SEARCH
Close the search box
SEARCH
Close the search box

Insurance company claims - private policy

Parkinson's patients who purchased long-term care insurance from a private insurance company, whether independently or through the workplace or some other organization (group long-term care insurance), may be entitled to long-term care insurance benefits.

The rate of rewards and the eligibility period vary from policy to policy, but generally, the eligibility conditions in the various policies available in the market are similar. The main test for eligibility is the ADL test (or the "activities of daily living" test), which refers to the level of independent functioning of the insured.

The eligibility conditions for payment, according to the insurance supervision conditions, include two alternative routes:

In the first route, an insured will be defined as nursing, if the insured has lost at least 50 percent of his independent functioning capacity in three or more of the six daily activities, which include: 1. Bathing 2. Eating and drinking 3. Getting up and lying down 4. Dressing and undressing 5. Mobility 6. Control of braces .

Another route concerns the "mentally exhausted", that is, those whose cognitive function is impaired as a result of diseases such as dementia, Alzheimer's and Parkinson's, and therefore need a significant degree of accompaniment and supervision. Such patients will also be considered nursing for the purpose of receiving the insurance benefits.

Both routes together may be relevant to Parkinson's patients, but insurance companies do not always respond easily to long-term care insurance claims.