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ScheduleA list of individual items or groups of items that are covered under one policy or a listing of specific benefits, charges, credits, assets or other defined items. Short-Term MedicalTemporary health coverage for an individual for a short period of time, usually from 30 days to six months. Special TermsRestrictions, limitations or conditions applied to the insurance company's standard terms as detailed in the policy or policy conditions SpecialistA specialist is an expert in a specific area of medicine. You may need an oncologist to treat cancer; a nephrologist to treat kidney disease; or a pulmonologist to treat a serious lung conditions Stop-LossThe dollar amount of claims filed for eligible expenses at which the insurance begins to pay at 100% per insured individual. Stop-loss is reached when an insured individual has paid the deductible and reached the out-of-pocket maximum amount of co-insurance. SurgeryMedical treatment of injuries, diseases and illnesses through a direct intervention within the patient's body Surgical ProcedureCutting, suturing, treating burns, correcting fracture, reducing a dislocation, manipulating a joint under general anesthesia, electro cauterizing, tapping (paracentesis), applying plaster casts, administering pneumothorax, endoscope or injecting sclerosing solution. |