A decision about your health care that you make ahead of time in case you are ever unable to speak for yourself. This will let your family and your doctors know what decisions you would make if you were able to.
ASC/SPU
Ambulatory surgical center/short procedure unit.
Authorization
An O.K. or approval for a service.
B
Benefits
Services, procedures and medications that UnitedHealthcare Hawki will cover for you.
C
Clinical Care Management
One-on-one help by a nurse providing education and coordination of UnitedHealthcare Hawki benefits, tailored to your needs.
D
Disenrollment
To stop your membership in UnitedHealthcare hawk-i.
E
Emergency
When you reasonably believe that your health is in serious danger.
F
Fraud
An untruthful act – an example is someone other than you using your UnitedHealthcare Hawki member ID card and pretending to be you.
H
Hawki
Healthy and Well Kids in Iowa (Hawki) is Iowa's Children's Health Insurance Program (CHIP) offering health insurance to children under the age of 19 that meet eligibility requirements.
Home Health Agency
A company hired by UnitedHealthcare Hawki to provide care for you in your home.
I
ID Card
Identification card – a card that says you are a UnitedHealthcare Hawki member. You should have this card with you at all times.
Informed Consent
You agree to all medical treatments.
Inpatient
When you are admitted into a hospital for a length of time.
M
Medical Necessity
Your health care provider decides if a treatment, admission, procedure, medical supply, equipment, service or supply is medically necessary.
Member
A person who is eligible for UnitedHealthcare hawk-i.
O
Outpatient
When you have a procedure done that does not require a hospital stay overnight.
P
Primary Care Physician (PCP)
A doctor you choose to be your family physician. They have their own private practices.
Prior Authorization
The process for any service that needs an O.K. from UnitedHealthcare Hawki before it can take place.
Provider
Any medical professional that UnitedHealthcare Hawki has contracted with to take care of you.
Provider Directory
A list of providers who participate with UnitedHealthcare Hawki to help take care of your health care needs.
R
Referral
When you and your primary care provider agree you need to see another doctor, your primary care provider will send you to a UnitedHealthcare Hawki specialist.
S
Self-Referred Services
Services for which you do not need to see your primary care provider for a referral.
Special Needs Unit (SNU)
A voluntary service offered by UnitedHealthcare Hawki that can give you extra help in understanding and using your benefits if you have a disability or other special need.
Specialist
A doctor that has specific, detailed training in one certain medical field.
T
Treatment
The care that you may receive from doctors and facilities.
U
Urgent Care
When you need care, treatment or medical advice within a 24-hour time period.
W
WIC
Women, Infants and Children program, a supplemental nutrition program that provides nutritious food, education support and health care referrals for women, infants and children.
