Show:
Claim Facts
Settings and Levels of Care
History Lesson
Life of Claim
Trainer
100
The average duration of a claim.
What is 2.5 years?
100
Physician's charges, hospital charges, disposable medical supplies and transportation are examples of this.
What is NOT covered by LTCI policy?
100
The amount of money John Hancock has paid in claims to date.
What is $4 Billion?
100
Claims are initiated via a telephonic assessment/interview.
What is "The Intake"?
100
The age of your trainer.
What is 31 years old?
200
The average hourly cost of a Home Health Aide in the US?
What is $20/hour
200
This is the 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
The lines of business of JH LTCI
What is Ratail and Group?
200
Evaluates the bills/invoices from the Providers.
What is a Benefit Specialist (BS)?
200
Your trainer's favorite kind of food?
What is spicy foods?
300
The number of “Active” claims currently adjudicated by the Retail Claims Department (round number).
What is 20,000 claims?
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
In 1996, the Health Insurance Portability and Accountability Act (HIPAA) was passed into law. HIPAA allowed for this new type of LTC Insurance Policy
What are Tax Qualified Policies?
300
Benefit Eligible + Provider Eligible
What is Claim Approval?
300
The LTC Claims Training Director
Who Rachael O' Toole?
400
The #1 Claim Diagnosis.
What is Dementia?
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 Facility?
400
The number of Retail JH products we administer in the LTC Benefit Center.
What are 16 JH Products?
400
Team that gathers clinical and provider information/documentation if the CM and PS request.
What is Admini Team?
400
The newest member of the LTC - Claims Training team
Who is Ms. Joy?
500
The average age of claimants?
What is 80 years old?
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
The first year JH had a Retail claim initiated.
What is 1988?
500
Responsible for educating,commuting,updating the claims.
What is a Service Center (representative)?
500
Your trainer's hobby
What is dancing?