Person who receives money from an insurance policy or investment accountīack-up beneficiary person who receives the money from the life insurance policy if the first beneficiary dies before the insuredĪ beneficiary who can’t be changed without his or her permissionĪmount of replacement income you receive if you become Totally Disabled determined either as a percentage of your current income or as a specific dollar amount to be paid per week (short-term disability) or per month (long-term disability) That way you can minimize unexpected expenses and avoid disappointment.Coverage that employers provide to employees term insurance coverage usually paid for by the employerĭental care such as fillings, root canals, non-surgical extractions, periodontics sometimes referred to as Type II procedures It’s important to know how much is covered under your benefits plan (and how much you may be responsible for paying out-of-pocket). This means that after you submit your claim, you’ll receive 80% of the R&C amount, which would be $80 in this scenario. Your workplace plan also allows for 80% coverage of your massage therapy treatments. Let’s suppose you’re going for a massage that costs $130, but Sun Life’s R&C amount is $100. You can think of it as a ‘going rate’ in the market, because it reflects the average cost associated with a service or product in a particular region. What’s an R&C (reasonable and customary) limit?Ī reasonable and customary limit is the amount of money that Sun Life (or another insurance company) chooses as the normal range of payment for a specific health-related service or medical procedure. If any coverage limits apply to you, you’ll find them under the ‘Limits’ section of your coverage details.
There may be some limits that apply to your coverage, such as a maximum limit to the number of visits you’re covered for any treatment or service. How can I find out if there is a maximum number of covered visits, or any other limits, for my service? You’ll find your paramedical coverage information under ‘Paramedical Services’ list in the ‘Medical’ section of your coverage details. Examples of paramedical practitioners include acupuncturists, chiropractors, massage therapists, physiotherapists, podiatrists, Paramedical expenses are medical services or products received from a licensed medical professional who is not a medical doctor or a nurse. What are ‘paramedical’ expenses, and how are they different than ‘medical’ expenses?
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