Health Insurance Flashcards

1
Q

Application

A

Solicitud

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2
Q

Backdated/ Retroactive

A

Retroactivo

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3
Q

Brand medications

A

Medicamentos de marca

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4
Q

Care coordinator

A

Coordinador (a) de cuidados (s a trained health professional that helps to manage a patient’s care, for example, the elderly or disabled.)

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5
Q

Chronic condition

A

Condición Crónica

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6
Q

Co-insurance

A

Seguro co-participe (The percentage of costs of a covered health care service you pay (20%, for example) after you’ve paid your deductible.)

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7
Q

Co-pay

A

Co-pago ( copay is a fixed amount you pay for a health care service, usually when you receive the service. The amount can vary by the type of service.)

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8
Q

Cost sharing plan

A

Plan de gastos compartidos (You pay some of your health care costs and your health insurance company pays some of your health care costs. If you get a service or procedure that’s covered by a health or dental plan, you “share” the cost by paying a copayment, or a deductible and coinsurance.)

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9
Q

Deadline

A

Fecha limite/plazo

I can´t miss the deadline again.

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10
Q

Dental coverage

A

Cobertura dental. (Dental coverage makes more affordable dental care)

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11
Q

Durable medical equipment

A

Equipo médico duradero. (I wanto to buy durable medical equipment).

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12
Q

Eligibility

A

Elegibilidad. (They are going to analize my eligibility to apply to health insurance).

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13
Q

Enroll/enrollment

A

Inscribirse/inscripción.

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14
Q

Explanation of benefits

A

Explicación de beneficios. (The care coordinator is going to say me my explanation of benefits of my insurance).

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15
Q

Fill medications

A

Surtir/ abastecer medicamentos. (I wento to the farmacy to fill my medications).

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16
Q

Form

A

Formulario

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17
Q

Formulary medications

A

Medicamentos aprobados por el seguro (This insurance has a lot of formulary medications)

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18
Q

FSA- Flexible Spending Account

A

Cuenta de gastos flexibles. (A Flexible Spending Account (also known as a flexible spending arrangement) is a special account you put money into that you use to pay for certain out-of-pocket health care costs.)

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19
Q

GAP coverage

A

Cobertura de brecha

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20
Q

Generic medications

A

Medicamentos Genericos

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21
Q

Health Care

A

Cuidado de la salud (is the maintenance or improvement of health via the prevention, diagnosis, treatment, recovery, or cure of disease, illness, injury, and other physical and mental impairments in people.)

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22
Q

HIPAA LAW (Healthh insurance portability and accountability act)

A

Ley de portabilidad y responsabilidad de seguros médicos (gives you rights over your health information and sets rules and limits on who can look at and receive your health information)

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23
Q

HMO (Health maintenance organization) plan

A

Organización de mantenimiento de la salud. ( a health insurance plan that provides health services through a network of doctors for a monthly or annual fee)

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24
Q

Home attendant

A

Asistente doméstica (

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25
Home health aid
Asistente de salud a domicilio
26
HSA-Health savings account
Cuenta de ahorros para gastos médicos. (Do you have a health savings account?)
27
In network
Dentro de la red
28
IRA- Individual retirement account
Cuenta individual de jubilación (is an account set up at a financial institution that allows an individual to save for retirement with tax-free growth or on a tax-deferred basis.)
29
Manegement
Gerencia/ administración/ manejo (I work in the management department)
30
Marketplace
Mercado de seguros/ "marketplace" (Un servicio que ayuda a las personas a comprar e inscribirse en un seguro médico. )
31
Maximum out-of-pocket expense
Gasto máximo de su bolsillo (Cantidad máxima que tiene que pagar por los servicios cubiertos en un año del plan. Después de gastar esta cantidad en los deducibles, copagos y coseguros por cuidado y servicios dentro de la red, su plan médico paga el 100% de los costos de los beneficios cubiertos.)
32
Medical clearance (authorization)
Autorización médica (You need medical clearence to have the surgery).
33
Medical Provider
Proveedor medico.
34
Member ID number
Numero de identificación de miembro. (I need to verify your member ID number)
35
MRN-Medical Record number
Número de expediente médico. (In the medical record number is the complete information of the patient.)
36
Non-Formulary medications
Medicamentos sin cobertura.
37
Notice
Aviso. (The insurance gave me the last notice to pay my deductible).
38
Nurse ambassador
Enfermera embajadora ( Primary responsibilities are in the areas of promoting nursing as a career choice and educating the public about the nursing profession.)
39
Nurse case manager
Enfermera administradora del caso (A nurse case manager is a registered nurse who coordinates overall care for patients in and out of medical facilities)
40
Open enrollment Period
Periodo de inscripción abierto. (I cannot miss the open enrollment period.)
41
OTC (Over the counter)
De venta libre (medications)
42
Out of network
Fuera de la red.
43
Overnight
De un día para otro (I had to visit de hospital overnight)
44
Paperwork/ documents
Papeleo/ documentación/ papeles
45
Participating providers
Proveedores participantes
46
Photo ID
Identificación con fotografía. (They requested me to submit a photo ID)
47
PPO (Preferred Provider Organization) Plan
Plan de organización de proveedor preferido. (A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan's network.)
48
Pre-authorization
Preautorización
49
Pre-existing condition
Condición Preexistente
50
Prepaid envelope
Sobre prepagado
51
Prescription drugs
Drogas recetadas (Im running out of prescription drugs)
52
Quote
Cotizar/Cotización
53
Refer
Referir/ remitir
54
Referral
Referido.
55
Refill
Reabastecer/ reabastecimiento. (I need to refill my prescription drugs)
56
Reinstatement
Restitución/ Rehabilitación.
57
Renew/ Renewal
Renovar/ Renovación. (Im going to renew my health insurance plan)
58
Retailer
Minorista/ vendedor al detalle.
59
Rx BIN
Numero de identificación de beneficios para recetas ( is used to identify how a prescription drug will be reimbursed and where a pharmacy can send a reimbursement claim to.)
60
Rx PCN
Número de control de procesador de recetas
61
Schedule an appointment
Agendar una cita
62
Screen/ Screening
Evaluar/ Evaluación (the act of doing a test on a person or a person's blood, urine, etc., to look for evidence of a disease, illegal drug, etc)
63
Short notice
Con poco tiempo de anticipación.
64
Subject to deductible
Sujeto a deductible. (All eligible expenses are subject to a $400 deductible.)
65
Terminated
Finalizado/ Cancelado (Your contract is terminated)
66
Tiers
Niveles
67
Urgent Care
Cuidados de urgencia
68
Walk-in clinic
Clínica ambulatoria (s a medical facility that accepts patients on a walk-in basis and with no appointment required. )