Long Term Care

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If you already have your long-term care insurance plan in place, congratulations. If not, why not contact us today for no-obligation information.
If you develop a chronic illness or become disabled and can no longer care for yourself for an extended period of time, you’ll need long-term care services.

Who Needs It?


Given that the cost of long-term care can quickly deplete your life’s savings, you should seriously consider adding long-term care insurance to your financial plan. Plus, there’s about a 70% chance you’ll need some type of long-term care after age 65.

Covered Services

Nursing home:
A facility that provides a full range of skilled health care, rehabilitation care, personal care and daily activities in a 24/7 setting. Find out whether the policy covers more than room-and-board.

Assisted living:
A residence with apartment-style units that makes personal care and other individualized services (such as meal delivery) available when needed.

Adult day care services:
A program outside the home that provides health, social and other support services in a supervised setting for adults who need some degree of help during the day.

Home care:
An agency or individual who performs services, such as bathing, grooming and help with chores and housework.
Home modification: Adaptations, such as installing ramps or grab bars to make your home safer and more accessible.

Care coordination:
Services provided by a trained or licensed professional who assists with determining needs, locating services and arranging for care. The policy may also cover the monitoring of care providers.

Future service options:
f a new type of long-term care service is developed after you purchase the insurance, some policies have the flexibility to cover the new services. The "future service" option may be available if the policy contains specific language about alternative options.

Types of Care?

Skilled

If you have a serious illness or injury that you can recover from, you will probably receive skilled care from nurses or professional therapists. Skilled care is provided daily, usually ordered by a physician, and involves a treatment plan. In short, skilled care helps get you better.

Intermediate Care

This type of care is similar to skilled care, but not provided on a daily basis. For instance, if you injured your leg and need to visit a physical therapist five times a week to help you heal, that would be considered intermediate care.

Custodial Care

Unlike skilled and intermediate care, which is used to improve your health, custodial care isn’t intended to heal you. Instead, custodial care includes assistance with daily activities like bathing, eating, dressing, toileting (getting on and off the toilet and other tasks associated with personal hygiene), continence and transferring (getting in and out of bed and chairs). Catheter or colostomy maintenance is also included. Custodial care can range from in-home care provided two or three days a week, to 24-hour nursing home care.
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How Does It Work?

​Under most long-term care policies, you’re eligible for benefits when you can’t do at least two out of six “activities of daily living,” called ADLs, on your own or you suffer from dementia or other cognitive impairment.

The activities of daily living are:
  • Bathing.
  • Caring for incontinence.
  • Dressing.
  • Eating.
  • Toileting (getting on or off the toilet).
  • Transferring (getting in or out of a bed or a chair).

Coverage Options


  • Government programs, such as Medicaid or the Veterans Health Administration
  • Traditional long-term care insurance 
  • Hybrid policies that combine long-term care with life insurance or annuities 
  • Personal savings
Top 10 Facts About Long Term Care

# 1 – 67.4 percent of all new claims started after the policyholder reached age 80. If you live a long life, you’re likely going to need long term care and be very glad you have a policy to pay benefits.

# 2 – 49.0 percent of all new individual long-term care insurance
benefits for newly opened claims paid for home care. Only a fourth (27%) of new claims paid for nursing home care.

# 3 – 45.0 percent of those who applied for long-term care insurance between ages 70 and 79 were declined coverage for health reasons. If you already have this protection in place, congratulate yourself. If you don’t, please don’t wait because your health can change at any point.

# 4 – 28.2 percent of nursing home residents over the age of 85 have been in the facility for three years or longer.

# 5 – Alzheimer’s disease was the leading reason someone used their long-term care insurance for either home health care or nursing home care. Stroke was number two for home health care.

# 6 – Nearly one in five (20%) of those receiving benefits from their long-term care insurance transferred from home health care to a facility.

# 7 – The largest open long-term care insurance claim for a woman has exceeded $1.5 million in paid benefits. Her claim has lasted almost 14 years and started after she paid about $2,500 in total premium.

# 8 – Women accounted for 64 percent of all newly opened long term care insurance claims.

# 9 – Over 85 percent of women age 85 or older will be living alone.
# 10 – The long-term care insurance industry paid out $6.1 billion in benefits to some 200,000 individuals with insurance protection in 2010. The number will increase each year as the current number of policyholders grow older and, as a result, are more likely to begin their claim.