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Long Term Care Insurance FAQ

This page will provide you with the answers to your questions about long term care insurance.  These FAQs help educate you about long term care insurance so that you can make and informed decision upon purchasing a long term care policy.  Be sure to read through all of these questions so that you get the best policy for your money.
  1. Is Alzheimer's disease covered by long term care insurance?
  2. When will a long term care insurance policy pay benefits? 
  3. What is not covered by Long Term Care insurance?
  4. What is a federally tax-qualified long-term care policy?
  5. Do Long Term Care insurance premiums increase each year?
  6. Where does Medicare fit in to Long Term Care Insurance coverage?

Is Alzheimer's disease covered by long term care insurance?

  Most Long term care insurance policies will cover Alzheimer's and other organic cognitive disabilities. Check the policy contract to be certain. An insurance company will not issue a new long term care insurance policy to someone already suffering from Alzheimer's.

When will a long term care policy pay benefits?

  Most long term care insurance policies will pay benefits when a need is demonstrated by the inability to perform a specific number of activities of daily living (ADL's). Long term care insurance will cover you if you are unable to do any of the following activities:
  • Bathing - Able to get in and out of the bathtub or shower, or bathing oneself.
  • Continence - Able to maintain bowel and bladder control.
  • Dressing - Taking off and putting on clothing.
  • Eating - Feeding oneself.
  • Toileting - Going to and from the toilet and maintaining personal hygiene
  • Transferring - Getting in and out of bed, moving from one place to another.
Your insurance policy should pay benefits when long term care is needed due to a cognitive impairment such as dementia. Your insurance policy should also cover you when long term care is medically necessary and prescribed by the patient's physician.
 

What is not covered by Long Term Care insurance?

  All long term care insurance policies have limits. Some conditions that are already preexisting for six months are barred from long term care insurance coverage. Long term care insurance premiums would be very expensive if there were no limits on long term care insurance policies. Prior to purchasing your long term care insurance policy, you should make sure that you comprehend what is and what is not covered. Some insurance companies will cover some kinds of preexisting conditions. This is of course, if the condition is not severe enough to get rejected by the insurance company.

Most long term care insurance policies will not cover a mental or nervous disorder other than Alzheimer's disease or other some other form of dementia; alcohol or drug addiction; or care necessitated by an act of war or self-inflicted.

 

What is a federally tax-qualified long-term care policy?

  Long term care insurance policies can be tax-qualified or not. Tax-qualified polices may allow you to deduct the cost of premiums as medical deduction subject to a 7.5% adjusted gross income limitation, and allow you to exclude from taxable income any benefits you receive. To be qualified, insurance policies must be labeled as tax-qualified, must be guaranteed renewable, include a number of consumer protection provisions, cover only long term care service, and generally cannot have a cash surrender value. Consumers should only consider tax-qualified plans
 

Do Long Term Care Insurance premiums increase each year?

  The younger you are when you first buy a policy the lower your annual premium will be. Insurance companies can raise rates but only for everyone in the same pool of insured. The company cannot target individual policyholders for special rate increases despite the number of claims someone may make.
 

Where does Medicare fit in to Long Term Care Insurance Coverage?

  Medicare covers doctors and hospitals plus some restricted short-term skilled nursing. Medicare pays no extended long term care insurance.
   
For more answers to questions you may have, feel free to give us a call at 1-888-430-0002 or email at service@LTCiGuide.com. A long term care insurance specialist will be happy to answer your questions or help you select a company and plan that's best for you.

 

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