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UnitedHealthcare Community Plan 詞彙表

A

  • 事前指示

    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.

  • ASC/SPU

    Ambulatory surgical center/short procedure unit.

B

  • 承保福利

    Services, procedures and medications that UnitedHealthcare Community Plan will cover for you.

C

  • Clinical Care Management

    One-on-one help by a nurse providing education and coordination of UnitedHealthcare Community Plan benefits, tailored to your needs.

D

  • Disenrollment

    To stop your membership in UnitedHealthcare Community Plan.

E

  • 急診

    A situation where your health, or the health of an unborn baby, could be threatened. Medical help is needed right away.

F

  • Federal Poverty Level (FPL)

    Poverty income thresholds by family size that are annually updated by the Census Bureau for inflation.

  • 欺詐

    An untruthful act – an example is someone other than you using your UnitedHealthcare Community Plan member ID card and pretending to be you.

H

  • Home Health Agency

    A company hired by UnitedHealthcare Community Plan to provide care for you in your home.

I

  • ID Card

    An identifcation card that says you are a UnitedHealthcare Community Plan member. 您應隨時將此卡攜帶在身上。

  • Informed Consent

    已向您說明所有醫藥治療;您了解並同意這些治療。

  • 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 Community Plan

P

  • Primary Care Physician (PCP)

    A doctor you choose to be your family physician. They have their own private practices.

  • Prior Authorization

    Your NC Medicaid Managed Care health plan’s method of pre-approving certain services.

  • 服務提供者

    Any medical professional that UnitedHealthcare Community Plan 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.

S

  • Special Needs Unit (SNU)

    A voluntary service offered by UnitedHealthcare Community Plan 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

    接受過針對特定病況或疾病特別訓練的任何醫師。

U

  • 緊急護理

    Urgent care appointments for physical or behavioral illness injuries which require care immediately but are not emergencies such as high temperature, persistent vomiting or diarrhea, symptoms which are of sudden or severe onset but which do not require emergency room services, you must been seen within twenty-four (24) hours.

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.

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UnitedHealthcare Community Plan

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