Long Term Care Insurance: Coverage for Daily Care

Anyone can need long term care. Whether you are a senior citizen or not, you may need long term care for any disability that renders you unable to take care of yourself for a considerable period of time. Long term care insurance helps you pay for services beyond medical care if you have any chronic illness.

Your long term care insurance coverage helps pay for services that would be very expensive to pay out of pocket then.

What is long term care insurance?

Long term care or ltc insurance covers the cost of services required beyond medical care. It is an ideal policy to have for those who suffer from a chronic illness. Since long term care can be really expensive, having a policy that covers for such care can be helpful when you need it.

When should you buy long term care insurance?

None of you would usually want to think about getting long term care because you may think this is something you will only need at old age. But the thing to remember and think about is that when you turn 70 or more (since that is the time you may think you have the highest risk of getting a chronic illness) you may be at too high a risk to be covered. Even if you do qualify, you may be given very high long term care rates.

The best time for you to buy long term care coverage would be middle age. That is the time when you will be highly eligible for coverage and premiums may be lower too. For more information click here.

Is long term care insurance right for you?

Long term care is expensive, hence, not everyone would think of getting it. But the increasing cost of health care, the restrictions on eligibility for coverage and the people's need to work more years for more savings makes getting long term care coverage a good idea.

You must choose your policy carefully and consider certain factors before settling for a plan. Before you buy a policy you must be sure that you can afford it. If buying a policy means lowering your standard of living, it is not worth it. Hence, an individual who is 65 may have to cough up $2000 - $3000 as yearly premiums. But if you get a policy at middle age the premiums may go lower than this.

What does long term care insurance cover?

Long term care health insurance usually covers assistance in performing your daily activities. Trained nurses or trained professionals help you in daily activities like bathing, dressing, toileting, transferring, eating and also maintenance and continence. Check if the policy you are buying is giving you the care that you think you might need.

However, check the services that long term care insurance usually covers:
  • Health care services at home: Skilled care or custodial care by a licensed care giver or a home health agency must be covered. Physical therapy, assistance with daily activities and part-time skilled nursing care will be covered.

  • Nursing home services: Care in a licensed nursing facility should be covered.

  • Respite Care: Care to replace the primary caregivers and give them some relief/time off.

  • Home assistance services: Help with household activities and chores e.g. cooking, cleaning, light house keeping and shopping.

  • Assisted living services: Covers cost of care in an assisted living facility for 100% of your daily or monthly expenses.

  • Adult day-care services: Covers care in licensed adult day care. It is meant to provide day care to individuals who do not need to stay in a nursing home. Such care include nursing or therapeutic care, social as well as educational activities or personal supervision due to a cognitive impairment e.g. Alzheimer's disease.

  • Recovery period benefits: Care given after an individual has stayed in a hospital or any other facility.

How much should you pay for long term care insurance?

If you fall ill for a long time and need care usually one of your family members is the primary care giver. Hence, it does not always mean that if you need long term care you have to spend a lot of money on care. But again, such family members may also need a break from time to time and then you may need to hire professional help. This is the time when you may need to spend more money than you had imagined. However, what you pay for long term care depends on 3 factors:
  1. The general cost of long term care in your part of the country
  2. The cost for the specific services that you need
  3. The time for which you need the long term care

Are there any tips on saving on long term care?

Yes take a look at the 7 effective tips on saving on long term care:
  1. The most important thing to remember is to find out the financial status of the company you are buying coverage from. The company must be financially sound to be able to provide you the coverage when you need it.

  2. The amount of premium should be 7% of your income (expected income in retirement as suggested by the National Association of Insurance Commissioners).

  3. Try and get long term care benefits can be available through a group policy from your employer if possible. Employers may provide discounts on the premiums that you pay.

  4. Check from your insurance provider if you can purchase long term care benefits as a rider to your existing policy.

  5. Buying a policy with a longer waiting period can cut down the premium that you pay.

  6. If you are married and both of you are looking for a long term care insurance to buy, try to look for a joint policy for the two of you. With such a policy you can receive benefits when any one or even if both of you need care. The benefits received are also up to its benefits limits.

  7. Like all other policies, shop for your long term care insurance too. Compare benefits and price from different insurance providers before purchasing your policy. For more information click here.
As you grow old, your body is likely to break down. However, certain chronic illness and conditions do not wait for age to seep in. They can simply occur anytime and hence may render you unable to carry on your daily activities like eating, bathing and the like. This is when you may need long term care to assist you with your daily routine activities. Since long term care can be very expensive and since you cannot avoid it when you really need it, it is advisable that you get long term care insurance if you think you will need it in future.

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