The Rantings of the barely human.
1. A Medicare Part B agreement in which a Medicare participating physician agrees to accept 80% of the approved charge from the fiscal intermediary and 20% from the patient after the patient’s deductible has been met.
2. Transfer of the legal interest in an insurance policy to another person, typically when property is sold; or in life insurance, only valid with the insurance company’s consent.
3. Transfer of an individual’s right to receive payment under an insurance contract.
Refers to an individual’s ability to obtain needed medical care, such as facility location, transportation, operating hours, cost of care, availability of medical services, and patient acceptability of services.
Amount paid by a health insurer to a network Per Member Per Month (PMPM) to use the network’s providers.
The ability to obtain medical care and services when a patient requires them.
Separate living quarters within a single-family home. The ADU is a complete living unit with its own kitchen and bathroom.
Insurance against injury, loss, or damage to persons, property, or liability that is not covered by life, fire, or marine insurance.
US MEDICAL: Health insurance that protects a person in the event of an accidental bodily injury. Insurance benefits can help to replace a portion of earned income lost due to disability caused by an accident. Accident insurance may also cover medical expenses and indemnity for death, limb or sight loss as a result of an accident.
Health insurance underwriters use this classification to assess the type and degree of danger represented by a specific occupation, such as fire exposure, use of dangerous machinery, handling of heavy objects, and the risk of falling.
Short Description: Policy that pays out in the event of the insured’s death as a result of an accident or incapacitating bodily injury.
Long Description: Typically, this coverage is written in conjunction with group life insurance contracts. The accidental death portion provides double indemnity coverage if death is caused by an accident, and the dismemberment portion provides benefits for the loss of a specific body part (e.g., eye, hand, leg). For example, if a member of the group dies of natural causes, the group life contract may provide £100,000 in coverage. If the death was caused by an accident, the benefit is £200,000. If an accident causes the loss of an arm rather than death, the benefit could be £50,000. Some AD&D riders pay half the benefit amount if the insured loses a limb or vision in one eye.
See Also: Double Indemnity.
An insurance benefit providing coverage in the event of accidental loss of life, limb, or eyesight, offered as a supplementary benefit to a group term life insurance plan.
A supplementary benefit provision that pays an additional lump-sum amount, beyond the basic death benefit of a life insurance policy, only if the insured’s death results from an accident. This provision is commonly known as “double indemnity” when the extra payout equals the original face amount of the policy.