Long Term care Policies: Quiz!

Personal independence of daily living refers to the ability to perform basic activities necessary for self-care and daily functioning. These activities, known as activities of daily living, include tasks such as bathing, dressing, eating, toileting, transferring, and continence. Being able to independently carry out these activities is essential for maintaining a person's overall well-being and quality of life.

Intermediate care is a level of care that is provided daily, but it is not equivalent to 24-hour care. 24-hour care implies continuous care and monitoring throughout the day and night, while intermediate care may involve daily check-ins and treatments but not constant supervision. Intermediate care is typically provided by medical personnel, but it is not limited to them as it can also be provided by other healthcare professionals such as nurses or therapists.

Daily Nursing Rehabilitative Care, under the supervision of a skilled professional, is categorized as Skilled Care. Skilled Care refers to medical care provided by trained medical professionals, such as nurses or therapists, to assist individuals in recovering from an illness, injury, or surgery. This type of care requires specialized knowledge and expertise to administer treatments, therapies, and medications. It is typically provided in a healthcare facility, such as a hospital or rehabilitation center, and is aimed at improving the patient's physical or cognitive abilities.

Home health care often includes help from homemakers or therapists. Homemakers provide assistance with daily activities such as meal preparation, housekeeping, and personal care. Therapists, on the other hand, offer specialized services such as physical, occupational, or speech therapy to help individuals regain their independence and improve their quality of life. Therefore, home health care is the type of care that often includes help from homemakers or therapists.

Sue desires adult day care because it provides transportation to and from centers that have a variety of activities. This type of care allows her to engage in different activities while also providing transportation services, which aligns with her specific needs and preferences.

The elimination period for Long-Term Care (LTC) refers to the waiting period before the insurance coverage starts paying for the policyholder's care. The options provided suggest different durations for the elimination period. The correct answer is "30, 60, 90, or 180 days" because these are common options for the elimination period in LTC insurance policies. This means that the policyholder would need to cover their own care expenses for a specified number of days before the insurance coverage begins.

Medicaid is a program that provides healthcare coverage to low-income individuals and families. It is jointly funded by the federal government and the individual states. The federal government sets certain guidelines and regulations for the program, while the states have the flexibility to tailor the program to meet the specific needs of their residents. Therefore, Medicaid can be considered as both government-funded and state-funded.

Respite care is a type of care that provides a temporary break or relief for caregivers who are taking care of a patient. It allows caregivers to have some time off from their caregiving responsibilities and take care of their own needs. Respite care can be provided in various settings, such as in-home or in a facility, and it can be arranged for a few hours, days, or even weeks depending on the needs of the caregiver and the patient. This type of care is crucial in preventing caregiver burnout and ensuring that the patient receives continuous care.

Medicaid is a government program in the United States that provides healthcare coverage for individuals with low income. It is designed to assist impoverished individuals who cannot afford private health insurance. Therefore, Medicaid would most likely be for an impoverished person.

Bob is considered to be chronically ill because he is unable to perform at least two activities of daily living. This suggests that Bob's condition is severe enough to significantly impact his ability to carry out basic tasks necessary for daily life. The fact that the answer includes "2 or more" indicates that even if Bob is unable to perform just two activities, he would still be classified as chronically ill.

Long Term Care policies are written as "Guaranteed Renewable" which means that the policy cannot be cancelled by the insurance company as long as the premiums are paid on time. This provides the policyholder with the assurance that their coverage will not be terminated due to changes in health or other circumstances. It also allows them to renew the policy at the end of each term without having to undergo medical underwriting again. This feature is important for individuals who want long-term coverage and peace of mind knowing that their policy will remain in force as long as they continue to pay the premiums.

Adult day care often involves activities with meals being part of the service. Adult day care centers provide care and supervision for elderly or disabled adults during the day, allowing their caregivers to work or take a break. These centers typically offer a variety of activities, including socialization, exercise, and cognitive stimulation. Since participants spend a significant portion of their day at the center, meals are usually provided as part of the service to ensure their nutritional needs are met.

When an insured is hospitalized for 3 days, Medicare will pay for the first 20 days in an approved nursing home care facility. This means that if the insured is hospitalized for 3 days, Medicare will cover the cost of nursing home care for the next 20 days.

Respite care is considered a benefit to family members because it provides them with a temporary break from their caregiving responsibilities. It allows family caregivers to take time off and recharge, reducing their stress and preventing burnout. During respite care, trained professionals take over the caregiving duties, ensuring that the family member receiving care is in safe hands. This type of care not only supports the well-being of the family caregiver but also enhances the quality of care provided to the loved one in need.

Long Term Care policies must provide coverage for at least 24 months of care in a setting other than an acute care unit of a hospital. This means that the policy should cover care received in places such as nursing homes, assisted living facilities, or at home, for a minimum of 24 months. This requirement ensures that individuals have access to extended care services outside of a hospital, which is important for those who need long-term assistance with activities of daily living or medical supervision.

When it is needed as a direct result of aging is not covered under Nursing Home Care. This means that if someone requires nursing home care solely because of the natural aging process and not due to a covered injury, illness, or the need for skilled care, it will not be covered. Nursing home care typically includes treatment for covered injuries, illnesses, and skilled care, but not care solely related to aging.

Long term policies typically refer to insurance policies that provide coverage for an extended period of time, such as life insurance policies. These policies can be written as individual policies or group policies, and may also include riders or endorsements to customize the coverage. However, medical coverage is not typically considered a long term policy, as it usually refers to health insurance policies that provide coverage for medical expenses on a shorter term basis, such as one year. Therefore, medical coverage is the correct answer as it does not fit the category of long term policies.

The given answer, "Chemical dependency on prescription drugs that are initially given by a DR," is not an exclusion of a Long Term Care policy. This means that Long Term Care policies do cover chemical dependency on prescription drugs that are initially prescribed by a doctor. However, rest cures, nervous or mental disorders without organic cause, and injuries arising from committing a felony are all exclusions of a Long Term Care policy.

Home Health Care is the correct answer because it refers to specialized care provided in the patient's home, which can include Occupational Therapy among other services. Respite Care refers to temporary care provided to relieve primary caregivers, Skilled Care refers to specialized medical care provided by licensed professionals, and Intermediate Care refers to care provided in a nursing facility for individuals who need some assistance but not as much as those in skilled care.