What You Need to Know About Long Term Care Insurance

Long term care refers to the assistance that individuals with various health conditions may require on a daily basis, and over a length of time. The type of assistance required can range from bathing, dressing and eating to care that is provided by medical professionals such as registered nurses and therapists often referred to as, “skilled care."

Long Term Care InsuranceEmployer-based health insurance does not typically cover daily or extended care services, and Medicare will only cover a specific amount of time in a skilled care facility (nursing home), or a limited amount of home care with specific conditions.

To help cover potential long term care expenses, some people choose to pay privately (or out of pocket) or with long-term care insurance.

Depending on the type of policy that you may have, it can help you to pay for the care you need when you need it, whether you are being cared for in your home or in a skilled care facility such as an assisted living or a nursing home. Some policies may even cover adult day care, care coordination, and even modifying your home for safety.

Key questions to ask your long term care insurance company:

  • What is your elimination period?
    • Most policies require a waiting period before the insurance company begins to pay. This can range anywhere from 60-90 days.
  •  What is your max daily benefit?
    • The max daily benefit is the maximum amount your insurance company will pay in a single day.
  •  Policy coverage and limits
    • Always ask your representative from the long-term care insurance company to review this information with you.

Taking the first steps to initiate your claim, submitting the documentation for your long-term care insurance policy can be overwhelming if you are not familiar with the process, but Right at Home Boston and North is here to help. At Right at Home Boston and North, we are here to work with you and your long-term care insurance company. We are not long-term care insurance advisers, however we provide long term care insurance claim support and management of documentation for many of our clients. We provide several different reimbursement options for our families and work with them to select the option of choice.

For questions regarding Right at Home services, Long Term Care Insurance Billing and Documentation Options please give us a call at 877-500-CARE (2273) and ask to speak to our Community Relations Team today!

Rosaleen Doherty
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