Texas General Lines — Life, Accident, Health and HMOHealth InsuranceMedium
An individual purchases a long-term care insurance policy. Which of the following services would typically be covered under such a policy?
- AAcute care in a hospital for a broken leg
- BDoctor's office visits for routine check-ups
- CPrescription drug costs for chronic conditions
- DAssistance with Activities of Daily Living (ADLs) in a nursing home or at home
Show answer & explanationAnswer & explanation
Correct answer: D. Assistance with Activities of Daily Living (ADLs) in a nursing home or at home
Long-term care insurance primarily covers services related to assistance with Activities of Daily Living (ADLs) or cognitive impairment, provided in various settings such as nursing homes, assisted living facilities, or in the individual's own home.
Why the other options are wrong
- A. Acute care for injuries is typically covered by standard medical insurance, not LTC.
- B. Routine doctor visits are covered by standard medical insurance.
- C. Prescription drug costs are primarily covered by Medicare Part D or private health plans, not typically LTC.
Long-Term Care (LTC) Insurance
Insurance that provides coverage for assistance with daily living activities or supervision due to cognitive impairment, typically not covered by standard health insurance.
- Covers non-medical personal care services
- Triggered by inability to perform ADLs or cognitive impairment
- Can be received in various settings: home, assisted living, nursing home
Memory trick: LTC helps with 'Daily' 'Living' not 'Doctor's' 'Visits'.