Other Resources / Definitions:
The Black Lung Benefits Act (BLBA) is administered by the Office of Workers’ Compensation Programs (OWCP). The Act provides for monthly payments to and medical treatment for coal miners totally disabled from pneumoconiosis (black lung disease) arising from employment in or around the nation's coal mines. The BLBA also provides for monthly payments to certain survivors of miners who died due to pneumoconiosis. Current and former coal miners (including certain coal transportation and coal mine construction workers who were exposed to coal mine dust) and their surviving dependents, including surviving spouses, orphaned children, and totally dependent parents, brothers, and sisters, may file claims for black lung benefits.
Individual coal mine operators are liable for the payment of benefits to miners/employees. For purposes of determining responsibility for paying benefits, a coal mine operator includes: any owner, lessee, or other person who operates, controls, or supervises a coal mine or preparation plant; or any independent contractor performing services or construction at a mine; or certain entities involved in coal transportation.
2. Health Maintenance Organization (HMO)
A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won't cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and wellness.
The Illinois Department on Aging helps older adults live independently in their own homes and communities. As the population ages, services and programs for older adults must evolve as well because longevity means more when quality of life is enhanced. To best serve older adults, we must also serve their families and teach younger people about the realities of aging, so many of our programs have an intergenerational emphasis. Working with Area Agencies on Aging, community-based service providers and older adults themselves, the Illinois Department on Aging strives to improve quality of life for current and future generations of older Illinoisans.
DHS's Division of Rehabilitation Services is the state's lead agency serving individuals with disabilities. DoRS works in partnership with people with disabilities and their families to assist them in making informed choices to achieve full community participation through employment, education, and independent living opportunities.
5. Preferred Provider Organization (PPO)
A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan’s network. You can use doctors, hospitals, and providers outside of the network for an additional cost.
6. Private Pay
Insurance plans often have restrictions and limits. If your insurance does not cover the services you need, or discontinues payment for services sooner than you are ready for or expect, you are generally left to pay the difference ‘out-of-pocket.’ Private Pay, also referred to as ‘out-of-pocket payments’, helps to cover the difference in situations such as this.
Outside help paying for in-home care services is limited and usually covers only short-term home health care needs. Paying privately for home healthcare services is often a necessary option for individuals who want to remain living independently in their homes. Since Medicaid and Medicare typically do not pay for Long-Term Care, the burden of payment becomes that of the individual or their extended family. Individuals using insurance, such as Long-Term Care Insurance, are considered ‘private pay’ since they are not being covered by a government program.
7. Sliding Scale
A scale in which indicated prices, taxes, or wages vary in accordance with another factor, as wages with the cost-of-living index or medical charges with a patient's income.
A big part of meeting the needs of children is meeting the needs of their families and caregivers. That’s why the care Specialized Care for Children coordinates is family-centered—they focus on partnering with the family, listening to the family’s needs and preferences and then tailoring a plan for how they can best help the family move forward in a coordinated, confident way.
At first, that care might look like helping the family get a diagnosis and learn more about the child’s condition. Later, the family might need help arranging special medical care, working with the child’s doctors and teachers, or making the most of the family’s insurance plan. Down the road, they’ll help smooth the child’s transition into adulthood.
Whatever the family’s needs are, the staff at the 12 regional offices have the experience, knowledge, and networks to guide the family along the way.
TRICARE is the health care program for almost 9.5 million beneficiaries worldwide—including active duty service members, National Guard and Reserve members, retirees, their families, survivors, certain former spouses and others registered in the Defense Enrollment Eligibility Reporting System (DEERS).
TRICARE is a health program for:
- Uniformed Service members; Includes active duty and retired members of the:
U.S. Air Force,
U.S. Marine Corps,
U.S. Coast Guard,
Commissioned Corps of the U.S. Public Health Service, and
Commissioned Corps of the National Oceanic and Atmospheric Association. and their families,
National Guard/Reserve members Includes members of the:
Army National Guard,
Marine Corps Reserve,
Air National Guard,
Air Force Reserve, and
U.S. Coast Guard Reserve. and their families,
Medal of Honor recipients and their families, and
Others registered in the Defense Enrollment Eligibility Reporting System (DEERS).
10. Voluntary Donations
Persons willingly giving funds to those in need.