| The majority (61%) of U.S. women who have abortions are already mothers, more than half of whom have two or more children. |
| Advancing women's health by creating an environment in which the public and elected officials confidently support women's health policy. |
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|  | Women's Health Glossary of Terms |
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| Benefit Package (Covered Benefits): The health care services that will be paid for under a health care insurance plan contract. Services not included in the benefit package selected by the purchaser will not be paid for by the insurer.
Copayment: The amount of health care provider costs that the patient is responsible for, usually a set amount, such as $10 per office visit. The patient is usually responsible for payment at the time the health care service is provided.
Deductible: A fixed amount the patient must pay each year before the insurer will begin covering the cost of the care to which the deductible applies.
Drug Formulary: A listing of prescription medications that are preferred for use by the health plan and that will be dispensed to covered persons through participating pharmacies. This list is subject to periodic review and modification.
Fee-for-Service: A type of reimbursement in which providers are paid a fee each time a service is performed.
Health Maintenance Organization (HMO): A health care insurance plan that provides participants with comprehensive coverage of health care services performed by a selected network of health care providers for a fixed monthly premium. Coverage is available in a defined geographic area (called the service area) to participants who agree to obtain services from network providers. HMOs are unique because they coordinate the financing of health care with the delivery of health care. HMOs emphasize prevention and early detection of illness.
Preventive Care: Health care services designed for the prevention and early detection of illness, generally including routine physical examinations, cancer screenings and immunizations. |
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| Primary Care Physician (PCP):
PCPs generally include internists, family practitioners, general medicine practitioners and pediatricians. In addition to providing care, PCPs may arrange, authorize, coordinate and monitor the care of HMO patients. HMO participants may choose a PCP from among the many PCPs in the HMO network.
Prior Authorization: The process of obtaining approval from the health plan for a particular health care service before the service is delivered.
Referral: A recommendation, usually written, from a physician that a patient receive services from a different provider or facility.
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