Chapter 16: Health, Disability, and Life Insurance

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medicare

a federally funded health insurance program available mainly to people over 65 and to people with certain disabilities

co-payment

a flat fee that one pays every time one receives a covered service.

health insurance

a form of protection that eases the financial burden people may experience as a result of illness or injury

preferred provider organization (PPO)

a group of doctors and hospitals that agree to provide specified medical services to members are prearranged fees

health maintenance organization (HMO)

a health insurance plan that directly employs or contracts with selected physicians and other medical professionals to provide health care services in exchange for a fixed, prepaid monthly premium

medicaid

a medical assistance program offered to certain low-income individuals and families

whole life insurance

a permanent policy for which one pays a specified premium each year for the rest of one's life

beneficiary (insurance)

a person named to receive benefits from an insurance policy

stop-loss

a provision under which an insured pays a certain amount, after which the insurance company pays 100 percent of the remaining covered expenses.

Blue Shield

an insurance company that provides benefits for surgical and medical services performed by physicians

Blue Cross

an insurance company that provides hospital care benefits

provisions

conditions

board

daily meals

supplemental

extra

hospices

facilities and organizations that provide care for the terminally ill

valid

good

point-of-service (POS) plan

health insurance plan that uses a network of participating physicians and medical professionals who have contracted to provide services for certain fees

cash value

in a whole life insurance policy, the accumulated savings to which one is entitled when and if one cancels the policy

term insurance

insurance that provides protection against loss of life for only a specified term

disability income insurance

insurance that provides regular cash income when an employee is unable to work due to pregnancy, a non-work-related accident, or illness

endowment

life insurance that provides coverage for a specific period of time and pays a sum of money to the policyholder if he or she is living at the end of the endowment period

managed care

prepaid health plans that provide comprehensive health care to their members

lapse

stop

suspend

stop

hardship

suffering

coinsurance

the percentage of the medical expenses the policyholder must pay in addition to the deductible amount


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