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《ESL Podcast 269 – Health Insurance Plans》.pdf
English as a Second Language Podcast
ESL Podcast 269 – Health Insurance Plans
GLOSSARY
HMO – health maintenance organization; an organization of doctors and
hospitals that work with a specific insurance company and offer their services for
a set price; individuals must always see a doctor within the organization and see
their main doctor first, but it is less expensive than using a PPO
* Anatole wanted to see a specialist for his stomach pain, but he had to go to his
regular doctor first because he’s a member of an HMO.
PPO – preferred provider organization; an organization of doctors and hospitals
that work with a specific insurance company and offer their services for a set
price; individuals can see any doctor, but it is more expensive than an HMO
* Mel pays a lot for his PPO, but he likes being able to see any doctor whenever
he needs to.
managed health plan – any plan that helps members get health care for a lower
cost, especially if there are medical emergencies
* If healthcare is important to you and your family, before you accept a new job,
ask the employer what kind of managed health plans are available.
co-pay – the amount that a person who has health insurance must pay each
time he or she has a medical appointment
* Ulysses has a $10 co-pay every time he goes to the dentist.
coverage – the number of different types of medical care that a health insurance
plan will help people pay for
* This health insurance plan includes coverage for mental health counseling.
network – a group of people who are connected to each other and communicate
and share information with each other
* Is there a national network of elementary school teachers?
drug coverage – the number of different types of medicines that a health
insurance plan will help people pay for
* Dion’s health insurance plan has horrible drug coverage. He had to p
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