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15 Cards in this Set

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Which of the following types types of LTC is NOT provided in an institutional setting?

Home healthcare

Home health care is given in the home, but skilled nursing , intermediate and coustodial care may all be provided in an instutional settein

Which renewal provision(s) must be included in a long term care policy issued to an individual

Non cancellable and guaranteed renewable

No long term care policy is issued to an individual may contain renewable provision other than the guaranteed renewable or non cancellable

In long-term care insurance, what type of care is provided with intermediate care ?

Occasional nursing or rehabilitive care

intermediate care is nursing and rehabilitive care provided by medical personel for stable conditions that require assistance on a less frequent basis than skilled care.

" Qualified " lont term care policies covering "home care" mustptovide benefits if the insured is imparied in at least 2 of the six activities of daily living (ADL) " Imparied" means ?

Needs substantial " hands on " or "stand by" assistance with ADL

What do LIVING BENEFIT Riders do ?

They pay paqrt of the policy death benefit to the insureds in order to help them fund long term care or nursing home care.

Occasional visits by which of the following medicl professionals will NOT becovered under LTC home health care ?

Attending Physician

Home health care is care provided in one's home and could include occasional visits to the person's home by registered nurses, licenced practical nurses licensed vocational nurses or community -based organizations like hospice. Home health care might include physical therapy and some custodial care such as meal preperations.

Which of the following is NOT covered under a longg term care policy ?

Acutr care in a hospital.

When dose Medicare cover nursing home care ?

Only if it is part of treatment for a covered illness or injury

Medicare ill not cover long term care or nursing home care unless it is part of the treatment for a covered illness or injury.

Which of the folloing levels of a care in long-term care policies specifically includes assistance with activities of daily living

Personal care

Personal care includes hands on services to assist an individual with activities of daily living, and can be provided by a skilled or unskilled person

Whivh of the following long=term care benefits, would provide coverage of care for fuctionally imparied adults on aless than 24 hour basis ?

Adult day care is designed for those who require assistance with various ADL's pn a dailey basis, but not around the clock, Costidal care is usually the only service provided by adult care facilities

Adult day care is designed for those who require assistance with various ADL's pn a dailey basis, but not around the clock, Costidal care is usually the only service provided by adult care facilities

Which of the folloowing would be amoung the projibited provisions for long term care insurance policies delivered to the insured in Califirnia.

All of these

All the above are prohibited privisions for long-term care insurance policies

What is the elimination peroid under a long term care policy ?

The amount of time during which no benefits eill be paid

The elination peroid starts on the day that the policy goes into effect. This is the amount of time (usually 0-365 days) that no benefits will be paid, LTC policie typically have a 30-day elimination peroid,

What type of care is Respite care ?

Relief for a major care giver

Respite Care is designed to provide relife to the family care giver and can include a service such as someone coming to the home while the care takes a nap or goes out for a while.Adult day care centers also provide this type of reliefe for the caregiver

Making use directly or indirectly of any methods of marketing which fail to disclose in a conspicuous manner that a purpose of the method of Marketing is a solocitation of insurance agent or insurance company isknown as ?

Cold lead advertising

Cold lead advertising is any method which fails to disclose in a conspicucous manner that the true purpose is solicitation of insurance.

What do living benefits do ?

They pay part of the policy death benefit to insureds in order to help them fund long-term care or nursing home care.

Living benefit riders allow part of policy's death benefit to fund-long term care or nursing home care.