Glossary of Insurance Terms
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Lapse
Termination of coverage because of nonpayment within a specified time period.
Length of Stay (LOS)
The total number of days a participant stays in a facility such as a hospital.
Lifetime Maximum
Maximum amount of benefits available to a member during their lifetime. All
benefits furnished are subject to this maximum unless stated as unlimited.
Long-Term Care
A continuum of maintenance, custodial, and health services for the chronically
ill or disabled such services may be provided on an inpatient (rehabilitation
facility, nursing home, mental hospital) or outpatient basis or at home.
Long Term
Care Facility
Usually a state licensed facility which provides skilled nursing services,
intermediate care and custodial care.
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