Health Insurance Flashcards
What is the main rating factor for personal accident insurance?
Occupation
Are personal accident and sickness policies, indemnity or benefit contracts?
Benefit
The sickness cover provides a weekly benefit if the insured is…
temporarily totally disabled due to sickness.
Medical expenses (or healthcare) insurance provides cover for individuals who seek…
private medical treatment outside the NHS.
For a claim under a personal accident policy to be valid, the death or bodily injury must be due to an accident. This means that there must be
an identifiable cause.
A yearly benefit which can be payable in the event of permanent total disablement under a personal accident policy is known as?
An annuity.
A standard personal accident policy can be extended to include cover for
legal expenses
For a valid death claim to be made under a personal accident policy, death must usually occur within what period of time of the event giving rise to the claim?
12 months
Why is the permanent total disablement benefit under a personal accident policy not usually paid out until 12 or 24 months after the accident?
It may take this long to decide if the disablement is permanent and total.
Personal accident insurance is often an ‘add-on’ to…
a household policy.
How do insurers calculate the payments for permanent partial disablement under a personal accident policy?
As a percentage of that paid for the loss of an entire limb on a sliding scale.
For renewals of personal accident policies, as part of the process insurers will normally request….
A medical report from the insured’s GP.
What is the normal geographical scope of accident cover?
Worldwide.
What is the normal geographical scope of sickness cover?
UK, Europe, USA, Canada, Australia and New Zeland.
What cover is available to in-patients under medical expenses insurance?
Hospital charges
Specialist charges Additional costs (ambulance/nursing fees etc.).
