According to long-term care insurance guidelines, what is usually excluded from skilled care?

Study for the Ohio Health Insurance Exam. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

Care from nonprofessional staff is typically excluded from skilled care in long-term care insurance guidelines. Skilled care refers to services that require the expertise and supervision of licensed professionals, such as registered nurses or licensed practical nurses, who provide medical care, manage medications, and perform clinical assessments.

In contrast, care provided by nonprofessional staff, such as nursing assistants or personal care aides, usually includes assistance with activities of daily living (ADLs) like bathing, dressing, and meal preparation, which does not meet the standards for skilled care. Nonprofessional staff are important in supporting patients' quality of life but their assistance is categorized differently under long-term care plans than skilled nursing or medical care. This distinction matters because insurance coverage often focuses on the level of training and expertise required for the type of care provided.

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