Learn about viatical settlement companies, how they assist insurance companies in settling with policyholders who are terminally ill, and the importance of viatical settlements in life insurance.
Discover the essentials of Accidental Death and Dismemberment (AD&D) Insurance, a policy that provides financial benefits upon accidental death or incapacitating injury.
Learn about the concept of a Blanket Contract in health insurance. Explore the definition of blanket insurance and its importance in providing coverage for groups.
Understand the ins and outs of blanket medical expense insurance, a policy that covers various medical costs, with specific exclusions. Learn how it provides broad healthcare protection.
Learn about Comprehensive Medicare Supplement policies that cover Medicare deductibles and co-insurance amounts for treatments.
Learn about custodial care in health insurance, which includes assistance with personal activities such as eating, bathing, and dressing. This care is given per doctors' orders and does not require a medical professional.
Learn about customized coverage in health insurance, which tailors policies to fit individual needs by combining different types of coverage.
Learn about Dental Plans in health insurance, contracts for dental care either on a prepaid basis or paid afterward, available for individuals and groups.
Learn about the role of a Designated Mental Health Provider in health insurance policies and how they deliver mental health services through medical plans.
Learn about the house confinement clause in health insurance policies, predominantly found in loss of income policies, which requires the insured to be confined at home to be eligible for coverage.
Explore the concept of Long Term Disability in Health Insurance, where disability conditions persist over a long period of time, and understand its impacts and coverage options.
Learn about medical expense reimbursement plans and how they provide reimbursement for specified health care-related expenses for employees.
Discover what medically necessary procedures or treatments mean in health insurance, emphasizing their critical role in patient care and the consequences of neglect.
Explore what a Newspaper Policy in health insurance entails. Learn how these limited policies, often sold through newspaper advertisements, aim to boost circulation while offering basic health coverage.
Learn about non-occupational policies in health insurance, which exclude coverage for work-related injuries but are supplemented by workers' compensation.
Learn about nonduplication of benefits in health insurance, also known as coordination of benefits, where benefits do not cover losses already being covered by another party.
Learn about nonparticipating providers in health insurance, including what it means for a provider to not participate in Medicare or health plans.
Discover what the Outline of Coverage in Health and Life Insurance entails. Learn about its role in summarizing benefits, coverage, exclusions, and premiums, and how it functions as a preliminary overview for insurance applicants.
Learn about the per cause deductible in health insurance, a requirement that benefits are only paid after the deductible for each incident is met, and how it impacts your coverage.
Understand the quarantine benefit in health insurance, which compensates for time lost during quarantine enforced by health authorities.
Learn about residual income in health insurance, a crucial aspect of disability policies that provides benefits for partial disabilities. Discover how these stipulations work and their impact on policyholders.
Understand the 'Restoration of Benefits' clause in health insurance, which allows the insured's lifetime maximum benefit to be gradually restored annually after a claim.
Discover what currently insured status means under Old Age, Survivors, and Disability Health Insurance, and how it affects survivor benefits for dependents.
Learn about Disability Income Insurance, a type of health insurance that provides financial support when you are unable to work due to sickness or injury. Explore how it helps replace your regular income.
Learn what Disability Insured status means in health insurance, how it is granted by the SSA, and the requirements involving social security taxes.
Explore the drug price review process in health insurance, using the American Druggist Blue Book to determine wholesale medication costs and set maximum drug prices.
Learn about eligible expenses in health insurance—medical costs or other charges that are covered under the health plan contract.
Learn about what constitutes an emergency in health insurance, defined as an illness or injury with a sudden onset that requires immediate medical attention.
Comprehensive guide to Long Term Care (LTC) in health insurance, focusing on the services and care for individuals with diseases or disabilities.
Learn about the significance of medical examinations for health and life insurance policies. Discover how these physical evaluations, performed by a doctor on behalf of the insured, impact your coverage.
Explore the concept of morbidity rate in health insurance, a metric that compares the frequency of illness to the number of healthy individuals within a specified time frame.
Learn about morbidity tables in health insurance, which are used to show the frequency of illness at specific ages. Discover how these tables are instrumental in assessing health risk and setting premiums.
Learn about nursing homes, also known as long-term nursing facilities, licensed centers providing care for individuals unable to care for themselves or suffering from chronic illness.
Learn about preexisting conditions in health insurance, how they affect coverage, and what regulations apply. Essential for navigating health policies effectively.
Learn about qualifying events in health insurance, which trigger changes in coverage such as death, birth, or job loss.
Learn about Resource Based Relative Value Scale (RBRVS), a method used by Medicare to determine compensation for doctors, and its implications in the health insurance industry.
Learn about secondary care in health insurance, which involves specialized medical attention typically provided upon referral from a primary care physician.
Discover the essentials of Service Plans in health insurance, where provided services are treated as benefits rather than monetary payouts.
Learn about the Explanation of Medicare Benefits, a statement mailed to Medicare participants detailing the payment for their claims. Find out how it informs beneficiaries about covered services and payments.
Comprehensive guide on the Relation of Earnings to Insurance clause, explaining how disability income benefits are adjusted to the insured's earnings, with a refund on excess coverage.
Learn about the Relative Value Schedule in health insurance. Discover how it lists surgical costs and values, providing an accurate fee for each procedure.
Learn about the Transportation Ticket Policy, a specific health insurance policy offering coverage against accidental death and dismemberment during a trip on a common carrier.
Explore the benefits of Vision Care Coverage in Health Insurance, including eye examinations and vision aids like glasses and contacts. Learn how these plans can help you maintain optimal eye health.
Learn about the definition and certification process for chronically ill individuals in the context of health insurance. Understand the requirements and who can provide certification.
Understand the cost contract between health care providers and the Health Care Financing Administration, ensuring the provision of services at reasonable costs for covered individuals.
Understand the concept of Deductible Carryover Credit in health insurance. Charges from the last quarter of the year that are applied to the next year's deductible.
Understand what dental insurance is, how it works, and what services are typically covered under a group contract.
Learn about Dread Disease Policy, a specialized health insurance that covers all medical costs associated with treating specific medical conditions listed in the policy.
Understand the Eligibility Date in health insurance: the crucial date when insured individuals can start receiving benefits. Learn more about how this date impacts your health insurance claims and coverage.
Explore the conditions necessary for eligibility under group health insurance and pension plans. Understand the key factors that determine eligibility requirements for coverage.
Learn about extended care facilities in health insurance, including their definition, role, and regulations under local and state laws.
Learn about the illegal occupation provision in health insurance policies. Discover how this clause excludes coverage for losses due to criminal activities or working in illegal occupations.
Understand what in-area services mean in health insurance, focusing on the health care services provided within a designated geographical area as per the contract terms.
Discover the significance of the Initial Eligibility Period in Health Insurance, allowing prospective insureds to apply for coverage without proving insurability.
Learn about legend drugs, which are medications that require a prescription according to federal law. Understand their significance in health insurance.
Understand the concept of a Living Benefits Rider, a significant health insurance rider offering long-term care benefits for terminally ill insured individuals when attached to a life insurance contract.
Understand the Major Hospitalization Policy in Health Insurance, which offers extensive coverage for expenses incurred from the point of hospitalization. Learn how this policy helps in mitigating healthcare costs.
Medicare is a government-run and funded health insurance plan that covers hospital and medical costs for individuals typically older than 65. Learn about Part A and Part B options.
Learn about Member Certificate in Health Insurance, which is synonymous with a Certificate of Coverage. Understand its importance and uses.
Learn about the essential supplies needed to treat mental illness, substance abuse, and alcoholism, covered under health insurance.
Explore the concept of percentage participation in health insurance, detailing how insurers and insureds share the cost of claims based on agreed terms.
Learn about pre-admission authorization in health insurance, a required step for obtaining insurer approval before hospitalization.
Explore the concept of prospective reimbursement in health insurance where providers receive annual payments based on previously established rates. Learn how this system impacts healthcare providers and patients.
Learn about Short Term Disability Income Policies, which offer disability income benefits for a short-term period, generally less than two years.
Understand therapeutic alternatives in health insurance. These are different drugs with varying chemical makeups that provide the same results for patients. Learn more about how they impact healthcare choices and insurance coverage.
Discover what an unallocated benefit in health insurance means, how it works, and its implications on health care expenses without a corresponding schedule of benefits.
Explore the concept of blanket insurance in both health and property insurance, where entire groups or multiple types of properties are covered under a single contract.
Learn about bodily injury in health insurance, which covers physical damage to a person's body. Discover what this term means and its implications for your healthcare coverage.
Explore what conversion privilege means in health and life insurance, including how it allows insured individuals to switch from group to individual policies upon leaving a group.
Discover how a Disability Buy Sell policy funds an agreement to purchase the interests of a disabled stockholder. Learn more about buy sell agreements in health insurance.
Learn about group certificates provided to policyholders in group health and life insurance plans, detailing the benefits offered under the group policy.
Comprehensive guide on the length of stay in health insurance, which refers to the total number of days an insured individual stays in a hospital or similar medical facility. Learn its impact on insurance claims and healthcare costs.
Learn about long term disability insurance, a policy designed to provide financial support in the event of a prolonged disability. Coverage usually extends until the insured individual reaches the age of 65.
Discover Medicare Select Policy, a specialized Medicare supplement that offers benefits through a specified network of providers. Learn how it can support your healthcare needs.
Learn how multiple option plans in health insurance provide employees with choices among HMOs, PPOs, and major health plans. Ideal for making informed decisions about your healthcare coverage.
Explore partial hospitalization services in health insurance. Learn how these outpatient treatments serve as alternatives or continuations for mental health and substance abuse patients.
Learn about Participation in Health Insurance: gauging the number of employees enrolled in a plan relative to those eligible for coverage.
Learn about self inflicted injury in health insurance, its implications, and what it means for policy coverage and claims.
Learn about the standard provisions mandated by state law that are included in all life and health insurance policies. Discover how these provisions ensure consistency and compliance with regulations.
Explore the comprehensive benefits available for those unable to work due to a disability, including both current and future income loss.
Learn about presumptive disability in health insurance, a condition assumed to be permanent and total, which includes severe impairments such as loss of vision, hearing, or multiple limbs. Understand eligibility and benefits for policyholders.
Learn about the Rehabilitation Clause in health insurance policies, a provision that offers vocational rehabilitation support to policyholders. Ensure your policy includes this crucial benefit.
Discover the essential details of a health benefits package in health insurance, including the benefits offered to policyholders and how it impacts healthcare coverage.
Learn about Evidence of Insurability in health and life insurance. Understand the importance of health facts required for underwriting, including medical physicals.
Understand Permanent Total Disability in health insurance, a condition where the insured is unable to work for the rest of their life due to severe disability. Learn more about the implications and coverage.
Learn about occupational diseases, their causes, impact on health insurance, and how they are addressed in workplace health and safety regulations.
