At Abby Senior Care we know what your long-term care insurance company requires in order for you to receive home care benefits.
Long-term care insurance helps pay the cost of home care and nursing home care. Long-term care insurance covers care generally not covered by health insurance, Medicare, or Medicaid.
Individuals who require long-term care are generally not critically sick, but are unable to perform the basic activities of daily living (ADLs). Usually a long-term care insurance company requires a policy holder to need assistance with two to three activities of daily living or have a form of dementia such as Alzheimer's in order to open a claim and begin paying benefits. Activities of daily living include:
Once a person purchases a policy, the language cannot be changed by the insurance company, and the policy usually is guaranteed renewable for life. It can never be canceled by the insurance company for health reasons, but can be canceled for non-payment.
Benefits are reimbursed to the policy holder after home care services have been provided, so it is important to work with a home care company that understands the documentation and processes necessary to keep reimbursement payments arriving on time.
Most long-term care insurance companies will offer couples multi-life discounts on individual policies. Some companies define "couples" not only to spouses, but also to two people who meet criteria for living together in a committed relationship and sharing basic living expenses. The average age of purchasers has dropped from 68 years in 1990 to 61 years in 2005, and the number of purchasers who are under age 65 has increased significantly.