Disability insurance

MEDICAL,USA: 1. See disability income insurance . Also known as nonoccupational insurance or loss of time insurance . 2. See Old-Age, Survivors, and Disability Insurance (OASDI) Program .
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Coverage which generally provides non-occupational weekly benefits payable to employees for accident or sickness not within the scope of workmen’s compensation law.
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Disability insurance pays an insured person benefits in the event the person becomes incapable of working due to an accident, a sickness, or both. Generally, policies are designed to replace 50 to 65% of the insured’s earned income prior to the accident or illness. The disability insurance policy can be written in a number of ways and some of the applicable terms are noted below:
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Health insurance that provides income payments to the insured wage earner when income is interrupted or terminated because of illness, sickness, or accident.

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.

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 .

discharge (DC)

When related to the health care setting, this refers to the patient’s formal release from the hospital as an inpatient or if a patient voluntarily departs the hospital. Types of discharge are discharge by death, discharge by transfer, and discharge to home. The discharge hour is inserted in Field 16 and patient discharge status is entered in Field 17 of the Uniform Bill (UB-04) inpatient hospital billing claim form.