Page 37 - MEDICAL AND HEALTH INSURANCE
P. 37

MEDICAL AND HEALTH INSURANCE


               for  nursing  home  care.  The  concept  of  insuring  long-term  care  has  little

               appeal and is relatively new in the current socio-economic environment.


               The  long-term  care  insurance  benefits  offered  are  generally  an  allowance,

               as follows:


               Daily allowance for home care on Activities of Daily Living (ADL)


               ADL  are  functions  or  activities  that  are  performed  by  individuals  without

               assistance  and  allow  personal  independence  in  everyday  living.  If  the
               Insured  suffers  from  a  medical  condition,  which  is  subsequently  confirmed

               by  an  appropriate  consultant  or  specialist  to  have  directly  attributed  to  the

               loss  of  independent  existence  lasting  for  a  minimum  period,  for  example,
               of  6  months  and  resulting  in  a  permanent  inability  by  the  Insured  to

               perform  at  least  three  (3)  of  the  Activities  of  Daily  Living  (ADL),  either  with

               or  without  the  use  of  mechanical  equipment,  special  devices  or  other  aids

               and  adaptations.  The  term  'permanent'  means  beyond  the  hope  of

               recovery with current medical knowledge and technology.


               Examples of Activities of Daily Living include:


                     Transfer  -  getting  in  and  out  of  a  chair  without  requiring  physical
                       assistance

                     Mobility  -  ability  to  move  from  room  to  room  without  requiring  any

                       physical assistance

                     Continence      -   ability   to   voluntarily    control    bowel     and    bladder

                       functions such as to maintain personal hygiene
                     Dressing  -  putting  on  and  taking  off  all  necessary  items  of  clothing

                       without requiring assistance from another person

                     Bathing/Washing  -  ability  to  wash  in  the  bath  or  shower  (including

                       getting in or out of the bath or shower) or wash by any other means;




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