Health Insurance Glossary starting with P

A partial hospital/day treatment program that has specific hour requirements per day, typically five days per week. PHP is usually not a substitute for inpatient treatment services.

Official documents that show all eligible and non-eligible services are called plan documents or certificates of coverage.

The pre-existing form is completed to ensure that a subscriber does not have a condition that existed prior to the effective date of the current policy that would exclude its coverage under the plan.

This occurs when a patient uses their own financial resources to directly pay for treatment.