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UnitedHealthcare Community Plan for Families 詞彙表

A

  • 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.

  • 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 for Kids will cover for you.

C

  • Clinical Care Management

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

D

  • Disenrollment

    To stop your membership in UnitedHealthcare Community Plan for Kids.

E

  • 急診

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

F

  • 欺詐

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

H

  • Home Health Agency

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

I

  • ID Card

    Identification card – a card that says you are a UnitedHealthcare Community Plan for Kids 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 for Kids.

O

  • 門診病患

    從醫院以外接受承保服務的非住院患者,例如在醫師辦公室或患者自己的家中,或在醫院門診或醫院急診部或手術中心。

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. 

    If you have questions about prior authorization please call Customer Service at 888-611-2341, Monday – Friday, 08:00 - 18:00 Central Time.

    Providers can check on the status of an existing request by calling our clinical authorization services at 866-604-3267, 24 hours a day, seven days a week.

    If you have questions about a pharmacy prior authorization, please call our Pharmacy Help Desk at 800-310-6826. You can get answers to prescription prior authorization questions Monday – Friday, 07:00 to 19:00 Central Time, with voicemail intake after-hours.

    Additional information can be found on our Provider Prior Authorization and Notification page.

     

  • 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 for Kids to help take care of your healthcare needs.

R

  • 轉診

    When you and your primary care provider agree you need to see another doctor, your primary care provider will send you to a UnitedHealthcare Community Plan for Kids specialist.

S

  • Self-Referred Services

    您不需要您的主要照護提供者開立轉診單的服務。

  • Special Needs Unit (SNU)

    A voluntary service offered by UnitedHealthcare Community Plan for Kids 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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UnitedHealthcare Community Plan for Families

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