LTC Vocabulary

Edit Answers
12345678910111213141516171819202122232425262728293031323334353637383940
Across
  1. 3. A policy benefit that states the company will forego the collection of
  2. 6. be calculated by days, weeks or months.
  3. 7. hygiene.
  4. 10. A policy provision in which a specified number of days, weeks or months of covered
  5. 13. control of bowel or bladder function, the ability to perform associated personal hygiene,
  6. 14. right to void a policy or deny a claim if omitted medical information or misstatements are made on
  7. 16. The ability to feed one self by getting food into the body from a receptacle (such as a
  8. 17. may include the power of attorney or a legal guardian.
  9. 18. A length of time which benefits will be payable. It will begin with the first day of eligibility
  10. 19. The ability to maintain control of bowel and bladder function or, when unable to
  11. 22. An assessment of the policyholder’s current cognitive and
  12. 28. covered services and end when covered care has not been received for a specified period of time. It
  13. 29. A facility which is licensed by the state, if required, and provides nursing care, planned
  14. 31. usually outside of the home in a group setting.
  15. 32. benefits are payable under the policy.
  16. 33. Domiciliary Care, Intermediate Care, Personal Care, Residential Health Care, Sheltered Care or
  17. 34. cup or table), by a feeding tube or intravenously.
  18. 35. payments if covered services are received for a specified length of time.
  19. 36. facility. The Plan of Care/treatment must be pre – approved through claims department before
  20. 37. A daily committee meeting sponsored by the Risk Management team to help decision-makers with their case questions.
  21. 38. of services specifically designed to allow the person to reside in a setting other than a
  22. 40. The ability to get to and from the toilet, get on and off the toilet, and perform necessary
Down
  1. 1. capacities by a Registered Nurse. These are ordered either by the claim Assistant or Decision-Maker when they determine one is needed to flesh out the facts of a claim.
  2. 2. insurance policy.
  3. 4. A residential living facility which provides individualized care and health
  4. 5. Professional care provided on a short – term basis for the purpose of temporarily relieving
  5. 6. Employee who works at the beginning of the claim process to gather proof of loss for a
  6. 8. A document signed by the Policyholder (PH) or an authorized
  7. 9. bed in a nursing home if the Policyholder must go to a hospital. This alleviates the need for
  8. 11. application. This period of time is generally limited to two years.
  9. 12. Amount of covered expenses (or number of days of care) the insured must incur
  10. 15. Care Facilities.
  11. 19. The period of time after the policy’s effective date that an insurance company has a
  12. 20. A policy rider purchased by the Policyholder which allows for a special
  13. 21. A weekly committee meeting of LTC leadership where changes to processes and procedures are discussed for adoption.
  14. 22. The policy will pay for specified number of days in a calendar year to keep an
  15. 23. A person’s inability to perform a number of those ADLs specified in a long – term
  16. 24. social and educational activities as well as assistance in activities of daily living, physical and restorative therapy and nutritional services and counseling. This care is provided during the day for
  17. 25. of which would be caring for a catheter or colostomy bag.
  18. 26. to residents who need assistance with Activities of Daily Living. This may also be call Custodial
  19. 27. A document which modifies the policy and becomes part of the policy. It changes the original
  20. 30. caregivers, such as family members or friends.
  21. 39. provisions.