GLOSSARY OF INSURANCE TERMS

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There are currently 3 terms in this directory beginning with the letter B.
B

Benefit Exclusion
When a health plan refuses to cover a product or service. Benefits exclusions can typically be appealed through a defined exceptions process.

Benefit Limitation
When a health plan limits either the amount of money that will be paid for benefits or the number of benefits allowed over a set amount of time.

Benefit Management
A process, such as prior authorization or step therapy, through which a suggested treatment plan must be reviewed and approved before it is implemented.
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