Insurance can be complicated to understand. There is so much jargon and information being thrown at you when you search for answers. Thankfully, we’re here to help. Here are five common group benefits terms and what they mean.
1. Extended health coverage
Extended Health Coverage, or EHC, helps pay for medical expenses not covered by provincial health plans. Exactly what is covered, how much coverage you have, and what the deductible amounts will be different depending on your plan.
It can include things like:
2. Paramedical services
Paramedical services are services provided by professionals not in the public health system, i.e. not a doctor. These services include chiropractic services, physiotherapy, massage therapy, naturopathy, acupuncture, and more. They require a certified professional to perform the service, and different types of services will have different criteria for submitting a claim, such as requiring a doctor’s note or that the provider be certified by a national or provincial association.
3. Coinsurance
Coinsurance is the percentage of costs of a covered health care service plan members pay.
4. Premium
An insurance premium is the amount of money that an individual or business pays for an insurance policy.
5. Plan Administrator
A plan administrator is the person at your company who manages its group benefits plan. The administrator works with the plan provider to ensure that the plan meets your needs and can also handle administrative tasks like adding and removing members to the plan.
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P.O. Box 1603, Stn Waterloo
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Phone: 519.886.5110
Toll Free: 1.800.722.6615
www.equitable.ca
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Customers who wish to provide feedback on the way Equitable provides services to people with disabilities can contact us by email, verbally or by letter. All feedback will be directed to the company Ombudsman. Customers can expect to hear back within 15 business days. Complaints will be addressed according to our organization's complaint management procedures.
The company's Customer Service Accessibility policy is available upon request from the company Ombudsman.
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