When a specific pharmaceutical, treatment, or service is no longer covered by a health plan, it is said to be:

Study for the Canadian Health Information Management Association (CHIMA) NCE Test. With flashcards and multiple choice questions, each query is clarified with hints and explanations to ensure you're well-prepared for your exam!

When a specific pharmaceutical, treatment, or service is no longer covered by a health plan, it is referred to as "delisted." The term "delisted" signifies that the item or service has been removed from a previously established list of covered benefits, meaning the health plan will no longer provide financial coverage for it. This can happen for various reasons, including insufficient evidence of effectiveness, cost considerations, or changes in clinical guidelines.

Understanding this term is essential in health management because it directly affects patient access to necessary medications or treatments and can influence overall healthcare costs and decision-making for both providers and patients. In contrast, terms like "aggregated," "demoted," and "unserviced" do not accurately capture the specific context of something being removed from coverage. "Aggregated" typically refers to data consolidation, "demoted" suggests a reduction in status but not necessarily removal, and "unserviced" implies a lack of service rather than a formal decision regarding coverage.

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