Insurance claim issues: How to get what you're owed?
in Banking, Insurance & Loans ·
Frank Walker7 said:That isn't quite right.
If you only have basic life insurance, you aren't entitled to anything.
But if you also signed up for accident insurance:
The term disability in an accident policy can cover a huge range of injuries depending on what you paid for in your premium; I remember back in the day, even a simple sprain could trigger a payout, though that's not really how it works anymore.
So, even a minor fracture that heals perfectly fine without leaving you with any lasting issues could still qualify as a "disability" according to the insurance company's specific charts. It’s not necessarily about being in a wheelchair or needing a cane to get around.
Everything wiredwalker30 mentioned is true, but I personally feel like you shouldn't necessarily have to wait until all treatment is over; if you broke your fibula and the policy schedule lists a fibula fracture as, say, 5% of the total value, there's no reason to wait for the bone to fully knit back together before filing, since the fact that it's broken is the key part.
It doesn't cost him a dime to just reach out to his insurance provider and ask how they want to handle this; he can file a claim for the discrepancy and then see what kind of response he gets regarding what documentation they require.
I honestly just hope he didn't sign up for an accident-only policy without realizing it, though I suppose that all depends on how the agent pitched the coverage to him in the first place.