benefit trigger


Also found in: Dictionary, Thesaurus, Legal, Financial, Encyclopedia.

benefit trigger

A term used in health insurance policies which describe when and how payments for benefits begin.

benefit trigger

, trigger
A set of conditions or self-care deficits used by a health insurer as criteria for the initiation of insurance payouts. In the care of elderly patients, benefits for certain residential services may be linked to the documentation of new deficits in self-care, e.g., the inability to perform two or more activities of daily living.
References in periodicals archive ?
A comparison must be made between particular policies to determine whether the non-tax qualified plan does in fact include a more liberal benefit trigger.
The specific contract features are the duration of the benefit period, the length of the elimination period, the interaction of benefit period with elimination period, a preexisting condition limit, inflation coverage, a nonforfeiture option, the benefit trigger, coverage of home health care, and the upper age limit at which a policy will be issued.
Not use medical necessity as the only benefit trigger.