Glossary
Respite care coverage, defined
A benefit that pays for temporary substitute help so that a family member who provides most of a person's daily assistance can take a break. It covers a paid aide at the house or a short stay in a facility for a set number of days each year.
In practice
It is a small provision inside a long-term care policy and inside the Medicare hospice benefit, and it is often overlooked until the caregiving spouse or child is exhausted. Policies commonly allow a fixed number of days a year, sometimes with no waiting period, and pay at the normal daily maximum. Medicare's hospice version pays for a short inpatient stay in an approved facility, occasionally rather than continuously. The rules on who can provide the substitute help and whether the days can be used in blocks vary. Caregiver burnout is a common reason people move into facilities earlier than their condition requires, so the benefit does more than its size suggests.
A worked example
Suppose a policy allows twenty-one days a year of substitute help at up to $200 a day, and a husband who cares for his wife takes a two-week trip. He hires a home aide for those fourteen days at $180 a day, and the policy pays the $2,520 with no waiting period applied. Hypothetical figures.
Applies to: MedicareLife Insurance