|
Activities of Daily Living
|
(ADL's)
Bathing, dressing, eating, toileting, transferring, ambulating,
and incontinence. |
|
Adult Day Care
|
A licensed
day care program providing personal care, supervision, and assistance
in eating, bathing, dressing, toileting, moving about and taking
medications. |
|
Assisted Living Facility
|
Independent living facilities that provide on-site services like meals, supervision, and assistance with activities of daily living (ADL's). |
|
Benefit Eligibility Triggers
|
Defines the requirements in order for an insurance company to consider your claim. Most often it is the inability to perform a specific number of Activitiesof Daily Living and/or impairment of a cognitive ability such as Alzheimers. |
|
Benefit Period
|
The length of time
your long-term care policy will pay benefits. This is usually
calculated in time periods such as a 1,2,3,4,5,6 year or lifetime. |
|
Care Management
|
A licensed
care manager that will assess your condition, create a plan
of care along with your physician, coordinate and monitor ongoing
care needs. Typically this is a licensed registered nurse. |
|
Cognitive Impairment
|
Mental
deterioration caused by Alzheimer's disease or other forms of
dementia. |
|
Comprehensive Policy
|
Most popular
plan design. This policy pays for long-term care at home, in
a residential assisted living facility, as well as in a nursing
home. |
|
Congregate Facilities
|
Retirement
apartments where housekeeping, meals, laundry and other amenities
are available. |
|
Continuing Care Retirement Facilities
|
A facility
where residents own their housing unit, and pay a large one-time
entry free plus a monthly maintenance fee in exchange for the
assurance of lifetime long-term care. |
|
Daily Benefit
|
The daily maximum dollar
amount paid by the insurance company toward your daily expenses. |
|
Elimination Period
|
The number
of days you must wait after you are eligible for benefits before
the policy begins paying for your care. |
|
Home Care Only Policy
|
This policy
pays for long-term care at home ONLY and for some community
care. |
|
Home Health Care
|
Skilled nursing or
other professional services/therapies in your residence. |
|
Homemaker Services
|
Housekeeping,
cooking and grocery shopping. |
|
Hospice Care
|
Support
for people with terminal illness. |
|
Independent Living
|
Senior
retirement dwellings with no built-in services. |
|
Inflation Protection
|
An option
whereby your original daily benefit will increase 5% each year,
credited on a simple or compounded basis. This is to keep up
the future increasing costs of care. |
|
Long-Term Care Insurance
|
A type of
insurance designed to reimburse you or pay directly your medical
expenses when you need assistance with the acts of daily living.
This insurance pays for care which your regular health insurance
does not. |
Medicaid
|
A state-assistance
program providing health care services to people with low income
and few assets |
|
Medicare
|
Government
healthcare program for people age 65 and over. |
| Non-Forfeiture
Benefits |
A policy rider which
allows you to retain some benefit of a long-term care policy
if you drop your policy. |
|
Nursing Facility Only Policy
|
This policy
only pays for care in a nursing home or similar facility. |
| Personal
Care |
Bathing, grooming and
transferring from chair to bed. |
| Pre-existing
Condition |
A medical
condition you had during the six months before you purchased
the long-term care policy. |
| Residential
Care Facility |
A facility
which provides room and board, assistance with personal care
and any necessary supervision. |
Respite
Care
|
Temporary relief to
caregivers. |
Skilled
Nursing Facility
|
Licensed facilities
providing both skilled nursing and custodial care. |
| Waiver
of Premium |
Allows you to stop
paying premiums while the policy is paying benefits. |
