Health Literacy: Take Charge of Your Health

10 Health Care Insurance Terms to Know RGY ENE h ? ODY w B 0 gt; - ZWEIGHT ? 2 1 r - e 1 ? ? FOOD ? ? - l lt; U WHOLESOME I 0 • LU ro z , ? MEDICAL uFE - ? w 0TOOAY gt; - J V I 0 gt; - DOCTOR di ii SOURCE - ? HUMAN I - LU 5 0 tJ lt; , _ , , Co - insurance a 1 - Out of Pocket Maximum zl 2z LIFETIME t ; ; gt; z gt; I - WELLNESS ? SCIENCE ? - - ? W 0 ZMlOIC » IE 1 - - 1 , , , , , 1 , J CLEAN LU lt; 0 gt; ; 1_ 1 ; gt; - NERGY 1 , , w , m vi NUT111ENTS E LU ? r IDEALN The most you will have to pay during A Percentage you pay after deductible is met HEART TURE ; gt; 5 DOCTOR 2 ? ? SCIENCE w i5 ? SPORT ? z a policy period before your plan Your share of the cost of a service INNOVATION a3 ACTIVITY ? ? _J ™ , d j ? HEART LU TR NU IENTS ? INDIVIDUAL t starts to pay 100 for covered benefits ENVRONMEITT li INNOVAT CE UR RESO z ION lt; fl LU 3 & § INDIVIDUAL ? w gt; - ? STRENGTH ? ? lt; ? gt; - ? Co - payment o z ? HEALTHY IDEAL NATURE ? Vl J u ? ? I - LIFE w ? w lt; - A set amount you pay first before insurance STR Pre - authorization or Prior ENGTH Z gt; WEIGHT ? ENVIRONMENT 3 I - S - 0 ? LU 1 - - Authorization c I 1 - VITAMINS ? EATING Q u 1 § DIET May be required for a health care service , MEDICAL lt; Bi ENERGY SOURCE ENERGY § Deductible treatment plan , medication IDEAL NATURE STRENGTH ? INNOVATION ? ? ENERGY r i VITAL ? in WEIGHT gt; ACTIVITY HUMAN or equipment by your health insurance plan TAKE A set amount you pay up front for service or MEDICINE J J __J gt; - LIFE supplies doctor , hospital , medications to determine if medically necessary I FOOD 8 ? ? ACTIVITY 0 TOOAY HUMAN ? Pre - authorization does not mean your plan o SPOflT CHARGE 6uR 0 ? gt; CLEAN 5i ca ? I - ? w SOURCE LL ENERGY RESOURCE will cover the cost ? Explanation of Benefits l UJ I MEDICINE WELLNESS ? VITAMINS OOCTOR ? WATER i O ENVIRONMENT ? FOOD di HUMAN EOB summary of health care charges gt; - INOM - HEALTH LIFE ? DIET ? i VITAL Premium sent to you by your insurance company 6 NUTRIENTS BODY STRENGTH ? ? FOOD after you see a provider IT IS NOT A BILL DOCTOR FOOD The periodic payment you pay your insurance CLEAN t l ENERGY MEOKAL LU MEDIC i I INE ; eJ er HEAR for providers or prescriptions T WHOLESOME ? ffi __J , ? I WATER ? ? ? ? n ? 2 souRCE ? ? ? o gt; - lt; LUz ? w ? l0wu n gt; gt; Q DIET 3 Cl • Z Formulary ? - ? J U a a ; J O - i ? MEDICAL ? z I - ffi J d V TOOAY ? I - MEDICINE , l 2 ; 2 Preventative Services ? I - lt; fl w O gt; HUMAN ti ; I - ? - Hv vrr , • , I gt; - U ; 8 IDEAL NATURE § z z DIET 8 lie LU A list of prescription drugs covered by an _ gt; E IJl 00 INDIVIDUAL z Q gt; - - 2 ? o ? SOU ALTHY RCE gt; H insurance plan also called a drug list LU gt; z lt; a , c ? Routine health care that includes screenings , - 1 - - z 800Y INNOVATION gt; - ? w O I - ffi i , - ; WHOLESOME ENVlRONMENTg ? d ? Z ? ? gt; 0 § ? check - ups and counseling to prevent or detect 5 x w INNOV ATION , _ , , HEART • Z SPORT O IJl illness at an early stage ? - STRENGTH WEIGHT ? gt; - ? ? ? VIT , NS gt; , F In - network gt; VI ? ? lt; , S NT IE TR NU ESS O llN WE ? ? Z IFE L ? ? LU ? CLEAN ? ? gt; rooo Providers or suppliers who contract with your Primary Care Provider PCP health insurance plan or Medical Home PCP the provider you see first for most Network health problems Some plans require you to see your PCP before you see any other Providers , facilities , and suppliers who health care provider contract with your health insurance plan ? Medical Home vs Urgent Care vs ER ? Health Care Options for the Uninsured Specialist Out of Network ? Health Care Insurance Terms to Know A provider that focuses on a specific area of Providers or suppliers who do not contract with medicine or has more training in a specific your health insurance plan Your cost will be area of health care more to use these providers JOHNSTON COUNTY PUBLIC HEALTH DEPARTMENT Assembled by the Access to Care Committee of the JC Community Health Assessment Team April 2023PageShould I go to my doctor , urgent care Health Care Options for the Uninsured or the emergency room Johnston County your ry prima PCP You should first contact care provider Are you eligible for coverage Your PCP is your gateway to finding the most appropriate type of care for most medical situations He or she will either schedule an appointment or direct you to the type of care that is most appropriate Check to see if you are eligible for Medicaid , employer supplied insurance , While both urgent and emergency care situations are serious , there disability , Medicare or other coverage Start by contacting your local are important distinctions between the two To keep our emergency Department of Social Services at 919 - 989 - 5300 departments open for true emergencies and to allow for patients that need critical care immediately , use this guide with a few common conditions to decide which facility is the best option for you Health Insurance Coverage General Medkal Coverage THIS IS ONLY A GUIDE and is not to be used to diagnose injuries or illness North Carolinas toll - free hotline to Contact providers in your community that schedule a free , in - person appointment with offer services on a sliding fee scale or at a Medical Home Urgent Care Emergency Room a health care navigator to assist you in discounted rate Start by contacting your care of acute and chronic life - threatening Minor injuries illnesses if not oble finding a health insurance plan that is right local health department at 919 - 989 - 5200 to see your PCP ; not life - threatening conditions by your PCP for you 855 - 733 - 3711 EXAMPLES EXAMPLES EXAMPLES Allergies Burns major Asthma attack minor Mental , Emotfonal , Behavforal Preventatjve Servkes B Screenjngs Health B Substance Abuse Asthma Chest Pain Broken Bone if not through skin There may be grants , low cost , or free Contact your Local Mental Health Managed Check - ups Head Injury Trauma Bronchitis screenings provided in your community Care Organization , Alliance Health , at Start by contacting your local health 1 - 800 - 510 - 9132 or https Colds Inability to breathe Burn minor department , hospital , or pharmacy wwwalliancehealthplanorg provider - directory search Cough Sudden or Severe Pain Cut minor Flu Loss of consciousness Fever 2 months or older Medications X - Rays B lmag ; ng Immunizations Persistent vomiting or diarrhea Headache Ask your provider to consider lower cost Check with your provider to see if there is medicines or generics when available a discounted rate for uninsured clients Long - term illnesses Poisoning or suspected overdose Insect or minor animal bite Consider applying for patient medication assistance programs through pharmaceutical Medication refills Seizures Sprain or strain companies This may require your provider Learn More About Health CondWons Pink Eye Severe reaction of insect bite , Stitches to complete parts of the application medication or food Consider contacting NC MedAssist Rash Stomach pain mild 866 - 331 - 1348 Check with your provider , local health Sudden slurred speech , department , or hospital for available low Sore Throat weakness , visual changes Painful Urination cost or no cost options Some off er classes Take an ACTIVE role in on chronic conditions like diabetes and Sprains Suicidal or homicidal feelings Vomiting or Diarrhea YOUR Healthcare smoking cessation - - Keep track of your health information A • I , I Once you are treated , ask your provider these questions Ust of Resources Johnston County 8 tiort Carry a list of your medicines and your 1 What is my main problem QJe , g health history with you when you see 2 What do I need to do next Visit this community resource link at your provider https wwwjohnstonnccom health 3 Why is it important for me to do this CRDirectory healthcommcfmPage