HSEM 255 Lecture Notes - Lecture 7: Disability Insurance, American Medical Association, Electronic Data Interchange
22 May 2018
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Course
Professor
health insurance
more comprehensive and includes provisions for maintaining good health rather than simply paying for
illnesses and injuries.
athletic accident insurance
reimburses family insurance plans for the cost of athletic accidents only
accident
acute, traumatic injuries, independent of any other cause or preexisting condition, that occur during
practices/games
injury
caused by overuse, illnesses ,and degenerative conditions
catastrophic insurance
takes effect after the first $75,000 in medical bills has been reaches and provides lifetime medical,
rehabilitation, and disability coverage for athletes who have suffered long-term or permanent handicaps
as a result of athletic injuries.
disability insurance
designed to protect athletes against future loss of earnings because of a disabling injury or sickness that
occurred while they were engaged in sport activities.
experimental treatments
usually excluded in insurance.
elective or diagnostic procedures
usually excluded in insurance.
usual, customary, and reasonable reimbursement for medical services (UCR)
flexible-fee system originally developed by the federal government to reimburse health care procedures
through the Medicare system.
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