Long term care Flashcards
What is an ADL
Activities of daily living
Types of ADLs
eating, bathing, dressing, transferring , toileting and continence
What is an IADL
Instrumental Activity of daily living:
medicine management
shopping, preparing food, housekeeping, laundry, transportation, handling finances, communicating via telephone
what programs pay for most long-term care services?
medicare, medicaid, personal assets/savings, long term care insurance
what factors influence influence the need for long term care insurance?
- LTC helps protect accumulated assets against the ris of the high cost of extended long-term care.
- good for someone with assets to protect, otherwise they would have just qualified for medicaid
- the amount and type of care needed
medicaid elegibility
One of the following: >65 have permanent disability defined by social security blind pregnant be a child or caretaker of a child
factors that influence LTC premiums
age, gender, benefits, health characteristics, geographical location, elimination period, additional riders`
Common features of LTCI premiums
guaranteed renewability
non-forfeitures benefits: return of premium or shortened benefit
waiver of premium while receiving benefits
General exclusions:
pre-existing conditions, mental and nervous disorders, care provided by family or loved ones.
non-forfeiture benefit
the insurer must guarantee that the insured will receive some of the benefits paid for even upon cancellation or lapse of coverage
chronic illness
having physical or cognitive impairment that prevents the insured individual from performing at least 2 of 6 ADLs for at least 90 days, or requiring substantial supervision to prevent the insured from posing a danger to himself or herself or others
guaranteed renewable
the company must renew the policy each year as long as premiums are paid.
terminal illness
having a life expectancy of less than 24 months, which must be certified by a qualified health professional
