A Reimbursement Policy Pays What Amount

Question: Which of the following types of care is typically not covered in a Long-Term Care policy?

Answer: Acupantion

Question: What is the MINIMUM number of Activities of Daily Living Qualified Long-Term Care policies may take into consideration an applicant’s pre-existing conditions for a maximum of not more than __ month(s) prior to the effective date of coverage.?

Answer: 2

(A qualified Long Term Care policy must stipulate that the insured be incapable of performing at least two of the ADL’s without assistance for at least 90 days to qualify for benefits.)

Question: Qualified Long-Term Care policies may take into consideration an applicant’s pre-existing conditions for a maximum of not more than __ month(s) prior to the effective date of coverage.?

Answer: 6.

( If a pre-existing condition waiting period applies, the policy must not exclude coverage for any pre-existing conditions that occurred more than 6 months prior to the effective date of coverage. These conditions cannot be excluded beyond 6 months after the policy is issued.)

Question: A “reimbursement policy” pays what amount of covered Long-Term Care expenses?

Answer: “Actual covered expenses up to the daily maximum”.

( A “reimbursement policy” pays the actual covered expenses up to the daily maximum.)

Question: Under a Long Term Care policy, which benefit would be typically excluded or limited?

Answer: “Alcohol rehabilitation”. (Addictive behavior rehabilitation is normally excluded or limited under a Long Term Care policy.)

Question: Which Long Term Care insurance statement is true?

Answer: “Pre-existing conditions must be covered after the coverage has been in force for six months”.

(Pre-existing conditions are those for which medical advice or treatment was recommended by or received from a health provider within 6 months preceding the effective date of an individual long-term care policy.)

Question: Which of the following will a Long Term Care plan typically provide benefits for?

Answer: Home health care.

(A Long Term Care policy will typically pay for home health care.

Question: Medicare Part B does NOT cover?

Answer: Inpatient hospital services.

(Medicare Part B is a voluntary program designed to provide supplementary medical insurance to cover physician services, medical services, and supplies not covered under Part A.)

Question: A “reimbursement policy” pays what amount of covered Long-Term Care expenses?

Answer: Actual covered expenses up to the daily maximum.

(A “reimbursement policy” pays the actual covered expenses up to the daily maximum.)

Question: Under a Long Term Care policy, which benefit would be typically excluded or limited?

Answer: Alcohol.