Chapter 19-LTC Flashcards
a need for assistance with 2 out of 6 ADLs for at least 90 days; or severe cognitive impairment
Benefit Triggers
eating, toileting, transferring, bathing, dressing or continence
Activities of Daily Living
highest level of care provided by a nursing facility
Skilled nursing care
care in the home
Home health care
care in day care center
Adult day care
must be offered when selling LTC policies, but may be denied by the applicant
Inflation Protection
establishing whether the product is appropriate for the individual
Suitability
general information about LTC product and written by NAIC; must be left behind with signature obtained to establish that the guide was left behind
LTC Shoppers Guide
Medicaid and private company provide consumer protection against asset depletion
Partnership Plans
minimum benefit period
12 months
preexisting condition period max
6 months
free look period
30 days