Code | Display | Definition |
benefit | Benefit | Maximum benefit allowable. |
deductible | Deductible | Cost to be incurred before benefits are applied |
visit | Visit | Service visit |
room | Room | Type of room |
copay | Copayment per service | Copayment per service |
copay-percent | Copayment Percent per service | Copayment percentage per service |
copay-maximum | Copayment maximum per service | Copayment maximum per service |
vision-exam | Vision Exam | Vision Exam |
vision-glasses | Vision Glasses | Frames and lenses |
vision-contacts | Vision Contacts Coverage | Contact Lenses |
medical-primarycare | Medical Primary Health Coverage | Medical Primary Health Coverage |
pharmacy-dispense | Pharmacy Dispense Coverage | Pharmacy Dispense Coverage |