Disabled

For purposes of enrollment under Medicare, individuals younger than 65 years of age who have been entitled to disability benefits under the Social Security Act or the railroad retirement system for at least 24 months are considered disabled and are entitled to Medicare.

Disabled enrollee

Individual younger than age 65 who has been entitled to disability benefits under Title II of the Social Security Act or the Railroad Retirement system for at least 2 years and who is enrolled in the supplemental medical insurance (SMI) program.

Disablement

Physical or mental condition preventing a person from undertaking ‘normal’ work duties or the ‘activities of daily life’. ‘Disablement’ or ‘disability’ is invariably defined in the policy. See DISABILITY 2.
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In the case of injuries different kinds leading to different effects on the person could exist. The net result in these cases will be that the person is not in a position to attend to his normal occupation.

Disablement benefit

The benefit payable under a personal accident or income protection insurance when the insured is either permanently or temporarily disabled. See PERMANENT DISABLEMENT; TEMPORARY DISABLEMENT.
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Benefits payable in respect of disablement sustained due to accident, sickness etc. whether temporary partial, temporary total, permanent partial and permanent total under workmen’s compensation, health and accident Insurance. These benefits are payable either as a fixed percentage of capital sum insured on weekly basis or a fixed sum as per the provisions of the relevant policies.

Disallowance

Provider’s fee that is above an insurance plan’s fee ceiling (maximum allowable) and which the insurance company does not recognize for payment. Also referred to as disallowed amount, nonallowed amount , or contractual disallowance .