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UnitedHealthcare Community Plan
UnitedHealthcare Community Plan

UnitedHealthcare Community Plan

Glossary

 

A

Advance Directive - A decision about your healthcare that you make ahead of time in case you are ever unable to speak for yourself. 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 .

Authorization - An O.K. or approval for a service.

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B

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

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C

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

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D

Disenrollment - To stop your membership in UnitedHealthcare Community Plan.

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E

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

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F

Federal Poverty Level (FPL) - Poverty income thresholds by family size that are annually updated by the Census Bureau.

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

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G

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H

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

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I

ID card - Identification card – a card that says you are a UnitedHealthcare Community Plan member. You should have this card with you at all times.

Informed Consent - You agree to all medical treatments.

Inpatient - When you are admitted into a hospital for a length of time.

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J

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K

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L

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M

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

Member - A person who is eligible for UnitedHealthcare Community Plan

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N

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O

Outpatient - When you have a procedure done that does not require a hospital stay overnight.

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P

Provider - Any medical professional that UnitedHealthcare Community Plan has contracted with to take care of you.

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

Primary Care Physician (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 O.K. from UnitedHealthcare Community Plan before it can take place.

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Q

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R

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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.

Specialist - A doctor that has specific, detailed training in one certain medical field.

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T

Treatment - The care that you may receive from doctors and facilities.

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U

Urgent care - When you need care, treatment or medical advice within a 24-hour time period.

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V

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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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X

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Y

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Z

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