{"id":2001,"date":"2021-03-10T21:24:15","date_gmt":"2021-03-10T21:24:15","guid":{"rendered":"https:\/\/www.firstlighthomecare.com\/home-healthcare-huntsville\/?p=2001"},"modified":"2021-03-10T21:24:15","modified_gmt":"2021-03-10T21:24:15","slug":"understanding-your-long-term-care-policy","status":"publish","type":"post","link":"https:\/\/www.firstlighthomecare.com\/home-healthcare-huntsville\/2021\/03\/10\/understanding-your-long-term-care-policy\/","title":{"rendered":"Understanding Your Long Term Care Policy"},"content":{"rendered":"<p><strong>Understanding Your Long-Term Care Policy<\/strong><\/p>\n<p>This is a simple guide to LTC. Other factors can be important, but the information below should be considered by the individual and families filing a Long-Term Care insurance claim:<\/p>\n<p>Care Needs &amp; <strong>Activities of Daily Living (ADL)<\/strong> \u2013 most LTC policies require deficiency in two or more ADL. The insurance company will arrange a virtual or face-to-face evaluation to assess the proficiency in these areas.<\/p>\n<ul>\n<li><strong>Bathing<\/strong> \u2013 Capable of bathing independently with exception of one area (feet, back, etc.)<\/li>\n<li><strong>Dressing<\/strong> \u2013 Select clothes from closet, dresser and appropriately dress.<\/li>\n<li><strong>Toileting<\/strong> \u2013 Go to bathroom without help on and off toilet, redressing and cleaning.<\/li>\n<li><strong>Transferring<\/strong> \u2013 Get in and out of chair, bed, shower without assistance.<\/li>\n<li><strong>Continence<\/strong> \u2013 Complete control over urination and defecation.<\/li>\n<li><strong>Feeding<\/strong> \u2013 Transferring food from dish to mouth without assistance.<\/li>\n<\/ul>\n<p>In evaluation of a claim, insurance companies may consider individual proficiency in <strong>IADL<\/strong> \u2013 <strong>Instrumental Activities of Daily Living<\/strong>:<\/p>\n<ul>\n<li><strong>Using a telephone<\/strong><\/li>\n<li><strong>Shopping<\/strong><\/li>\n<li><strong>Food Preparation<\/strong><\/li>\n<li><strong>Housekeeping<\/strong><\/li>\n<li><strong>Laundry<\/strong><\/li>\n<li><strong>Transportation<\/strong><\/li>\n<li><strong>Managing Medications<\/strong><\/li>\n<li><strong>Managing Finances<\/strong><\/li>\n<\/ul>\n<p>Individuals and families should understand the financial terms of their policy and how that impacts their financial obligations. It is critical to know:<\/p>\n<ul>\n<li><strong>Exclusion Period<\/strong> \u2013 Most policies have a 30\/60\/90-day period where the claimant must pay for services out of pocket before the benefit payments start. Generally, the exclusion period can begin before the claim is filed\/approved.<\/li>\n<li><strong>Daily Benefit Amount<\/strong> \u2013 The policy will pay a specific dollar amount per day of service.<\/li>\n<li><strong>Cost of Living Adjustment<\/strong> \u2013 Many policies have a set annual cost of living increase.<\/li>\n<li><strong>Lifetime Benefit Maximum<\/strong> \u2013 Many policies have a maximum amount the insurance company will pay on the policy in the claimant\u2019s lifetime.<\/li>\n<\/ul>\n<p>If you or your family have questions, the FirstLight Home Care team is available to help you navigate the claim process.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Understanding Your Long-Term Care Policy This is a simple guide to LTC. Other factors can be important, but the information below should be considered by the individual and families filing a Long-Term Care insurance claim: Care Needs &amp; Activities of Daily Living (ADL) \u2013 most LTC policies require deficiency in&#8230;<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2001","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.firstlighthomecare.com\/home-healthcare-huntsville\/wp-json\/wp\/v2\/posts\/2001","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.firstlighthomecare.com\/home-healthcare-huntsville\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.firstlighthomecare.com\/home-healthcare-huntsville\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.firstlighthomecare.com\/home-healthcare-huntsville\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.firstlighthomecare.com\/home-healthcare-huntsville\/wp-json\/wp\/v2\/comments?post=2001"}],"version-history":[{"count":0,"href":"https:\/\/www.firstlighthomecare.com\/home-healthcare-huntsville\/wp-json\/wp\/v2\/posts\/2001\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.firstlighthomecare.com\/home-healthcare-huntsville\/wp-json\/wp\/v2\/media?parent=2001"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.firstlighthomecare.com\/home-healthcare-huntsville\/wp-json\/wp\/v2\/categories?post=2001"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.firstlighthomecare.com\/home-healthcare-huntsville\/wp-json\/wp\/v2\/tags?post=2001"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}