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Retiree
Payroll handles monthly benefits distribution for the legacy DB Plan
SHARP provides healthcare assistance for eligible retirees and eligible dependents
The Defined Benefit Church Plan (DB) is the “legacy” pension plan for eligible employees who have pre-2000 service and the SDA Hospital Plan (DB) pension plan pre-1992 service.
The Adventist Retirement Plan, since January 1, 2000, is the defined contribution plan for eligible employees
Employee
SHARP provides healthcare assistance for eligible retirees and eligible dependents
The Defined Benefit Church Plan (DB) is the “legacy” pension plan for eligible employees who have pre-2000 service
The Adventist Retirement Plan, since January 1, 2000, is the defined contribution plan for eligible employees
Employer
SHARP provides healthcare assistance for eligible retirees and eligible dependents
The Defined Benefit Church Plan (DB) is the “legacy” pension plan for eligible employees who have pre-2000 service
The Adventist Retirement Plan, since January 1, 2000, is the defined contribution plan for eligible employees
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Home > Glossary > Medical Necessity Pre-Certification

Medical Necessity Pre-Certification

Medical Necessity Pre-Certification refers to obtaining the utilization review manager’s determination in advance that proposed medical services requiring pre-certification are medically necessary, appropriate, and neither Experimental nor Investigational Procedures as defined in Limitations and Exclusions.