H7: Long Term Care Insurance (Section I)

Description

Accident & Health Agent Flashcards on H7: Long Term Care Insurance (Section I), created by Det Ferraris on 12/06/2013.
Det Ferraris
Flashcards by Det Ferraris, updated more than 1 year ago
Det Ferraris
Created by Det Ferraris over 11 years ago
36
0

Resource summary

Question Answer
LTC Insurance Includes care provided in a setting OTHER THAN an acute care unit of a hospital
Acute Care care for conditioning requiring a high level of medical monitoring and treatment. (hospital/emergency room) Covered by Health Insurance
Acute Care care for conditioning requiring a high level of medical monitoring and treatment. (hospital/emergency room) Covered by Health Insurance
Chronic Care Care for conditions of a continuous (chronic) nature and might involve medical treatment, but frequently involves non-medical care. Home/Nursing Home NOT covered by Heath Insurance
Custodial (Personal) Care care which is primarily to handle PERSONAL NEEDS (walking, bathing, dressing, eating, taking meds) that can be provided by UNSKILLED workers.
Activities of Daily Living (ADL) activities used as measures for rating an individuals needs for LTC benefits under a LTC policy
Ambulating being able to walk and move about
Self-Insure LTC pay for it with own money
Nursing Home a licenses facility which provides general nursing care to the chronically ill or those unable to take care of necessary activities daily living
Skilled Nursing 'Facility provides nursing services by skilled medical personnel 24 hours a day
Intermediate Care Facility Provides nursing services by skilled medical personnel, but not on a 24 hour basis
Assisted Living Facility a supportive housing facility designed for those who need extra help in their day-to-day lives but who do not require skilled nursing care found in traditional nursing homes
Home Care Part time nursing or homemaker services in the insureds home
Hospice short-term care for terminally ill people with life expectancy of 6 months or less usually provided in the insureds home or a home-like setting.
Respite Care a form of rest or relief offered to family members who are caring for a person who requires continual care
Adult Day Care facility that provides care for a person who needs personal services and assistance in sustaining daily needs on a less than 24 hours basis
Types of LTC Coverages Institutional Coverage, Home care and or Community-Based Coverage
Institutional Coverage + Home Care Coverage = Comprehensive LTC insurance Institutional Coverage + Home Care Coverage = Comprehensive LTC insurance
skilled nursing care, intermediate nursing care, custodial care, home health care & community based care are STANDARD LEVELS of care in a comprehensive long term policy skilled nursing care, intermediate nursing care, custodial care, home health care & community based care are STANDARD LEVELS of care in a comprehensive long term policy
2 ways to trigger LTC policy unable to do 2 ADL OR Severe Cognitive Impairement
Show full summary Hide full summary

Similar

H2: Health Insurance Basics (Section II)
Det Ferraris
H3: Medical Expense Insurance (Section I)
Det Ferraris
H5: Medicare
Det Ferraris
H4: Medical Expense Insurance (Section II)
Det Ferraris
H8: Long Term Care Insurance (Section II)
Det Ferraris
H12: Workers Compensation (Section II)
Det Ferraris
H13: Social Insurance System
Det Ferraris
H11: Workers Compensation (Section I)
Det Ferraris
H14: Limited Insurance Policies / MRMIP / PPACA
Det Ferraris
Untitled_1
Det Ferraris
H6: Medicare Supplement Insurance
Det Ferraris