Disability & Long-Term CareQuestion 95 of 315
An insured has advanced Alzheimer's disease and can still physically perform all six activities of daily living without assistance. Are they eligible for benefits under a tax-qualified long-term care policy?
a.Yes, because severe cognitive impairment is an independent benefit trigger
b.Yes, but only if a family member also signs as caregiver
c.No, because they can still perform all six ADLs
d.No, because cognitive impairment is not a benefit trigger
Explanation
Tax-qualified LTC policies use two independent benefit triggers: inability to perform at least 2 of 6 ADLs, or severe cognitive impairment requiring substantial supervision to protect the insured's health and safety. Advanced Alzheimer's disease qualifies under the cognitive-impairment trigger by itself.
Law Reference: HIPAA tax-qualified LTC standardPractice all 315 questions free — no signup required.
Related questions on this topic
- Which of the following is generally covered by long-term care insurance but NOT by standard health insurance or Medicare?
- Under a tax-qualified long-term care policy, an insured normally becomes eligible for benefits when they are unable to perform without substantial assistance how many of the six activities of daily living (ADLs)?
- Which of the following is NOT one of the six activities of daily living (ADLs) used to trigger long-term care benefits?
- A long-term care policy that pays a flat $200 daily amount whenever benefits are triggered, regardless of the actual cost of care, is BEST described as:
- Under the California Long-Term Care Insurance Reform Act, an applicant for an individual LTC policy has how many days to return the policy for a full refund of premium?
- What inflation protection must a California LTC insurer offer to each applicant for a new individual long-term care policy?
Last reviewed: · editorial process
Sen Lin, PrepPass Founder · Verified against California Life & Health Insurance License Exam · How we review
Reviewed by John Zihao Zhang — California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 — verify)