|TSGLI Loss Standards|
20. Traumatic injury resulting in inability to perform at least 2 Activities of Daily Living (ADL)
A member will be considered eligible for a TSGLI benefit for inability to perform ADL due to traumatic injury if:
*The member is considered unable to perform an activity independently if he or she REQUIRES assistance to perform the activity.
REQUIRES assistance is defined as:
Without this physical, stand-by, or verbal assistance, the member would be incapable of performing the task.
Accommodating Equipment - If the patient is able to perform the activity by using accommodating equipment, such as a cane, walker, commode, etc.), the patient is considered able to independently perform the activity.
|Reviewed/Updated Date: September 6, 2012