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19 Cards in this Set
- Front
- Back
Accident Death & Dismemberment |
An insurance policy which pays a specified amount or a specified multiple of the insurer's benefit if the insured dies, loses sight, or lose of 2 limbs. |
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Activities of Daily Living |
Moving about, getting dressed, eating, bathing, etc. |
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Actual Charge |
The amount a physician or supplier actually bills for a particular service or supply. |
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Adhesion |
A contract offered on a "take it or leave it" basis by insurer, in which the insurer's only option is to accept or reject the contract. |
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Admitted (Authorized) Insurer |
An insurance company authorized / licensed to transact insurance in a particular state. |
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Adverse Selection |
The tendency of risks with higher probability of loss to purchase and maintain insurance more often than risks who present lower probability. |
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Aleatory |
A contract which participating parties exchange unequal amounts. The amount the insured will pay in premiums is unequal to the amount the insurer will pay in the event of a loss. |
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Alien Insurer |
Incorporated outside the US |
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Ancillary |
Additional services provided by a hospital, x-rays, anesthesia, lab work not hospital room and board |
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Apparent Authority |
The assumption of authority based on actions, words, deeds of the principal. |
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Approved Amount |
The amount Medicare determines to be reasonable for a service that is covered under Part B . |
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Assignment |
A claim to either a provider or medical supplier to recieve payments directly from medicare. |
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Avoidance |
A method of dealing with risk. Ex) don't ride in a plane if you don't want to be killed in a plane crash. |
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Basic Hospital Expense Insurance |
Provides coverage benefits for room, board and miscellaneous hospital expenses for a certain number of days during a hospital stay. |
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Basic Medical Expenses Insurance |
Coverage for doctor visits, x-rays, lab tests, ER visits - limited to specified dollar amounts |
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Blanket Medical Insurance |
Policy provides benefits for ALL medical costs, doctor visits, hospitalization, drugs |
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Boycott |
Unfair trade practice in which one person refuses to do business with another until they both agree to certain conditions. |
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Buyer's Guide |
Insurance policies and concepts, provides general information to help applicant make an informed decision. |
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Capital Amount |
A percentage of the principal amount of a policy paid to the insured if they suffer the loss of an appendage. |