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Activities of Daily Living
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(ADL's) Bathing, dressing, eating, toileting, transferring,
ambulating, and incontinence.
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Adult Day Care
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A licensed day care program providing personal care, supervision,
and assistance in eating, bathing, dressing, toileting, moving
about and taking medications.
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Assisted Living Facility
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Independent living facilities that provide on-site services
like meals, supervision, and assistance with activities of
daily living (ADL's).
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Benefit Eligibility Triggers
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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 Activities of Daily Living and/or
impairment of a cognitive ability such as Alzheimer's.
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Benefit Period
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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
years, or lifetime.
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Care Management
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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.
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Cognitive Impairment
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Mental deterioration caused by Alzheimer's disease or other
forms of dementia.
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Comprehensive Policy
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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.
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Congregate Facilities
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Retirement apartments where housekeeping, meals, laundry
and other amenities are available.
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Continuing Care Retirement
Facilities
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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.
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Daily Benefit Amount
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The daily maximum dollar amount paid by the insurance company
toward your daily expenses.
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Elimination Period
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The number of days you must wait after you are eligible for
benefits before the policy begins paying for your care.
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Home Care Only Policy
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This policy pays for long-term care at home ONLY and for
some community care.
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Home Health Care
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Skilled nursing or other professional services/therapies
in your residence.
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Homemaker Services
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Housekeeping, cooking and grocery shopping.
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Hospice Care
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Support for people with terminal illness.
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Independent Living
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Senior retirement dwellings with no built-in services.
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Inflation Protection
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An option whereby your original daily benefit will increase
5% each year, credited on a simple or compounded basis. This
is to keep up with the future increasing costs of care. Be
aware that different companies increase this on the original
balance or remaining balance after claims offset. Be sure
to get original balance if possible.
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Long-Term Care Insurance
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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.
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Medicaid
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A state-assistance program providing health care services
to people with low income and few assets
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Medicare
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Government healthcare program for people age 65 and over.
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Non-Forfeiture Benefits
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A policy rider which allows you to retain some benefit of
a long-term care policy if you drop your policy.
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Nursing Facility Only Policy
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This policy only pays for care in a nursing home or similar
facility.
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Personal Care
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Bathing, grooming and transferring from chair to bed.
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Pre-existing Condition
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A medical condition you had during the six months before
you purchased the long-term care policy.
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Residential Care Facility
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A facility which provides room and board, assistance with
personal care and any necessary supervision.
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Respite Care
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Temporary relief to caregivers.
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Skilled Nursing Facility
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Licensed facilities providing both skilled nursing and custodial
care.
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Waiver of Premium
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Allows you to stop paying premiums while the policy is paying
benefits.
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