LONG-TERM CARE
SUMMATIONBenefit Eligibility – To be eligible for benefits most companies require 2 of the six ADLs. The six ADLs are bathing, continence (control of bodily functions), dressing, eating, toileting, and transferring. Cognitive impairment refers to deterioration or loss of intellectual capacity resulting in the need for another person’s assistance or verbal cueing to protect yourself or others such as Alzheimer’s disease.
Hospice Care – A program or facility that provides palliative (soothing of the systems) care and attends to the emotional, spiritual, social and financial needs of terminally ill patients at a facility or at a patient’s home.
Respite Care – This feature provides benefits that enable your caregiver to take a needed break from care giving duties by paying for a substitute provider. It usually ranges from 14 to 30 days depending on the policy chosen.
Bed Reservation – If you need to leave your long-term care facility for a period of time for temporary hospitalization your accommodations will be reserved paying up to your daily benefit amount. The benefit usually ranges depending on the policy from 14 to 30 days.
Spousal Discount – If husband and wife apply together some companies award a spousal discount. The discount ranges from 10% to 50%. Some companies have one policy covering both husband and wife.
Waiver of Premium – Premiums are waived usually once benefits start which is when the elimination period is met. Some policies also refund premiums paid during the elimination period. Some companies will also waive the premiums on the spouse if the two policies are issued by the same company.
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