An office visit for a general practitioner of a discipline.

An office visit for a specialist practitioner of a discipline

An episode in an emergency department.

An episode of an Inpatient hospital stay.

A visit held where the patient is remote relative to the practitioner, e.g. by phone, computer or video conference.

A visit to an urgent care facility - typically a community care clinic.

A standard percentage applied to all classes or service or product not otherwise specified.

A standard fixed currency amount applied to all classes or service or product not otherwise specified.

The accumulated amount of patient payment before the coverage begins to pay for services.

The maximum amout of payment for services which a patient, or family, is expected to incur - typically annually.

Commonly prescribed generic drugs that cost more than drugs in the ‘preferred generic’ tier.

Commonly prescribed generic drugs.

Generic drugs that cost more than drugs in ‘generic’ tier.

Drugs used to treat complex conditions like cancer and multiple sclerosis. They can be generic or brand name, and are typically the most expensive drugs on the formulary.

Brand name drugs that cost more than ‘preferred brand’ drugs.

Brand name drugs

Brand name drugs that cost more than ‘brand’ drugs.

Preventive medications and products available at no cost.

Drugs that must be administered by a clinician or in a facility and may be covered under a medical benefit.