See: appeal .
Tag: USA
Beneficiary declaration
Separate written document after an insurance policy has been issued that designates the beneficiary.
Beneficiary encrypted file
Restricted public use file for which a completed Agreement for Release of the Centers for Medicaid and Medicaid Beneficiary Encrypted Files is required.
Beneficiary impersonation
Use of a lost, stolen, or fraudulently obtained Medicare or Medicaid identification card to unlawfully procure federal or state benefits.
Beneficiary notification letter
Letter required with the Centers for Medicaid and Medicaid Services (CMS) administrator’s signature when Medicare beneficiaries are contacted to participate in a research project.
Beneficiary of benefits
See: beneficiary .
Benefit
MEDICAL,USA: 1. Health care service that the insurance company agrees to pay to a claimant, assignee, or beneficiary under a health insurance policy or contract. 2. Amount of money an insurance company (payer) will pay for the medical care and services. See covered expenses or coverage . Also called the policy benefit .
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An amount paid to a beneficiary of an insurance policy, or the participant of a retirement plan.
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UK: an amount payable by an insurer as a consequence of liabilities assumed under an insurance contract.
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UK: Describes the amount to be paid upon the happening of the insured event. The benefit is agreed at the inception of the contract and, not being based on actual losses, is not subject to the principle of indemnity. See BENEFIT POLICY.
Benefit booklet
See: benefit limitations and explanation of coverage (EOC) .
Benefit contract
See: benefit plan .
Benefit days
1. Total number of days that an insurance company will pay within a benefit period. 2. Under the Medicare program, the number of days that a beneficiary is entitled to receive payment for covered services with the exception of lifetime reserve days. Also see lifetime reserve .