Children’s Initiative Child and Adolescent Needs and Strengths (CANS) assessment or a recent inpatient admission for mental health or substance use disorder services.
OhioRISE expands access to in-home and community-based services to ensure eligible children and youth and their families have the tools and supports they need to grow and thrive.
Out-of-Network
Doctors, specialists, hospitals, pharmacies and other providers who do not have an arrangement with UnitedHealthcare Community Plan to provide health care services to members.
P
Prescription
醫師的藥物或治療書面指示。
主要照護提供者 (PCP)
您所選擇擔任您主要照護提供者的私人執業醫師。Your PCP will coordinate all of your health care.
Prior Authorization
Process that your doctor uses to get approval for services that need to be approved before they can be done. Your doctor must call Utilization Management (UM) at 1-800-366-7304 before you obtain a service or procedure that is listed as requiring an okay.
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.
Provider or Practitioner
提供健康照護的個人或機構（醫師、藥房、牙醫師、診所、醫院等等）。
R
轉診
When you and your PCP agree you need to see another doctor and your PCP sends you to a network specialist.
S
Self-Referred Services
Services for which you do not need to see your PCP for a referral.
專科醫生
接受過針對特定病況或疾病特別訓練的任何醫師。
U
緊急護理
用於非緊急情況替代醫院急診部門的護理方式。用於健康狀況緊急，但不危及健康或生命的情況。
W
WIC
Supplemental Food Program for Women, Infants and Children which provides nutrition counseling, nutrition education, and nutritious foods to pregnant and postpartum women, infants and children up to the age of 2. Children deemed nutritionally deficient are covered up to age 5 if they are low income and are determined to be at nutritional risk.
