Other Resources / Definitions
1. Black Lung Benefits Act
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
2. Health Maintenance
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.
3. Illinois Department on Aging
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.
4. Illinois DHS Division of Rehabilitation
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
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
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.
8. UIC Division of
Specialized Care for Children
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
members; Includes active duty and retired members of the:
o U.S. Army,
o U.S. Air Force,
o U.S. Navy,
o U.S. Marine Corps,
o U.S. Coast Guard,
o Commissioned Corps of the U.S. Public Health
o Commissioned Corps of the National Oceanic and
Atmospheric Association. and their families,
members Includes members of the:
o Army National Guard,
o Army Reserve,
o Navy Reserve,
o Marine Corps Reserve,
o Air National Guard,
o Air Force Reserve, and
o 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).
giving funds to those in need.