History
Basics of LTCI
Life of a Claim
US Health Care System
Trainer
100
The average duration of a claim.
What is 2.4 years
100
Bathing, continence, dressing, eating, toileting and transferring are examples of this.
• What are the Activities of Daily Living?
100
It is done via claim form or a telephonic assessment/interview.
What is Claim Initiation/Intake?
100
Physician’s charges, Hospital charges, disposable medical supplies and transportation are examples of this.
• What is not covered by the LTCI policy?
100
Director of Training for LTC Claim Operations
Who is Rachael O'Toole
200
The average hourly cost of a Home Health Aide in the US?
What is $20/hr
200
These are activities that are not required to sustain life. Examples include, handling finances, grocery shopping, doing laundry and transportation to stores.
• What are Instrumental Activities of Daily Living?
200
BE + PE = ?
What is Claim Approval?
200
This is care that requires no medical knowledge but provides personal care, such as assistance with bathing or dressing. This type of care can be done by a Home Health Aide/Certified Nursing Aide or a family member/friend.
• What is Custodial Care?
200
ballroom dancing, hiking
What are Sarah's hobbies?
300
In 1996, the Heath Insurance Portability and Accountability Act (HIPAA) with passed into law. HIPAA allowed for this new type of LTC Insurance Policy.
• What are Tax Qualified Policies?
300
The time during which payments for covered services will be made under the LTC insurance policy.
• What is the Benefit Period (BP)?
300
Claims Call Center, Technical Team, BIU
What is Support Services?
300
This is a facility which primarily provided inpatient skilled nursing care and related services to patients who require medical, nursing or rehabilitative services but does not provide the level of care or treatment available in a hospital.
• What is Skilled Nursing Facility/Nursing Home
300
hobbies are baking, cooking, watching movies and listening to music.
Who is Ernestina Herrera-Navarette?
400
The first year JH had a Retail Claim initiated.
• What is 1988?
400
John Hancock will pay to save a policyholder’s bed/room in a facility if the policyholder has to leave the facility and go to the hospital.
• What is the Bed Hold benefit?
400
Involves the CM,PS,Admin,BS teams in the life of the claim
What is Ongoing Management?
400
This is a facility that is for people needing assistance with Activities of Daily Living but wishing to live as independently as possible. It bridges the gap between independent living and nursing homes.
• What is Assisted Living Facilities?
400
The only male in the Claims training staff
Who is Jason Robicheau?
500
The #1 Claim Diagnosis.
• What is Dementia?
500
The number of days where you must be eligible for and pay for the covered services before the policy begins paying.
• What is the Elimination Period?
500
Roles of the Service Center
What is educating,communicating,updating?
500
This type of care is social and health-related services provided during the day in a community or group setting. The purpose of the program is to support frail or impaired elderly or other disabled adult who can benefit from care in a group setting. It also provided the informal primary caregiver a break.
What is Adult Day Care?
500
An educator by profession.
Who is Joy Capangpangan?