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지금 업데이트

UnitedHealthcare Community Plan Medicaid (MMA) Glossary

A

사전 의료 지시서/사전연명의료 의향서(Advance Directive)

직접 말할 수 없는 경우에 대비하여 미리 의료 관리에 대해 결정한 사항들입니다. This will let your family and your doctors know what decisions you would make if you were able to.
이의제기/항소

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.
승인

An approval for a service.

B

혜택

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

Emergency(응급 상황)

When you reasonably believe that your health is in serious danger.

F

사기(Fraud)

신뢰할 수 없는 행동(예: 본인이 아닌 다른 사람이 가입자 ID 카드를 사용하여 그 사람인 척 하는 것).

G

고충/불만사항

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. 이 카드를 항상 소지해야 합니다.
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.
입원 환자

일정 기간 병원에서 생활하도록 허가되는 경우입니다.

M

Medical Necessity

Your health care provider decides if a treatment, admission, procedure, medical supply, equipment, service or supply is medically necessary.
가입자

A person who is eligible for UnitedHealthcare.

O

외래 환자

병원에 입원할 필요가 없는 치료를 받는 경우입니다. In some cases, you may stay overnight in the hospital but not be admitted as an inpatient.

P

주치의 서비스 제공자(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.
제공자

Any medical professional that UnitedHealthcare has contracted with to take care of you.
의료 서비스 제공자 주소록

A list of providers who participate with UnitedHealthcare Community Plan to help take care of your healthcare needs.

R

추천/의뢰/소개

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

진료 의뢰서를 받기 위해 주치의 서비스 제공자를 만날 필요가 없는 서비스입니다.
전문의(Specialist)

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

긴급 치료

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.

페이지 맨 위로 돌아가기

For more information on 플로리다 Medicaid, download the 플로리다 Medicaid Reference Guide.

Learn more about UnitedHealthcare Community Plan Medicaid (MMA)

가입 정보

The 플로리다 Medicaid MMA plan specialists can answer questions and help you enroll.

전화 문의:
1-888-716-8787 / TTY: 711

주 7일, 하루 24시간

가입 방법

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.

음.. 브라우저가 오래된 것 같습니다.

UnitedHealthcare Community Plan Medicaid (MMA) Glossary

A

사전 의료 지시서/사전연명의료 의향서(Advance Directive)

이의제기/항소

ASC/SPU

승인

B

혜택

C

Clinical Care Management

D

Disenrollment

E

Emergency(응급 상황)

F

사기(Fraud)

G

고충/불만사항

H

Home Health Agency

I

ID Card

Informed Consent

입원 환자

M

Medical Necessity

가입자

O

외래 환자

P

주치의 서비스 제공자(PCP)

Prior Authorization

제공자

의료 서비스 제공자 주소록

R

추천/의뢰/소개

S

Self-Referred Services

전문의(Specialist)

T

Treatment

U

긴급 치료

W

WIC

Learn more about UnitedHealthcare Community Plan Medicaid (MMA)

가입 정보

가입자 정보