Glossary
Managed Care Terms
Authorization — An approval obtained from a primarycare physician or health plan before a patient can receive certainmedical services, such as those provided by specialists.Coinsurance — The amount of money paid out of pocketon a monthly basis to an HMO or individual health provider foran individual’s full medical care.Co-payment — A flat fee paid by members of a health plan for specific medical services such as prescription drugs or office visits.Deductible — The annual amount paid by an enrolleein a health plan for services. The deductible must be met beforethe services are paid for.Employee Retirement Income Security Act (ERISA) —A…
