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
You can file an appeal if you are not happy with a decision we made ("denial"). A denial is when we say no to a service you or your doctor asked us to give you. It could also be when we don't give you as much of a service you wanted. For example, you can file an appeal if your doctor wanted a drug we do not allow. You can also file if we didn't approve a hospital stay. If you are not happy but it is not because we said no to what you asked for, you can file a grievance.
ASC/SPU
Ambulatory surgical center/short procedure unit.
授權
An approval for a service.
B
承保福利
Services, procedures and medications that UnitedHealthcare will cover for you.
C
Clinical Care Management
One-on-one help by a nurse providing education and coordination of UnitedHealthcare benefits, tailored to your needs.
D
Disenrollment
To stop your membership in UnitedHealthcare.
E
急診
When you reasonably believe that your health is in serious danger.
F
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
You can file a grievance when you are not happy. This can be when you are not happy with our plan, or our providers, or anything other than an "action". For example, you may file a grievance if you have a problem making an appointment with a provider or have trouble finding a provider. You can file if you think you are not getting good care. You can also file if a doctor is sending you bills for services you get with our Plan. You can file an appeal If you are not happy with a decision we made (an 'action') (see Appeal).
H
Home Health Agency
A company contracted by UnitedHealthcare to provide care for you in your home.
I
ID Card
Identification card – a card that says you are a UnitedHealthcare member. 您應隨時將此卡攜帶在身上。
Informed Consent
Doctors give you information about a particular treatment or test in order for you to decide whether or not you wish to have the treatment or test.
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.
O
門診病患
接受不需住院過夜的醫療程序。In some cases, you may stay overnight in the hospital but not be admitted as an inpatient.
P
主要照護提供者 (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 approval from UnitedHealthcare before it can take place.
服務提供者
Any medical professional that UnitedHealthcare 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 to help take care of your healthcare needs.
R
轉診
When you and your primary care doctor agree you need to see another doctor, your primary care doctor will send you to a UnitedHealthcare 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。
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
Supplemental Food Program for Women, Infants and Children which provides nutrition counseling, nutrition education, and nutritious foods to pregnant and postpartum women, infants and children up to the age of 2. Children deemed nutritionally deficient are covered up to age 5 if they are low income and are determined to be at nutritional risk.
If you’re ready to join, or just want to know more call and speak to a Medicaid Choice Counselor toll free at 1-877-711-3662. TTY/TDD users please call 1-866-467-4970. You can also enroll online at flmedicaidmanagedcare.com.
Eligibility for enrollment in the UnitedHealthcare Health and Home Connection plan is determined by CARES (Comprehensive Assessment and Review of Long-Term Care Services).
To find out if you are eligible, or to locate a CARES unit near you, call the Elder Helpline: 1-800-963-5337.
If you’re ready to join, or just want to know more call and speak to a Medicaid Choice Counselor toll free at 1-877-711-3662. TTY/TDD users please call 1-866-467-4970. You can also enroll online at flmedicaidmanagedcare.com.
Eligibility for enrollment in the UnitedHealthcare Health and Home Connection plan is determined by CARES (Comprehensive Assessment and Review of Long-Term Care Services).
To find out if you are eligible, or to locate a CARES unit near you, call the Elder Helpline: 1-800-963-5337.
