There are many kinds of Long Term Care Insurance Policies. The common ones are “Indemnity” or “Expense Incurred” policies. You choose the benefit amount when you buy an expense incurred policy. An “indemnity” or “per diem” policy pays up to a fixed benefit amount regardless of what you spend. You are reimbursed for the actual expenses for services received up to a fixed dollar amount per day, week, or month with an “indemnity” or “per diem” policy.
Another popular LTCI category is the “Integrated Policies” or policies with “Pooled Benefits” where a total dollar amount may be used for different kinds of long term care services. With these kinds of policies there is usually a daily, weekly, or monthly dollar limit for long term care expenses covered. You buy let’s say for example a policy with a maximum benefit amount of $300,000 of pooled benefits. You maximum daily benefit with this policy would be $300 that would last for 1,000 days if you spend the maximum daily amount on care. You can receive benefits for more than 1,000 days if your care costs less than the maximum daily amount of $300.
According to where benefits are paid Long Care Insurance Policies are divided into three broad categories - Home Care Only, Nursing Home and Residential Care Facility Only and Comprehensive. Home Care Only policies cover care in your own home or a community setting. It does not cover care in Assisted Living Facilities or Nursing Homes. It includes benefits for home health, adult day health care, hospice, respite care, personal care and homemaker services.
Assisted living care provided in nursing home or any place that provides assisted living care as long as this place is licensed as a Residential Care Facility for the Elderly (RCFE) is covered by Nursing Home and Residential Care Facility Only policies. Room and board in these facilities are not the only services covered by these kinds of policies. Expenses of all long term care services you receive in either of these facilities is covered by this policy up to the policy’s maximum daily benefit amount.
Care for patients with cognitive impairment (dementia) from Alzheimer is provided in small neighborhood homes also called board and care facilities, retirement homes and specialized community facilities which are part of the RCFE. This kind of policy provides for assisted living benefits equaling to at least 70% of the nursing home care benefit.
Expenses rising out of care in a nursing home, assisted living facility, home care and community care (adult day care) are covered by Comprehensive Long Term Care Insurance Policies. Before benefits can be paid LTC Comprehensive policies sold by different companies require different criteria to be met. When two activities of daily living (such as bathing, using the bathroom, dressing eating etc.) can not be performed or you have a cognitive condition that requires supervision, Comprehensive Long Term Care Insurance Policy will pay you the benefits. The criteria required for the benefits remain as described above whether care is provided in a nursing home, at your own home or in an assisted living facility.
Learn more about keyword #1. Stop by Maria Smith’s site where you can find out all about keyword #2 and what it can do for you.