There are currently 8 terms in this directory beginning with the letter P.
As stipulated by the insurer, the percentage of employees that must be enrolled in the group plan.
Pre-determination of Benefits
A pre-determination will show whether or not a medical or dental treatment is covered by the plan, and at what cost to the plan member. A detailed treatment plan is submitted to the insurer prior to treatment. It is usually recommended that a plan member obtain a pre-determination for treatment likely to exceed $400.
A medical condition, for which a plan member sought and/or received treatment, that existed within a specified period of time before the effective date of coverage.
Prescribed Drug Plan
Drugs covered under this type of plan include over-the-counter medications that have been prescribed by a physician or dentist.
Prescription Drug Plan
This type of plan only covers drugs that legally require a prescription from a physician or dentist. This means that over-the-counter medications are not covered even if they have been prescribed.