4 States that allow maternity benefits in normal pregnancy are
California, Hawaii, New Jersey, Rhode Island
After a month he retired, Roger Reagan had a gallbladder operation. Can he receive tsdb?
No, because he is retired and has no state disability insurance
After the 7th day
Waiting time period to start getting state disability benefits (first day confinement only in Hawaii and Puerto Rico)
Betsy C Palm works in Hawaii and had an emergency appendectomy. She was hospitalized 3 days. Will she receive state disability benefits?
No, she will receive benefits only if she was ill for more than a week
Betty T Kraft had to stay home to take care of her sick daughter, she applied for state benefits, will she be paid?
No, Betty herself must be ill to receive benefits
DISABILITY DETERMINATION SERVICES
A SSA DIVISION THAT DETERMINES A PERSON ELIGIBILITY FOR A FEDERAL DISABILITY PROGRAM
Disability Income Insurance
Health insurance that provides income when a person is unable to work because of a nonindustrial illness or injury
Provision that some insurance contracts that pay twice the face amount of the policy if accidental death occurs have
Dr. Kay examines Ben Yates and completes a sability income claim form. Name documents that may be requested to justify payments of benefits
Employer's records, Employee's wage statements and/or tax forms, Medical records of attending physician
Ezra Jackson makes no contribution toward the policy premiums. Are his monthly benefits taxable?
yes, because he has not made any payments toward the premium
Frank E Thompson is a part-time worker that had an accident skiing, can he still collect benefits?
Yes, as long as he has meet his quarterly amount that the state requires, he is eligible
Gene went back to work for 3 weeks and then become sick again. Would he be able to collect benefits again?
Yes, because more than 15 days have elapsed between his return to work and the recurrence of his illness
Jane M Lambert fell in her backyard and fractured her ankle, she was unable to work for 28 weeks. For how long she will be able to collect?
The 28 weeks
Jerry L Slate is out of a job, but he is offered a job interview that he can't attend, because he is sick. Can he still collect?
Yes, because at the time of the interview he is still sick
John S Thatcher applied for temp state disabilitty after 1 week of his injury will he be paid?
Yes, benefits become payable after 7th day of disability
Name the 2 methods or options to bill in a Veterans Affairs pt case seen on the ER by Dr. Onion
Physicians may bill VA outpatient clinic, or pt may pay physician and get reimbursed by the VA by following the back of his VA instructions
Name the states and territory that have nonindustrial state disability programs
California, Hawaii, New Jersey, New York, Puerto Rico, Rhode Island
Nick Tyson has recovered since a previous illness ended and becomes ill again with the same ailment. Is he entitled to state disability benefits?
Yes, if 15 days have elapsed
WORDS TO LOOK FOR THAT MEAN THAT THE PREMIUM CANNOT BE INCREASED AT RENEWAL TIME
Peggy Jonson has an ectopic pregnancy and is unable to work because of complications of this condition. Can she receive temp disability benefits?
Residual or Partial Disability
When an individual is insured under an income disability insurance policy cannot perform one or more of his or her regular duties
The SSAdministration may hire a physician to do one of this 3 roles
Physician treating the pt, Consultative examiner, or full or part time medical or psychologic consultant
TO BE ELIGIBLE TO APPLY FOR DISABILITY BENEFITS UNDER SS, YOU MUST DISABLE FOR NO LESS THAN 12 MONTHS
Trent Walters a permanently disabled individual, applies for federal disability benefits. To be eligible he must be no more than
Vincent P Michael was ill with a bad cold for 1 week. Will he receive state benefits?
No, he must be ill more than a week to qualify
THE TIME PERIOD FROM THE BEGINNING OF DISABILITY TO RECEIVING THE FIRST PAYMENT OF BENEFITS
WHEN A PERSON CANNOT WORK REGULARLY FOR A LIMITED PERIOD OF TIME, THIS IS CALLED PERMANENT DISABILITY