Long Term Care Certification Practice Test

Question: 1 / 400

To receive tax-qualified benefits, which of the following is NOT required of the insured?

Medical necessity

Proof of prior hospitalization

To receive tax-qualified benefits in the context of long-term care insurance, the requirement for proof of prior hospitalization is not necessary. Tax-qualified long-term care policies primarily focus on meeting certain criteria defined by federal law, which often includes aspects like medical necessity, exhaustion of other benefits, and a doctor's recommendation to ensure that the care provided is deemed necessary for the insured’s condition.

Medical necessity ensures that the policyholder requires long-term care services, which validates the need for benefits. Exhaustion of other benefits signifies that existing insurance coverages or resources have been utilized as a prerequisite before triggering long-term care coverage. A doctor’s recommendation is crucial as it provides medical validation of the need for care.

However, proof of prior hospitalization is not a requirement in these policies. This means an individual could qualify for long-term care benefits without needing to have been hospitalized beforehand, making the option of proof of prior hospitalization not essential for receiving tax-qualified benefits.

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Exhaustion of other benefits

Doctor's recommendation

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