Unit of measurement used by managed care plans or insurance companies to find out the number of people covered in the contract or policy. The formula for determining this number is to multiply the number of plan members by 2.5.
Tag: MEDICAL
Living benefit rider
Insurance policy provision that allows the insured to receive all or part of the policy’s death benefit before the insured’s death dependent on specific conditions. This type of rider may be used to help an insured individual pay medical expenses if he or she develops a terminal illness.
Living benefits
See: accelerated benefits .
Living donor kidney transplant
Surgical procedure of excising a kidney from a living donor and implanting it into a suitable recipient.
Living trust
See: inter vivo trust .
Living will
Legal document that states the wishes of an individual concerning life support or other medical treatment in certain circumstances, usually when death is imminent or if the person is unconscious and unable to make a decision. Also known as a medical directive, advance directive , or health care advance directive .
LL
HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating when a durable medical equipment (DME) lease or rental fee is to be applied against the purchase price.
LMRP articles
See: LCD articles .
LOA
See: leave of absence (LOA) days .
Loan value
In life insurance, this is a specific amount that can be borrowed from the issuing company by the policy owner, using the cash value of the policy as collateral. If the policy owner dies and the debt is not completely paid, then the amount borrowed plus any interest is deducted from the face amount of the loan.
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The amount which can be borrowed at a specified rate of interest from the issuing company by the policyholder, using the value of the policy as collateral. In the event the policyholder dies with the debt partially or fully unpaid, then the amount borrowed plus any interest is deducted from the amount payable.