Law & Legal & Attorney Health Law

Things to Know About Insurance Disability Claims

There are two ways the insurance company pays insurance disability claims. The first is as a monthly amount. The second is the lump sum method. The second method is not very commonly used as a mode of payment. However, it can be considered under some circumstances. If you choose to be paid a single lump-sum amount, the insurance company will most probably ask you for an undertaking that you will not make further claims on the insurance policy, going forward.

For how long do you receive compensation?

If you can successfully claim compensation, the insurance company will provide you a monthly payment sum for the duration of two years. After two years, your case will be reviewed. If the insurance company understands that you are unable to work, the payments will continue. For long term disability, the insured person is eligible to receive benefits until the age of 65. Understanding who can apply for disability benefits is often difficult, which is why you might need to consult an attorney to know if your case has merit.

What happens when your case is reviewed?

Most insurance companies will, at the end of two years, look for proof that you are unable to work. They will not just ask you to undergo medical examination by a doctor of their choice, but may also conduct an investigation to ascertain the nature and extent of disability. While people with a genuine case do not have cause for concern, you must still be ready to furnish proof of disability, and also, prove your case should the insurance company insist that you are capable of working.

If you are unable to work at all, and you have many years to go before you turn 65, you can expect the insurance company's attempts to scrutinize and perhaps deny your claims to be more persistent. That is why you will need the help of an attorney who can help you successfully receive benefits on your insurance disability claims.

You should not wait until the two year period is over, to provide the correct proof and documents to the insurance company. The earlier you seek the continuation of benefits, the less the chance of discontinuation once the two year period is over.

How to build a watertight case?

The insurance company is usually within their rights to learn more about your daily habits, and to take photos when you are in public space. If you are planning to break your routine and indulge in an activity that could potentially negate the claim of disability, you should know that your action could go against you. If you are in doubt over your conduct during this time, or have other questions, you could contact a disability claims attorney to know more.

Another question relates to the matter of being examined by a doctor nominated by the insurance company. While this might work in your favor by boosting your case when the doctor corroborates your medical report, it could also backfire if the two medical reports do not match. If the insurance company asks you to undergo medical tests by their doctor, it is recommended that you ask your attorney for further advice.

Disability benefits will make it easier for you to focus on recovery, since you will not need to worry about lost wages. However, you need to know your rights, in order to put together suitable, strong insurance disability claims.

 

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