Seguro de salud

Question 1

Solicitud

Answer 1

Application

Question 2

Retroactivo

Answer 2

Backdated/ Retroactive

Question 3

Medicamentos de marca

Answer 3

Brand medications

Question 4

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

Answer 4

Care coordinator

Question 5

Condición Crónica

Answer 5

Chronic condition

Question 6

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

Answer 6

Co-insurance

Question 7

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.)

Answer 7

Co-pay

Question 8

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.)

Answer 8

Cost sharing plan

Question 9

Fecha limite/plazo

I can´t miss the deadline again.

Answer 9

Deadline

Question 10

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

Answer 10

Dental coverage

Question 11

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

Answer 11

Durable medical equipment

Question 12

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

Answer 12

Eligibility

Question 13

Inscribirse/inscripción.

Answer 13

Enroll/enrollment

Question 14

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

Answer 14

Explanation of benefits

Question 15

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

Answer 15

Fill medications

Question 16

Formulario

Answer 16

Form

Question 17

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

Answer 17

Formulary medications

Question 18

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.)

Answer 18

FSA- Flexible Spending Account

Question 19

Cobertura de brecha

Answer 19

GAP coverage

Question 20

Medicamentos Genericos

Answer 20

Generic medications

Question 21

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.)

Answer 21

Health Care

Question 22

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)

Answer 22

HIPAA LAW (Healthh insurance portability and accountability act)

Question 23

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)

Answer 23

HMO (Health maintenance organization) plan

Question 24

Asistente doméstica (

Answer 24

Home attendant

Question 25

Asistente de salud a domicilio

Answer 25

Home health aid

Question 26

Cuenta de ahorros para gastos médicos. (Do you have a health savings account?)

Answer 26

HSA-Health savings account

Question 27

Dentro de la red

Answer 27

In network

Question 28

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.)

Answer 28

IRA- Individual retirement account

Question 29

Gerencia/ administración/ manejo (I work in the management department)

Answer 29

Manegement

Question 30

Mercado de seguros/ "marketplace" (Un servicio que ayuda a las personas a comprar e inscribirse en un seguro médico. )

Answer 30

Marketplace

Question 31

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.)

Answer 31

Maximum out-of-pocket expense

Question 32

Autorización médica (You need medical clearence to have the surgery).

Answer 32

Medical clearance (authorization)

Question 33

Proveedor medico.

Answer 33

Medical Provider

Question 34

Numero de identificación de miembro. (I need to verify your member ID number)

Answer 34

Member ID number

Question 35

Número de expediente médico. (In the medical record number is the complete information of the patient.)

Answer 35

MRN-Medical Record number

Question 36

Medicamentos sin cobertura.

Answer 36

Non-Formulary medications

Question 37

Aviso. (The insurance gave me the last notice to pay my deductible).

Answer 37

Notice

Question 38

Enfermera embajadora ( Primary responsibilities are in the areas of promoting nursing as a career choice and educating the public about the nursing profession.)

Answer 38

Nurse ambassador

Question 39

Enfermera administradora del caso (A nurse case manager is a registered nurse who coordinates overall care for patients in and out of medical facilities)

Answer 39

Nurse case manager

Question 40

Periodo de inscripción abierto. (I cannot miss the open enrollment period.)

Answer 40

Open enrollment Period

Question 41

De venta libre (medications)

Answer 41

OTC (Over the counter)

Question 42

Fuera de la red.

Answer 42

Out of network

Question 43

De un día para otro (I had to visit de hospital overnight)

Answer 43

Overnight

Question 44

Papeleo/ documentación/ papeles

Answer 44

Paperwork/ documents

Question 45

Proveedores participantes

Answer 45

Participating providers

Question 46

Identificación con fotografía. (They requested me to submit a photo ID)

Answer 46

Photo ID

Question 47

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.)

Answer 47

PPO (Preferred Provider Organization) Plan

Question 48

Preautorización

Answer 48

Pre-authorization

Question 49

Condición Preexistente

Answer 49

Pre-existing condition

Question 50

Sobre prepagado

Answer 50

Prepaid envelope

Question 51

Drogas recetadas (Im running out of prescription drugs)

Answer 51

Prescription drugs

Question 52

Cotizar/Cotización

Answer 52

Quote

Question 53

Referir/ remitir

Answer 53

Refer

Question 54

Referido.

Answer 54

Referral

Question 55

Reabastecer/ reabastecimiento. (I need to refill my prescription drugs)

Answer 55

Refill

Question 56

Restitución/ Rehabilitación.

Answer 56

Reinstatement

Question 57

Renovar/ Renovación. (Im going to renew my health insurance plan)

Answer 57

Renew/ Renewal

Question 58

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.

Answer 58

Rx BIN

Question 59

Número de control de procesador de recetas

Answer 59

Rx PCN

Question 60

Agendar una cita

Answer 60

Schedule an appointment

Question 61

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)

Answer 61

Screen/ Screening

Question 62

Con poco tiempo de anticipación.

Answer 62

Short notice

Question 63

Minorista/ vendedor al detalle.

Answer 63

Retailer

Question 64

Sujeto a deductible. (All eligible expenses are subject to a $400 deductible.)

Answer 64

Subject to deductible

Question 65

Finalizado/ Cancelado (Your contract is terminated)

Answer 65

Terminated

Question 66

Niveles

Answer 66

Tiers

Question 67

Cuidados de urgencia

Answer 67

Urgent Care

Question 68

Clínica ambulatoria (s a medical facility that accepts patients on a walk-in basis and with no appointment required. )

Answer 68

Walk-in clinic