Which of the following is excluded in a long-term care insurance policy?

Asked by: Ines Schuppe  |  Last update: January 5, 2026
Score: 4.8/5 (31 votes)

Family History of Heart Condition (Long-term care policies can exclude coverage for, among other things, preexisting conditions or diseases, treatment provided in a government facility that is not required by law, and intentionally self-inflicted injury.

What is excluded in a long-term care policy?

Many long-term care policies exclude coverage for the following: Mental and nervous disorders or diseases (except organic brain disorders) Alcoholism and drug addiction. Illnesses caused by an act of war.

Which of the following is not covered under the long-term care insurance?

Home care is not covered or. Home Care Only. These policies are required to cover Home Health Care, Adult Day Care, Personal Care, Homemaker Services, Hospice Services and Respite Care but care in a Nursing Facility or Residential Care Facilities/Residential Care Facilities for the Elderly is not covered or.

Which of the following exclusions would not be permitted in a long-term care insurance policy in California?

Final answer: The LTC insurance exclusion not permitted in California is for A) Alzheimer's disease that begins after the effective date of coverage, as it goes against protections for the elderly who may require care in nursing homes.

Which of the following is not an allowable exclusion for long-term insurance policies?

The correct answer is: b. Acute care Explanation: 1. Acute care is not an allowable exclusion for long-term insurance policies. Acute care refers to the treatment of short-term illnesses or injuries that require immediate medical attention and are typically covered by health insurance policies.

What's NOT Covered In A Long Term Care Insurance Policy?

36 related questions found

What does long-term insurance not cover?

Long-term care insurance typically doesn't cover care provided by family members. It also usually doesn't cover medical care costs⁠—those are typically covered by private health insurance and/or Medicare.

What are exclusions in term insurance?

Understanding the inclusion and exclusion clauses in term insurance is crucial for anyone purchasing a policy in India. Inclusions are the events or circumstances under which the policy will pay out, while exclusions are those under which the policy will not pay out.

What are the common universal exclusions in a long-term care policy?

Some of the more common exclusions in policies covering long term care services are: Mental illness, however, the policy may NOT exclude or limit benefits for Alzheimer's Disease, senile dementia, or demonstrable organic brain disease. Intentionally self-inflicted injuries. Alcoholism and drug addiction.

What exclusions may be included in your policy?

Common insurance exclusion categories
  • Catastrophic.
  • Intentional actions.
  • Covered elsewhere.
  • Illegal actions.
  • Maintenance issues.
  • Easy to control.

Which of the following statements is not an advantage of long-term care policies?

Final answer: Most long-term care policies are conditionally renewable, which is not an advantage because it means the insurer could choose to not renew the policy, potentially leaving the policyholder without coverage.

Which benefit would be typically excluded or limited under a long-term care policy quizlet?

Under a Long Term Care policy, which benefit would be typically excluded or limited? Addictive behavior rehabilitation is normally excluded or limited under a Long Term Care policy.

Why would long-term care insurance be denied?

When it comes to getting long-term care insurance, your current health matters. In fact, one of the biggest reasons people are denied long-term care insurance is because they have a pre-existing medical condition or disability that makes it more likely they'll require care sooner.

What falls under long term insurance?

The second type of insurance seeks to compensate you for life changing events such as death, retirement and disability, loss of life, injury and loss of income. This is called long-term insurance. For example: Health policies, Life and disability cover.

Which of the following does long-term care insurance not cover?

Final answer: Among the options listed, hospital acute care is not typically covered by long-term care insurance. This type of insurance generally covers long-term services like adult day care, respite care and custodial care.

What is the exclusion period for long-term care?

Most long-term care insurance policies have an elimination period that lasts 30, 60 or 90 days. By choosing a longer elimination period, you may be able to lower your premium costs. Some of today's long-term care insurance policies also come bundled with life insurance coverage (or an annuity).

What is excluded from coverage?

An exclusion is a provision within an insurance policy that eliminates coverage for certain acts, property, types of damage or locations. Things that are excluded are not covered by the plan, and excluded costs don't count towards the plan's total out-of-pocket maximum.

What is a list of exclusions?

An exclusions list is a list—set up by a financial institution—of customers who are to be exempted from ongoing due diligence screening. This is usually because these customers' activities have a history of being flagged as false positives, or of otherwise not exhibiting anything suspicious.

What are the common exclusions found in insurance policies?

Life insurance exclusions may vary, but the typical exclusions are:
  • Genetic illnesses.
  • Alcohol, drug or smoking related.
  • Health and lifestyle related e.g obesity.
  • Suicide.
  • High risk sports.
  • High risk jobs.
  • Military or war-related.
  • Reckless activity e.g drink driving.

What are exceptions or exclusions?

Some canceled or forgiven debts may be eliminated from income by applying exceptions, or reduced by applying exclusions to the general rule. Exceptions are applied before exclusions.

Which of the following Cannot be excluded from an LTC policy?

Alzheimer's cannot be excluded from a LTC policy, but other mental or nervous disorders can be excluded. An insurer will reinstate a LTC policy if: An insurer will reinstate a LTC policy if the insured proves cognitive impairment, pays past due premiums, or requests within 5 months of lapse to be reinstated.

What must be disclosed in a long-term care policy?

Such outline of coverage shall include: (1) A description of the principal benefits and coverage provided in the policy; (2) A statement of the principal exclusions, reductions, and limitations contained in the policy; (3) A statement of the renewal provisions, including any reservation in the policy of a right to ...

What is typically excluded from life policies?

It is advised that you are covered for all eventualities, rather than only accidental death. Exclusions for illegal or intentional acts. Many policies have an exclusion in which the death benefit will not be paid if you die while under the influence of drugs or alcohol, or while committing an illegal act of any type.

What all are not covered in term insurance?

Term insurance does not cover deaths within the suicide clause period and those resulting from non-disclosure of material information, engaging in hazardous activities, or criminal acts by the insured. Term insurance is an excellent way to ensure the financial well-being of your loved ones in case of any eventuality.

What are exclusions in health care policies?

Limitations are conditions or procedures covered under a policy but at a benefit level lower than the norm. Exclusions, on the other hand, are conditions or procedures that are completely omitted from coverage.

Which of the following is not a standard exclusion in life insurance policies?

The correct answer is Disability, which is typically covered rather than excluded in life insurance policies. The other options listed, such as War and Military Service, Aviation, and Hazardous Occupation, are standard exclusions. Therefore, Disability is the only option not considered a standard exclusion.