Skip to content

Glossary

  1. S

    screening programs
    Preventive care programs designed to determine if a health condition is present even if a member has not experienced symptoms of the problem. .
    Second Opinion
    a television series that features panels of doctors, patients and related experts tackling real-life complex medical cases.
    small group
    Although each MCO's size limit may vary, generally a group composed of?two to 99 members for which health coverage is provided by the group sponsor.
    specialty HMO
    See specialty health maintenance organization.
    specialty services
    Healthcare services that are generally considered outside standard medical-surgical services because of the specialized knowledge required for service delivery and management.
    standard of care
    A diagnostic and treatment process that a clinician should follow for a certain type of patient, illness or clinical circumstance.
    State Children's Health Insurance Program (SCHIP)
    A program, established by the Balanced Budget Act, designed to provide health assistance to uninsured, low-income children either through separate programs or through expanded eligibility under state Medicaid programs.