Disability & Long-Term CareQuestion 92 of 716

Which of the following is generally covered by long-term care insurance but NOT by standard health insurance or Medicare?

a.An emergency-room visit and trauma imaging workup immediately after a serious car accident
b.Extended custodial care in a nursing home for a person who cannot bathe or dress alone
c.Outpatient surgery in a hospital day-surgery unit to remove an acutely inflamed appendix
d.A short inpatient hospital stay with IV antibiotics to treat bacterial pneumonia

Explanation

Long-term care insurance is built specifically for extended custodial care, the help with daily living that health insurance and Medicare do not cover beyond a brief skilled-nursing window. The other listed services are acute medical care covered by health insurance.

Law Reference: Cal. Ins. Code §10231 (LTC Reform Act)

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