covers accidents on school grounds while the student is in attendance
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Malfeasance, or An Act of Commission
Front
when an individual commits an act that is not legally his or hers to perform
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Secondary Insurance
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pays the athlete's remaining medical bills after a general health insurance plan has made its payment
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Standard of Reasonable Care
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assumes that an individual is a person of reasonable and ordinary prudence
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Capitation
Front
a form of reimbursement used by manage care providers in which members make a standard payment each month regardless of how much service is rendered to the member by the provider
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Negligence
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the failure to use ordinary or reasonable care
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Managed Care
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costs of health care are monitored closely by insurance carriers
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Statute of Limitation
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a specific length of time to sue for damages from negligence
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Torts
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legal wrongs committed against a person
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Assumption of Risk
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the individual, though expressed or implied agreement, assumes that some risk or danger will be involved in the particular undertaking
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Reimbursement
Front
comes from the policyholder's insurance company for services provided
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Duty of Care
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a requirement that a person act toward others and the public with watchfulness, attention, caution and prudence that a reasonable person in the circumstances would
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Medicare
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a federal health insurance program; for the aged and disabled
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Preferred Provider Organizations (PPOs)
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provides discount health care but also limit where a person can go for treatment of an illness
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Medicaid
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a health care program for people with low incomes and limited resources
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Medical Insurance
Front
a contract between the insurance company and the policyholder
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National Federation of State High School Associations
Front
catastrophic insurance for secondary schools; provides medical, rehabilitation, and transportation costs in excess of $10,000 not covered by other insurance benefits
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Misfeasance
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when an individual improperly does something he or she has the legal right to do
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Good Samaritan Law
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provides limited protection to someone who chooses to provide first aid; does not apply to someone who has a duty to act as dictated by the nature of his or her job
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Liability
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the state of being legally responsible for the harm one causes another person
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Nonfeasance, or An Act of Omission
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when an individual fails to perform a legal duty
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Catastrophic Insurance
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provides plans that deal with the problem of a lifetime of extensive medical and rehabilitative care because of a permanent disability
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Point of Service Plan
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a combination of HMO and PPO plans; based on a HMO structure, but also allows members to go outside the HMO to obtain services
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Health Maintenance Organizations (HMOs)
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provides preventive measures and limit where the individual can receive care
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Indemnity Plan
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not a type of managed care, but is the most traditional form of billing fore health care