Medicare Advantage Plan in which the patient may go to any Medicare-approved physician or hospital that accepts the plan’s payment. The insurance plan, rather than the Medicare program, decides how much it will pay and what the patient should pay for the medical services.

Medical facility that is privately owned and operated by an individual, several people, or a corporation.

Conventional health care coverage bought from an insurance company that allows the insured to select his or her physicians, hospitals, and other health care facilities.
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Voluntary insurance programs available from private firms or from the government by which an individual may obtain protection against the possibility of loss due to a contingency.

Work of a professional health care provider who is independent of financial or external policy control by professional peers, except for licensing and other legal restrictions.

Verbal discussions that are confidential and not to be disclosed except by specific consent of the patient.

Data related to the treatment and progress of the patient that can be released only when written authorization of the patient or guardian is obtained.

Chance that an event will occur. The probability theory and statistics are the foundations of insurance.

Phrase used to describe a type of medical decision-making when a patient is seen for an evaluation and management service.

Documented report of an inquiry about the body system(s) directly related to the problem(s) identified in the history of present illness (HPI).