{"id":220,"date":"2011-10-06T11:41:34","date_gmt":"2011-10-06T19:41:34","guid":{"rendered":"http:\/\/www.smartandresponsible.com\/blog\/?p=220"},"modified":"2011-10-28T13:05:52","modified_gmt":"2011-10-28T21:05:52","slug":"firstthing","status":"publish","type":"post","link":"https:\/\/smartandresponsible.com\/blog\/firstthing\/","title":{"rendered":"\u5065\u5eb7\uff08\u533b\u7642\uff09\u4fdd\u967a\u3001\u5165\u3063\u305f\u3089\uff08\u5909\u3048\u305f\u3089\uff09\u307e\u305a\u3059\u308b\u3053\u3068"},"content":{"rendered":"<p>\u30a2\u30e1\u30ea\u30ab\u306e\u5065\u5eb7\uff08\u533b\u7642\uff09\u4fdd\u967a\u306e\u6708\u984d\u4fdd\u967a\u6599\u306e\u5e73\u5747\u5024\u306f\u3001\u3072\u3068\u308a\u3067\u52a0\u5165\u306e\u5834\u5408$440\u3001\u5bb6\u65cf\u3067\u52a0\u5165\u306e\u5834\u5408\u306f$1,100\u306b\u4e0a\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u304a\u52e4\u3081\u306e\u5834\u5408\u306f\u3053 \u306e\u3046\u3061\u3044\u304f\u3089\u304b\u306f\u96c7\u7528\u4e3b\u304c\u8ca0\u62c5\u3057\u3066\u304f\u308c\u308b\u308f\u3051\u3067\u3059\u304c\u3001\u305d\u308c\u3067\u3082\u5bb6\u65cf\u52a0\u5165\u306e\u5834\u5408\u6708\u3005$250\u304b\u3089$600\u3050\u3089\u3044\u306f\u81ea\u5206\u6301\u3061\u30b3\u30b9\u30c8\u3067\u3059\u306d\u3002\u3053\u3093\u306a\u9ad8\u3044\u5065\u5eb7\u4fdd\u967a\u3001\u6700\u5927\u9650\u306b\u6d3b\u7528\u305b\u306d\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u307e\u3060\u6bd4\u8f03\u7684\u82e5\u304f\u3066\u5065\u5eb7\u3067\u65e5\u3005\u5fd9\u3057\u3044\u751f\u6d3b\u3092\u9001\u3063\u3066\u304a\u308a\u3001\u3057\u304b\u3082\u7d66\u4e0e\u5929\u5f15\u304d\u3067\u4fdd\u967a\u6599\u3092\u6255\u3063\u3066\u3044\u308b\u3068\u306a\u308b\u3068\u3001\u3064\u3044\u5065\u5eb7\u4fdd\u967a\u306e \u3053\u3068\u306a\u3069\u8003\u3048\u308b\u30d2\u30de\u3082\u306a\u304f\u3001\u3082\u3046\u4e45\u3057\u304f\u304a\u533b\u8005\u3055\u3093\u306b\u306f\u884c\u3063\u3066\u3044\u306a\u3044\u306a\u3093\u3066\u3053\u3068\u3082\u3042\u308a\u307e\u305b\u3093\u304b\uff1f<br \/>\n\u75c5\u6c17\u306b\u306a\u3063\u3066\u306f\u3058\u3081\u3066\u5065\u5eb7\u4fdd\u967a\u306e\u5b58\u5728\u3092\u601d\u3044\u51fa\u3059\u3068\u3044\u3046\u306e\u3067\u306f\u306a\u304f\u3001\u65b0\u3057\u3044\u5065\u5eb7\u4fdd\u967a\u306b\u52a0\u5165\u3057\u305f\u305d\u306e\u65e5\u304b\u3089\u3001\u3053\u3093\u306a\u3053\u3068\u6c17\u3092\u3064\u3051\u305f\u3044\u3067\u3059\u306d\u3002\u3002\u3002<\/p>\n<p><strong>\uff11\uff0e\u5065\u5eb7\u4fdd\u967a\u306b\u5165\u3063\u305f\u3089\uff08\u5909\u66f4\u3057\u305f\u3089\uff09\u3001\u307e\u305a<\/strong><strong>Benefits<\/strong><strong>\u306e\u518a\u5b50\u3092\u5165\u624b\u3059\u308b\u3002<\/strong><br \/>\n\u3053\u306e\u518a\u5b50\u306f\u4fdd\u967a\u4f1a\u793e\u306b\u3088\u3063\u3066Explanation of Your Plan\u3068\u304b\u3001Summary of Benefits\u3068\u304b\u3001Member\u3000Handbook\u306a\u3069\u3068\u3044\u3046\u540d\u79f0\u3067\u547c\u3070\u308c\u3066\u3044\u308b\u3082\u306e\u3067\u3001\u5065\u5eb7\u4fdd\u967a\u304c\u30ab\u30d0\u30fc\u3059\u308b\u7bc4\u56f2\u3001copay\u3084 deductible\u306a\u3069\u306e\u8aac\u660e\u3001\u5065\u5eb7\u4fdd\u967a\u306e\u4f7f\u3044\u65b9\u306a\u3069\u304c\u307e\u3068\u3081\u3089\u308c\u305f\u518a\u5b50\u3067\u3059\u3002\u30a2\u30e1\u30ea\u30ab\u306e\u5065\u5eb7\u4fdd\u967a\u306f\u4fdd\u967a\u4f1a\u793e\u306b\u3088\u3063\u3066\u3001\u30ab\u30d0\u30fc\u306e\u5185\u5bb9\u3084\u533b\u7642\u30b5\u30fc\u30d3\u30b9\u3092\u53d7 \u3051\u3089\u308c\u308b\u75c5\u9662\u3084\u30af\u30ea\u30cb\u30c3\u30af\u3001\u30b5\u30fc\u30d3\u30b9\u3092\u53d7\u3051\u308b\u3068\u304d\u306e\u624b\u9806\u306a\u3069\u304c\u307e\u3061\u307e\u3061\u3067\u3059\u304b\u3089\u3001\u65b0\u3057\u3044\u5065\u5eb7\u4fdd\u967a\u306b\u52a0\u5165\u3057\u305f\u305f\u3089\u3001<strong>\u307e\u305a\u3053\u306e\u57fa\u672c\u7684\u306a\u60c5\u5831\u3092\u78ba\u8a8d\u3057\u3066\u304a\u304f\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002\u300c\u75c5\u6c17\u306b\u306a\u3063\u3066\u304b\u3089\u300d\u3067\u306f\u3044\u3051\u307e\u305b\u3093\u3002<\/strong>\u4fdd\u967a\u4f1a\u793e\u306b\u3088\u3063\u3066\u306f\u3053\u306e\u3088\u3046\u306a\u518a\u5b50\u3092\u81ea\u52d5\u7684\u306b\u9001\u3063\u3066\u304f\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u6700\u8fd1\u306f\u30aa\u30f3\u30e9\u30a4\u30f3\u3067\u516c\u958b\u3057\u3066\u3044\u308b\u306e\u3092\u3044\u3044\u3053\u3068\u306b\u3001\u308f\u3056\u308f\u3056\u30ea\u30af\u30a8\u30b9\u30c8\u3092\u3057\u306a\u3044\u3068\u518a\u5b50\u3092\u9001\u3063\u3066\u3053\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u96fb\u8a71\u3001\u30c1\u30e3\u30c3\u30c8\u3001e-mail\u306e\u3069\u308c\u3067\u3082\u3044\u3044\u306e\u3067\u3001\u9001\u4ed8\u306e\u30ea\u30af\u30a8\u30b9\u30c8\u3092\u3057\u307e\u3057\u3087\u3046\u3002<\/p>\n<p><strong>\uff12\uff0e<\/strong><strong>Benefits<\/strong><strong>\u306e\u518a\u5b50\u304c\u304d\u305f\u3089\u3001\u8aad\u3080\u3002<\/strong><br \/>\n\u518a\u5b50\u306f\u901a\u5e3860\u304b\u308980\u30da\u30fc\u30b8\u304f\u3089\u3044\u306e\u3082\u306e\u3067\u3059\u304c\u3001\u5168\u90e8\u8aad\u3080\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u78ba\u8a8d\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3053\u3068\u306f\u3001\u305f\u3068\u3048\u3070\u3002\u3002\u3002<\/p>\n<ul>\n<li>\u4fdd\u967a\u306e\u30bf\u30a4\u30d7\uff1a\u3000HMO,PPO,POS\u3001\u305d\u306e\u4ed6\u306e\u3069\u308c\u304b\u7406\u89e3\u3057\u3066\u304a\u304f<\/li>\n<li>Benefits\u306e\u5185\u5bb9\uff1a\u3000Schedule of Benefits\u306a\u3069\u3068\u3044\u3046\u30bf\u30a4\u30c8\u30eb\u304c\u3064\u3044\u305f\u3001Benefits\u306e\u4e00\u89a7\u8868\u304c\u518a\u5b50\u306e\u6700\u521d\u306e\u307b\u3046\u306b\u3042\u308b\u3068\u601d\u3044\u307e\u3059\u3002\u3053\u308c\u3067\u3001\u30ab\u30d0\u30fc\u3055\u308c\u308b\u533b\u7642\u884c\u70ba\u3084\u3001copay\u3001deductible\u306e\u984d\u3092\u304a\u304a\u307e\u304b\u306b\u78ba\u8a8d\u3057\u3066\u304a\u304f\u3002<\/li>\n<li>\u3069\u306e\u3088\u3046\u306b\u533b\u7642\u30b5\u30fc\u30d3\u30b9\u3092\u3046\u3051\u308b\u306e\u304b\uff1a\u3000PCP\uff08\u30d7\u30e9\u30a4\u30de\u30ea\u30fc\u30b1\u30a2\u306e\u62c5\u5f53\u533b\uff09\u3092\u6301\u3064\u3053\u3068\u304c\u5fc5\u8981\u304b\u3001\u5c02\u9580\u533b\u306b\u4f1a\u3046\u3068\u304d\u306f\u3069\u3046\u3059\u308b\u306e\u304b\u306a\u3069\u306e\u624b\u9806\u3092\u628a\u63e1\u3057\u3066\u304a\u304f\u3002<\/li>\n<li>\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\uff1a\u3000\u305d\u306e\u4fdd\u967a\u4f1a\u793e\u3068\u63d0\u643a\u3057\u3066\u3044\u308b\u533b\u5e2b\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u3001\u75c5\u9662\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u3092\u304a\u304a\u307e\u304b\u306b\u628a\u63e1\u3057\u3066\u304a\u304f\u3002\u81ea\u5206\u306e\u4f4f\u3080\u30a8\u30ea\u30a2\u306e\u533b\u5e2b\u3084\u75c5\u9662\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u3092\u78ba\u8a8d\u3059\u308b\u3002\uff08\u3053\u308c\u306f\u30aa\u30f3\u30e9\u30a4\u30f3\u306e\u691c\u7d22\u3067\u3059\u308b\u307b\u3046\u304c\u52b9\u7387\u7684\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\uff09<\/li>\n<li>\u975e\u5e38\u306e\u5834\u5408\u306f\u3069\u3046\u3059\u308b\u304b\uff1a\u3000ER, Urgent Care\u306a\u3069\u306e\u4f7f\u3044\u5206\u3051\u3068\u3001\u5177\u4f53\u7684\u306b\u3069\u3053\u306b\u3044\u304f\u304b\u3001\u884c\u304f\u5834\u5408\u306e\u624b\u7d9a\u304d\u3092\u982d\u306b\u5165\u308c\u3066\u304a\u304f\u3002\uff08\u3053\u308c\u5927\u4e8b\uff01\u975e\u5e38\u306e\u3068\u304d\u306f\u3001\u3086\u3063\u304f\u308a\u518a\u5b50\u306a\u3069\u8aad\u3093\u3067\u3044\u308b\u6642\u9593\u304c\u306a\u3044\u3082\u306e\u3067\u3059\u3002\uff09<\/li>\n<li>\u65c5 \u884c\u4e2d\u306e\u75c5\u6c17\u3084\u30b1\u30ac\u306f\u30ab\u30d0\u30fc\u3059\u308b\u304b\uff1a\u3000\u30a2\u30e1\u30ea\u30ab\u56fd\u5185\u306e\u65c5\u884c\u3084\u65e5\u672c\u5e30\u56fd\u4e2d\u306b\u533b\u7642\u884c\u70ba\u3092\u53d7\u3051\u308b\u5834\u5408\u3001\u30ab\u30d0\u30fc\u3055\u308c\u308b\u306e\u304b\u3001\u3055\u308c\u308b\u306a\u3089\u5fc5\u8981\u306a\u624b\u9806\u306f\u306a\u306b\u304b\u306a\u3069\u304a\u304a\u307e \u304b\u306b\u628a\u63e1\u3057\u3066\u304a\u304f\u3002\uff08\u79c1\u306f\u65c5\u884c\u3059\u308b\u3068\u304d\u306f\u3001\u3053\u306eBenefits\u306e\u518a\u5b50\u3068\u4fdd\u967a\u30ab\u30fc\u30c9\u306f\u6301\u3063\u3066\u51fa\u304b\u3051\u308b\u3088\u3046\u306b\u3057\u3066\u3044\u307e\u3059\u3002\uff09<\/li>\n<\/ul>\n<p><strong>\uff13\uff0e\u30aa\u30f3\u30e9\u30a4\u30f3\u30fb\u30b5\u30fc\u30d3\u30b9\u306b\u30a2\u30ab\u30a6\u30c8\u3092\u3064\u304f\u308b\u3002<\/strong><\/p>\n<p>\u307b \u3068\u3093\u3069\u306e\u5065\u5eb7\u4fdd\u967a\u4f1a\u793e\u304c\u30e1\u30f3\u30d0\u30fc\u7528\u306e\u30aa\u30f3\u30e9\u30a4\u30f3\u30fb\u30b5\u30a4\u30c8\u3092\u6301\u3063\u3066\u3044\u307e\u3059\u304b\u3089\u3001\u307e\u305a\u305d\u3053\u306b\u30a2\u30ab\u30a6\u30f3\u30c8\u3092\u4f5c\u3063\u3066\u30a2\u30af\u30bb\u30b9\u3059\u308b\u3053\u3068\u3067\u3059\u3002\u30aa\u30f3\u30e9\u30a4\u30f3\u306b\u306f\u3001\u524d\u8ff0\u306e \u30cd\u30c3\u30c8\u30ef\u30fc\u30af\u5185\u306e\u533b\u5e2b\u3084\u533b\u7642\u6a5f\u95a2\u306e\u691c\u7d22\u3084\u3001\u533b\u7642\u884c\u70ba\u306e\u30d2\u30b9\u30c8\u30ea\u30fc\u3001\u533b\u7642\u30b5\u30fc\u30d3\u30b9\u306e\u9078\u629e\u306e\u3057\u304b\u305f\u3001\u63d0\u5531\u3055\u308c\u3066\u3044\u308b\u4e88\u9632\u63a5\u7a2e\u306e\u30ea\u30b9\u30c8\u3001\u75c7\u72b6\u306b\u3064\u3044\u3066\u306e\u60c5\u5831\u3001\u5065 \u5eb7\u7dad\u6301\u306e\u305f\u3081\u306e\u5bfe\u7b56\u306a\u3069\u306a\u3069\u3055\u307e\u3056\u307e\u306a\u60c5\u5831\u304c\u63d0\u4f9b\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4fdd\u967a\u4f1a\u793e\u3068\u4fdd\u967a\u30bf\u30a4\u30d7\u306b\u3088\u308a\u307e\u3059\u304c\u3001\u533b\u5e2b\u306b\u76f4\u63a5e-mail\u304c\u3067\u304d\u305f\u308a\u3001\u691c\u67fb\u306e\u7d50\u679c\u304c\u78ba\u8a8d \u3067\u304d\u305f\u308a\u3001\u4fdd\u967a\u306e\u4f7f\u3044\u65b9\u306b\u3064\u3044\u3066\u30ab\u30b9\u30bf\u30de\u30fc\u30fb\u30b5\u30fc\u30d3\u30b9\u3068\u30c1\u30e3\u30c3\u30c8\u304c\u3067\u304d\u305f\u308a\u306a\u3069\u3068\u3001\u30aa\u30f3\u30e9\u30a4\u30f3\u30fb\u30b5\u30a4\u30c8\u306b\u306f\u4fdd\u967a\u3092\u6700\u5927\u9650\u306b\u6d3b\u7528\u3059\u308b\u305f\u3081\u306e\u30c4\u30fc\u30eb\u304c\u76db\u308a\u3060\u304f 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\u3068\u306f\u3001\u305f\u3068\u3048\u75c5\u6c17\u3067\u306a\u304f\u3066\u3082\u3001Physical Checkup\uff08\u5b9a\u671f\u5065\u8a3a\uff09\u306b\u3044\u304f\u3053\u3068\u3002\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u306a\u3069\u306e\u4e88\u9632\u63a5\u7a2e\u3082\u304d\u3061\u3093\u3068\u3057\u305f\u3044\u3067\u3059\u306d\uff08\u79c1\u81ea\u8eab\u3001\u3084\u3063\u305f\u308a\u3084\u3089\u306a\u304b\u3063\u305f\u308a\u3067\u53cd\u7701\u3057\u3066\u3044\u307e\u3059\uff09\u3002\u5973\u6027 \u306e\u5834\u5408\u306f\u3001Pap Smear(\u5b50\u5bae\u30ac\u30f3\u691c\u8a3a)\u3068\u5fc5\u8981\u306a\u5834\u5408\u306fMamography\uff08\u4e73\u304c\u3093\u691c\u8a3a\uff09\u306a\u3069\u3082\u304d\u3061\u3093\u3068\u53d7\u3051\u308b\u3053\u3068\u3092\u5fc3\u304c\u3051\u305f\u3044\u3067\u3059\u306d\u3002\u75c5\u6c17\u3067\u306a\u304f\u3066\u3082\u65e5\u3054\u308d\u304b\u3089\u3001 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