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severe mental health
As defined by the American Psychiatric Association in their Diagnostic and Statistical Manual (DSM), severe mental illness includes the following disorders: schizophrenia, schizoaffective disorder, bipolar disorder (manic-depressive illness), major depressive disorders, panic disorder, obsessive-compulsive disorder, pervasive developmental disorder or autism, anorexia nervosa and bulimia nervosa. Such problems generally require at least occasional inpatient care.
Short Term Medical
Short-Term Medical plans provide individual and family coverage for a limited time frame, typically 30 days up to six months. These plans are major medical plans designed to protect you in the event of an illness or injury; they are not meant to cover routine exams, preventive care, dental or eye care, or immunizations. Keep in mind that you can only apply for one additional benefit period, typically of up to six months, IF no claims were incurred under a previous plan and IF there has been no significant change in your health. If you are looking for a choice of plan types, a plan that covers routine medical expenses or the ability to renew your plan beyond one year, an Individual Medical plan, while typically more expensive, may be a better fit for your health insurance needs.
short-term disability
This type of coverage pays a percentage of your salary if you become temporarily disabled, meaning that you are not able to work for a short period of time due to sickness or injury (excluding on-the-job injuries, which are covered by workers compensation). The per-week amount is usually 50, 60 or 66 2/3 percent of your weekly salary, and lasts for a period of time specified by the plan.
short-term medical coverage
Similar to flex-term medical coverage. Short-term medical coverage is a major medical plan designed to protect you in the event of an illness or injury during "gaps" in your traditional medical coverage -- when you are between jobs or plans, a recent graduate, on strike, etc. Short-term plans are not meant to cover routine exams and preventive care; if you are looking for a choice of plan types and the ability to renew your plan beyond one year, a traditional medical plan, while typically more expensive, may be a better fit for your health insurance needs.
skilled nursing
A level of care for patients who need intensive, 24-hour nursing supervision. This can take place in the home or in skilled nursing facilities, which offer services such as rehabilitation and specialized nutrition.
Small Business Coverage
To qualify for small-group coverage, a group must meet the following criteria, and be made up of at least two employees. Please note that small-business owners are counted as employees for group-coverage purposes. A small group:
- Must be a firm, proprietary or non-profit corporation, partnership, public agency or association or affiliated companies that are able to file a combined tax return for purposes of state taxation.
- Must be actively engaged in business or service.
- Must involve a bona fide employer/employee relationship.
- Must not have been formed primarily for the purpose of buying health plan/insurance coverage.
small-group plan
A health insurance plan that is specifically designed for employers with a number of employees under a specified amount.
standard industrial classification (SIC)
The Standard Industrial Classification (SIC) system is a series of number codes that attempts to classify all business establishments by the types of products or services they make available. Establishments engaged in the same activity, whatever their size or type of ownership, are assigned the same SIC code. These definitions are important for standardization. Insurance companies use SIC codes to determine specific rates for various industries. HealthInsurance.com uses these codes to ensure that you receive the best possible rate for your occupation.
standard risk rate
The risk category that is composed of proposed insureds who have a likelihood of loss that is not significantly greater than average.
stop-loss provision
A major medical policy provision under which the insurer will pay 100 percent of the insured's eligible medical expenses after the insured has incurred a specified amount of out-of-pocket expenses in deductible and coinsurance payments.
supplemental accident
This kind of coverage provides extra financial security for you and your family in the event of accidental death or dismemberment.
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