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Long Term Care Insurance Glossary

ADL
(Activities of Daily Living) These activities include things like bathing, dressing, eating, toileting, transferring (moving in or out of a bed or chair), and continence (the ability to retain a bodily discharge voluntarily). They are used by insurance companies to determine eligibility for long-term care insurance benefits.

Benefit
The money an insurance policy pays out in response to a claim.

Cognitive impairment
Certain conditions, such as Alzheimer's disease, require the same kind of long-term care as you would need if you had a physical disability, and would trigger your eligibility for benefits in the same way as the inability to perform Activities of Daily Living. Make sure the coverage you select will pay for such care if you should be afflicted with these conditions. Some insurance companies do not offer coverage for certain mental and nervous conditions--check for this as well.

Custodial Care
Services aimed at maintaining a person's health and/or preventing deterioration in the person's functional status, provided on an extended basis to a person who is chronically ill.
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Daily Benefit
The money an insurance policy pays out daily in response to a claim.
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Home health Care
A wide variety of services that bring long-term care to the home and can also include skilled or unskilled nursing, physical therapy, and assistance with ADLs. This care can also include non-medical services, such as housekeeping, shopping, laundry, money management, meal preparation, or help with ADLs.
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Lifetime
(unlimited) benefit A feature that continues your benefits for your lifetime, no matter how long you require care.
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Lifetime Multiplier
A feature that continues your benefits for a pre determined amount of time.
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Long-term Care
As opposed to acute care, long-term care is chronic--provided to people who need help with the activities of everyday life. This care can be delivered in a nursing home or other facility or at home.
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Medicare
Congress established Medicare in 1965 as Title XVIII of the Social Security Act. It is a Federal health insurance program wholly funded by the Federal government with no state participation. Its coverage is divided into Part A and Part B. The former basically covers acute care in hospitals and limited post-hospital care in a skilled nursing facility and at home. Part B is a voluntary supplemental medical insurance for a variety of outpatient hospital services.
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