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
A request for your managed care organization to review a denial or a grievance again.
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 CHIP will cover for you.
C
Clinical Care Management
One-on-one help by a nurse providing education and coordination of CHIP benefits, tailored to your needs.
Complaint
A grievance that you communicate to your health insurer or plan.
共付額
A fixed amount (for example, $15) you pay for a covered health care service, usually when you receive the service. The amount can vary by the type of covered health care service.
D
Disenrollment
To stop your membership in CHIP.
耐用醫療器材 (DME)
Equipment ordered by a health care provider for everyday or extended use. Coverage for DME may include but is not limited to: oxygen equipment, wheelchairs, crutches, or diabetic supplies.
E
急診
When you reasonably believe that your health is in serious danger.
緊急醫療狀況
An illness, injury, symptom, or condition so serious that a reasonable person would seek care right away to avoid harm.
緊急醫療交通服務
Ground or air ambulance services for an emergency medical condition.
急診室照護
Emergency services you get in an emergency room.
緊急服務
Evaluation of an emergency medical condition and treatment to keep the condition from getting worse.
排除的服務
Health care services that your health insurance or plan doesn’t pay for or cover.
F
Federal Poverty Level (FPL)
Poverty income thresholds by family size that are annually updated by the Census Bureau for inflation.
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 complaint to your health insurer or plan.
H
復健服務和裝置
Health care services such as physical or occupational therapy that help a person keep, learn, or improve skills and functioning for daily living.
健康保險
A contract that requires your health insurer to pay your covered health care costs in exchange for a premium.
Home Health Agency
A company hired by CHIP to provide care for you in your home.
家庭醫療護理
Health care services a person receives in a home.
安寧照護服務
Services to provide comfort and support for persons in the last stages of a terminal illness and their families.
醫院門診照護
Care in a hospital that usually doesn’t require an overnight stay.
住院
Care in a hospital that requires admission as an inpatient and usually requires an overnight stay.
I
ID Card
Identification card – a card that says you are a CHIP 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.
Medically Necessary
Health care services or supplies needed to prevent, diagnose, or treat an illness, injury, condition, disease or its symptoms and that meet accepted standards of medicine.
保戶
A person who is eligible for CHIP.
N
網路
The facilities, providers, and suppliers your health insurer or plan has contracted with to provide health care services.
Non-participating Provider
A provider who doesn’t have a contract with your health insurer or plan to provide covered services to you. It may be more difficult to obtain authorization from your health insurer or plan to obtain services from a non-participating provider instead of a participating provider. In limited cases, such as when there are no other providers, your health insurer can contract to pay a non-participating provider.
O
門診病患
接受不需住院過夜的醫療程序。
P
參與服務提供者
A Provider who has a contract with your health insurer or plan to provide covered services to you.
醫師服務
Health-care services a licensed medical physician (M.D. -Medical Doctor or D.O. -Doctor of Osteopathic Medicine) provides or coordinates.
計劃
A benefit, like Medicaid, which provides and pays for your health-care services.
Pre-authorization
A decision by your health insurer or plan that a health-care service, treatment plan, prescription drug, or durable medical equipment that you or your provider has requested, is medically necessary. This decision or approval, sometimes called prior authorization, prior approval, or pre-certification, must be obtained prior to receiving the requested service. Pre-authorization isn’t a promise your health insurance or plan will cover the cost.
保險費
The amount that must be paid for your health insurance or plan.
處方藥物承保
Health insurance or plan that helps pay for prescription drugs and medications.
處方藥物承保
Drugs and medications that by law require a prescription.
主治醫師
A physician (M.D. -Medical Doctor or D.O. -Doctor of Osteopathic Medicine) who directly provides or coordinates a range of health-care services for a patient.
主要照護提供者
A physician (M.D. -Medical Doctor or D.O. -Doctor of Osteopathic Medicine), nurse practitioner, clinical nurse specialist, or physician assistant, as allowed under state law, who provides, coordinates, or helps a patient access a range of health-care services.
Prior Authorization
The process for any service that needs an O.K. from CHIP before it can take place.
服務提供者
A physician (M.D. -Medical Doctor or D.O. -Doctor of Osteopathic Medicine), health- care professional, or health-care facility licensed, certified, or accredited as required by state law.
服務提供者名錄
A list of providers who participate with CHIP 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 CHIP specialist.
Rehabilitation Services and Devices
Health-care services such as physical or occupational therapy that help a person keep, get back or improve skills and functioning for daily living that have been lost or impaired because a person was sick, hurt or disabled.
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。
專業護理照護
Services from licensed nurses in your own home or in a nursing home.
Special Needs Unit (SNU)
A voluntary service offered by CHIP 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 physician specialist focuses on a specific area of medicine or a group of patients to diagnose, manage, prevent or treat certain types of symptoms and conditions.
T
TANF
Temporary Assistance for Needy Families.
Treatment
The care that you may receive from doctors and facilities.
U
緊急護理
Care for an illness, injury or condition serious enough that a reasonable person would seek care right away, but not so severe as to require emergency room care.
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.
