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Understanding the Provisions of Your Managed Care Plan

of care (the healthcare provider), where that care can be delivered (the facility providing services ... ), the length of time certain services can be administered (precertification or predetermination

Making Sense of Medicare Options

Medicare. This program is a fee-for-service program run by the federal government. This is the default ... services and some preventive services. You will pay a fee for this coverage. How much you pay is based

Health Newcomer: The Patient Advocate

what they’ve learned. Advocates’ services aren’t certified. They often are not covered by insurance ... . Consumers should have a clear understanding of charges for services and payment choices before

Choosing a Home Health Provider

, consider the following: Quality of care What services are available Staff training and ... healthcare services. A provider must voluntarily seek out this accreditation. Some organizations that

Sample Appeal Letter for Services Denied as "Not a Covered Benefit"

for Services Denied as "Not a Covered Benefit" As someone with cancer or a caregiver for someone ... . But some insurance companies may reject claims for certain health services. You need to know that you

Assisted Living (AL)

provides healthcare, housing, personal care services, social services, and 24-hour supervision. It’s ... person’s needs and charge accordingly. What services are provided at an AL? Services provided in an

Rehabilitation Case Manager

services and resources for a rehab patient. Case managers often don't do direct patient care. But they ... cost-effective healthcare services. They are a patient advocate. Case managers are often rehab

Topic Index - Medical Genetics

) Uses of Genetic Testing Genetic Services: When, Where, How Identification, Treatment, and ... , Teratogens, Non-Traditional Inheritance, Birth Defects Testing, Genetic Testing, Genetic Services

Privacy Policy for StayWell or Krames Consumer Health Library

services so we can improve the quality of information and resources available on our site. Most Web ... services or products to you that you have requested or authorized, to respond to your questions, to

Genetic Testing for Cancer

genetic testing;genetic testing methods;mutation;mutation positive;mutation negative;laboratory

Mental Health: Finding the Help You Need

mental health services: Psychiatrist. A psychiatrist is a medical care provider with at least ... , or a similar discipline and has postgraduate experience. Licensed counselors may provide services

Elder Care

growing area of healthcare and provider services, known as elder care. Elder care covers a wide ... insurance pay for office visits and healthcare provider services? Is the healthcare provider a solo

Chemicals

pharmacy and in laboratories. They can destroy or change what they touch. This means that they can

Smallpox/Monkeypox Vaccine (JYNNEOS): What You Need to Know

who work in emergency preparedness and some laboratory workers. The virus can spread from person to ... virus in laboratories can be accidentally exposed to the virus, and if they become infected, they can

Physical Medicine and Rehabilitation (PMandR) Treatment Team

approach to care and service. This means that many different professionals work together toward a ... patient's need, facility resources, and insurance coverage for services. The rehab team may include these

Medical Information for Americans Traveling Abroad

Traveling Abroad Before traveling abroad, American citizens should know about the services that ... ambulance services if both of the following apply: You're admitted to a foreign hospital under one of

Working with a Case Manager

how to find services in your area. Your case manager can help guide you through this journey. They ... medical care, support, and community services that you need. They can talk to your healthcare providers

Understanding Types of Healthcare Facilities

Clinics Health services Physician offices Rehabilitation services or centers Urgent Care ... group. You can get all the healthcare services you need by starting with your primary provider. They can

5 Nonpregnancy Reasons to See Your OB-GYN

maintenance. What your OB-GYN can do for you These are some services that you may not have known ... (PCP) does, you’re not wrong. There is some overlap in the services that PCPs and OB-GYNs provide

Hospice Offers Comfort at Life's End

healthcare provider decide when hospice service should start. The person may choose to stop hospice at any ... than six months to live, hospice services don't automatically end at six months. Some people in


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