Long-term care (LTC) is a variety of services which help meet both the medical and non-medical needs of people who cannot care for themselves for long periods. … Long-term care insurance can cover home care, assisted living, adult daycare, respite care and hospice care, referring to a continuum of medical and social services designed to support the needs of people living with chronic health problems that affect their ability to perform everyday activities. It can pay for a visiting or live-in caregiver up to seven days a week, 24 hours a day up to the policy benefit maximum. Most policies will pay benefits when the policyholder needs help with two or more of six ADLs (activities of daily living) or when a cognitive impairment is present.
Many policies have an elimination period or waiting period similar to a deductible. This is the period of time that you pay for care before your benefits are paid. Elimination days may be from 30 to 120 days after a long-term care incident, such as a fall or illness. Some policies require intended claimants to provide proof of 30 to 120 service days of paid care before any benefits will be paid. In some cases, the option may be available to select zero elimination days when covered services are provided in the home in accordance with a Plan of Care.
Many times the company will send a nurse to your residence to evaluate your condition to make sure the services are absolutely necessary.
Our office can help you in dealing with your long-term care company. Below are some of the companies we work closely with. If you have any questions we are always available to speak with you, feel free to call our office at your convenience.
