Here are a few common terms found in long term care insurance policies
that long term care insurance agents and long term care insurance
brokers need to understand and be able to interpret to your clients.
Accredited services and facilities:
Services and facilities that are licensed by the state's department
Activities of Daily Living (ADLs):
The inablitiy to independently perform a specific number of certain
tasks is used to qualify for start of insurance payment. These tasks
A long term care insurance policy can explain that benefits trigger
when the insured person needs "substantial assistance" (which can
be further defined as "hands on" or "stand by" help) with 2 or more
Acute vs. Chronic Care
Acute care is refers to care provided after a health crisis such
as a stroke, heart attack, or surgery. Chronic care refers to care
provided due to the normal course of aging and illnesses associated
Having a health professional come into the home to give the family
member caregiver a break or rest.
Community Based Care
Can include Adult Day Care, outpatient rehab and therapies, Meals
on Wheels, etc. Community based services are designed to help seniors
stay independent and in their own homes may be reimbursable.
Care provided by an untrained person to assistance with
bathing, dressing & eating.
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as an independent long term care insurance agent.