Index

This index is provided to help you find the primary section(s) where a term is discussed. It is for quick reference and is not intended to be all-inclusive. The number refers to what section the reference can be found. Click on the link and look at the top of the page to find the reference.

A
abortion 31
alcoholism 32, 38
ambulance 26, 28, 32

B
blood 27, 36

C
case management 25
Certifax Pharmacy Service 33, 34, 35
certificate of former coverage 20
chemical dependency 32, 38
chiropractic treatment 27, 32, 49
claim filing 43
claims and appeals 44
COB (see Coordination of Benefits)
COBRA 18, 19, 20
coinsurance 49
conversion 19
Coordination of Benefits 41, 42
cosmetic 31, 36
covered charges 22, 49
custodial care 28, 31, 49

D
definitions 49
Delta Dental Plan 46, 49
dental coverage 21, 40
diagnostics 2, 8, 23, 24
drug addiction (see chemical dependency)
drugs (see prescriptions)
durable medical equipment 2, 8, 26

E
EAP (see Employee Assistance Program)
eligibility 16, 17, 18, 19, 21, 42
Employee Assistance Program 14, 24, 32, 38
End-Stage Renal Disease 21, 42
erectile dysfunction 35, 36
ERISA 48
ERSD (see End-Stage Renal Disease)
exclusions 30, 35, 39
experimental procedures 30, 49
extended coverage 18

H
hearing aids 5, 11, 37
hearing tests 27, 31
home health care 24, 28, 30, 50
hospice 3, 9, 24, 28, 29, 30, 50
hours of employment 50

I
immunizations 4, 10, 27, 32
impotence (see erectile dysfunction)
infertility 31, 36

K
Kaiser 17, 21, 46, 49

L
lab/laboratory 2, 8, 24, 26, 28, 43, 51
lifetime maximum 1, 7, 9, 14, 29, 38, 39

M
mail service drugs (see Certifax Pharmacy Services)
mammography 28
medically necessary 50
mental health 22, 24, 29, 32

N
nurse 26, 28, 29, 50
nutritional counseling 30

O
occupational illness 50
organ transplants 9, 25, 30
out-of-area 8, 25, 37, 50

P
PacifiCare 21, 46, 49
PAP smears 28
PCN (see Pharmaceutical Care Network)
PCP (see Primary Care Physician)
Pharmaceutical Care Network 13, 33
physical therapy 2, 8, 24, 30, 32
PPO (see Preferred Provider Organization)
pre-certification 22, 23, 24, 25, 26, 30, 51
Preferred Provider Organization 22, 31
pregnancy 27, 31
prescriptions 13, 33, 34, 35, 36
preventive care, child/baby 4, 10
preventive care, adult 4, 10
Primary Care Physician 23, 51
prosthetic 27, 31
psychiatric care (see mental health)

S
self-payment 16, 18, 19, 46, 51
sex transformations 32
speech therapy 28
sterilization 27, 31

T
terminally ill patient 50, 51
termination 32, 45
totally disabled/total disability 16, 19, 51
transplants 9, 25, 30

U
usual and customary charges 51