Temporary partial advance of funds to medical providers due to insurance claim payment delays.

The overall assessment of medical care available to an individual or group. In determining the acceptability of health services provided, the individual considers factors such as cost, quality, results, and convenience of medical care, as well as provider attitudes.

See Also: Accessibility and Availability.

1. A Medicare Part B agreement in which a Medicare participating physician agrees to accept 80% of the approved charge from the fiscal intermediary and 20% from the patient after the patient’s deductible has been met.

2. Transfer of the legal interest in an insurance policy to another person, typically when property is sold; or in life insurance, only valid with the insurance company’s consent.

3. Transfer of an individual’s right to receive payment under an insurance contract.

Refers to an individual’s ability to obtain needed medical care, such as facility location, transportation, operating hours, cost of care, availability of medical services, and patient acceptability of services.

Amount paid by a health insurer to a network Per Member Per Month (PMPM) to use the network’s providers.

The ability to obtain medical care and services when a patient requires them.

Separate living quarters within a single-family home. The ADU is a complete living unit with its own kitchen and bathroom.

Insurance against injury, loss, or damage to persons, property, or liability that is not covered by life, fire, or marine insurance.

US MEDICAL: Health insurance that protects a person in the event of an accidental bodily injury. Insurance benefits can help to replace a portion of earned income lost due to disability caused by an accident. Accident insurance may also cover medical expenses and indemnity for death, limb or sight loss as a result of an accident.

Health insurance underwriters use this classification to assess the type and degree of danger represented by a specific occupation, such as fire exposure, use of dangerous machinery, handling of heavy objects, and the risk of falling.