Tooltips

Paramedical services are treatments provided by health care professionals, such as physiotherapists, chiropractors, massage therapists, podiatrists and acupuncturists, among others.

Pay for performance is a method of incentivizing employees or other agents by rewarding them for achieving specific agreed-upon goals or objectives.

Personal Health Information and Privacy Act, 2004 (PHIPA) is provincial legislation that sets out rules for the collection, use and disclosure of personal health information. The legislation balances the rights of individuals to keep their own personal health information private, with the legitimate needs of people and organizations who provide health care services to access and share this information.

Personal Spending Account (PSA) is an arrangement where the insurer administers an account with a sum of money provided by the employer, which the employee can spend on specified goods or services. Whereas health care spending accounts (HSAs) often restrict eligible expenses to those that qualify for the Canada Revenue Agency medical expense tax credit, personal spending accounts may come with fewer or different restrictions. These accounts may be offered to employees in addition to [...]

Plan member refers to an employee or member of an organization, such as a union or association, who is enrolled in an extended health care insurance plan, and potentially their eligible spouse and/or children.

Plan sponsor refers to an organization, such as an employer, union, or association, that sets up a health care or retirement plan for the benefit of the organization’s members

Pre-approval refers to a situation where an extended health care insurer agrees in advance to cover the cost, or a portion thereof, of a specific product or service, subject to any applicable terms and conditions. Pre-approval may be required by insurers in some instances, for example in orthotics insurance claims.

Pre-determination request refers to a voluntary, written request by a health care professional to determine if a proposed treatment or service is covered under their patient’s health benefits plan.

Preferred Provider Networks (PPNs) are lists of health care professionals and health care organizations that a third-party payer, such as a government agency or an insurance company, has contracted with to provide health care to eligible recipients.