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Managed care

A health care practice intended to streamline services and provide high quality, cost-effective care.

Contributors in Managed care

Managed care

hospital room benefits

Health care; Managed care

In health insurance, benefits payable up to a specified daily maximum for the purpose of paying hospital room and board charges.

primary cover

Health care; Managed care

In health insurance, coverage from the first dollar, perhaps aft er a deductible, as distinguished from an excess cover.

lifetime reserve days

Health care; Managed care

In health insurance, each beneficiary has 60 lifetime reserve days that he or she may opt to use when regular inpatient hospital benefits are exhausted. The beneficiary pays one-half of the inpatient ...

older age policy

Health care; Managed care

In health insurance, medical care policy issued to persons aged 65 years or older to supplement government-sponsored programs, such as Medicare.

health insurance benefits

Health care; Managed care

In health insurance, policy benefits payable as a result of disability from covered sickness or accident. Sickness coverage is rarely written separately, unless the insured also carries an amount of ...

nursing expense provision

Health care; Managed care

In health insurance, provides per diem benefits to the insured if that individual requires nursing care. The nurse generally must be a private duty registered nurse (RN) and not a member of the ...

customary and reasonable charges

Health care; Managed care

In health insurance, the basic concept used in determining the benefit package in a major medical plan: to pay all reasonable and necessary medical costs, but not to pay excessive or unnecessary ...

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