Long Term Care Insurance America
Long Term Care Insurance America

Long Term Care Insurance Policies

Typical Long Term Care Policy Features and Options

When individuals are interested in information about long term care insurance coverage, they usually want to know the cost. However, long term care insurance is structured in such a way that it is designed for each individual, based on personal needs and budgets. Therefore, feedback from each individual is needed in order to quote a price or premium. Listed below are various elements of long term care insurance coverage that will affect the price. Choices about these various elements plus age and health will determine the premium. Also, there are various discounts offered by most carriers for spouse coverage, sponsored groups and exceptional health.

Elderly couple walking

Long Term Care Insurance Policy Costs

Age

18 - 84 with many coverages

Daily Benefit Amount
That's the maximum amount you want to receive daily for nursing-home and home-care coverage.

up to $50-$300 per day typically available in $10 increments

Benefit Periods
A period of three to five years ought to be enough for most people.

2,3,4,5,6 and 7 years, Lifetime (or Unlimited).

Elimination Period (Deductible)
This is the period during which you must pay for care out of your own pocket before benefits kick in.

Various - including 0, 7, 20, 50, 60, 90, 100 days (or longer). Many are once in a lifetime occurences.

Facilities Only
Most planners recommend purchasing the same benefit for both nursing home and home health care.

Some policies offer Nursing Home or Assisted Living Facilities-Only coverage for a lower premium than for a Comprehensive Plan, which includes Home and Community based care.

Home/Community Care

Most plans offer 50%-80%-100% of the Daily Nursing Home Benefit selected. A few companies offer options for Home Health Care Only Policies.

Inflation Options
Companies often offer inflation-protection riders that increase the daily benefit amount.

5% Compound or 5% Simple Automatic Annual Benefit Increase, or Guaranteed Purchase Option, or Consumer Price Index Options

Non-Forfeiture Option

Provides same policy coverage, but for a shortened benefit period if the policy lapses after 3 years due to non-payment of premium. The Contingent Nonforfeiture Benefit provides that in the event that rates are increased by more than a specified amount shown in the Contingent Nonforfeiture provision, you will be provided with the opportunity to: pay the increased premium, decrease your benefits to a level supported by your current premium, or elect the Contingent Nonforfeiture Benefit. Under the Contingent Nonforfeiture Benefit, your policy will remain in force with a reduced policy limit equal to the sum of the premiums you have paid. This means that a reduced benefit will be payable instead of the full policy limit.

LTCI Additional Options and Features

Waiver of Premium

Provides for premium to be waived while the insured is receiving policy benefits.

Benefit Triggers

"Chronically Ill" means certified by a licensed health care practitioner to be (1) unable to perform (without substantial assistance from another individual) at least 2 Activities of Daily Living for a period of at least 90 days due to a loss of functional capacity, or (2) requiring substantial supervision to protect yourself from threats to health and safety due to Severe Cognitive Impairment for tax qualified LTCI policies.

Levels of Care

Skilled, Intermediate and Custodial Care are all covered. Certain Homemaker Services are included as well.

Care Coordination

Some policies provide for assistance in selecting and monitoring care providers: please see pack policy for details.

Tax Qualified (TQ)

Meets Tax Qualification Guidelines of HIPAA, effective 01/01/97. Also called the Kennedy-Kassabaum Health Care Reform Plan of 1996.

Plan of Care

A plan of care is generally required for beneifts under most LTCI plans. Care coordinators, licensed generalized discharge coordinators, or other licensed health care promoters can prepare a plan of care.

Major Long-Term Care Insurance Providers

Major Long-Term Care Insurance Providers
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