11 Critical Clauses of Long-Term Care Insurance
The good news is - we’re all living longer! The bad news is -
we’re all living longer! As the price of
everything goes up, so does growing
old. Fortunately we now have some financial tools
to help make the golden years
more comfortable emotionally, physically and financially. One possible solution
may be long-term care insurance (LTCI). But don’t jump on this premi
um
bandwagon until you understand what you’re committing to. Like most insurance,
we don’t really know how well it works until we really need it. Here is some of
the fine print to examine if you’re considering a long-term care insurance policy.
Long-term care is often considered an issue exclusively for elders. Not so. Anyone who needs ongoing care because they cannot independently perform the basic daily living activities such as dressing, bathing, or eating due to an injury, illness or even cognitive disorders may be a candidate for long-term care. Affording long-term care is something that concerns many of us and one way to deal with the unpredictable long-term care costs may be long-term care insurance (LTCI).
Hopefully you’ll live a long and prosperous life and health or money issues won’t cloud your golden years. But, if you want to be prepared, consider how to make long-term care insurance work to your advantage. Don’t count on Medicaid. It does cover a bit of your long-term care expenses but you’ve got to be dang near death or flat broke or a combination of the two to qualify. Then there’s your friendly neighborhood HMOs, Medicare, and Medigap but guess what. Right. They don’t help much either.
Here are three things you can do to get over your anxiety about this whole not-so-fun question of “How long will I live and can I afford it if I do?”
Eat your dang vegetables!
Your mother was right. They are good for you and they keep
you healthy. In other words, clean up your lifestyle a bit and add a few more
healthy years to your life.
Make a ton of money.
Yeah, yeah, yeah, your mother told you to start saving
early. If you did so and you’ve got some financial plans in place, good for
you. If not, it’s never too late to start with some basic planning and
investing. If you want to know how to catch up on starting late with financial
planning visit www.GuaranteeMyMoney.com
and listen to their free “Catch Up on Retirement” audio.
Buy some long-term care insurance.
We all hate paying those premiums but the right kind of
long-term care insurance can be a lifesaver when the going gets tough.
1. Elimination Complication
Or, in the insurance industry words, Elimination Period: This
is the period of time before your insurance policy will actually begin paying
out benefits. The typical options range between 20 and 100 days. This is also
referred to as a waiting period. Make sure and ask your agent to clarify what
your elimination period is and have him explain the cost/benefit considerations
of making it longer or shorter.
2. Time Crunch
Or, as the insurance industry puts it, Duration of Benefits:
The ceiling or limits placed on the benefits a policy holder will receive. This
may be limits such as a set amount of money or a time limit of two years, etc.
Again, compare these benefits to your other financial resources.
Or, as the insurance industry feeds it to you: Daily
Benefit: This is the amount of coverage you choose as your benefit on a daily
basis. This typically ranges from $50 to $350 per day. Another consideration
may be the cost of living in your specific locale. Health care in a small town
in Wisconsin may be less costly than downtown San Diego. Your agent should be
able to give you some guidance on this.
Or as our insurance friends call it, Optional Inflation Rider:
The term used to describe the method of protection against inflation.
5. Done-Got-That-Bug Before
Or, affectionately known as Pre-existing Conditions and
we-aint-gonna-cover-your-tail-for-that-one-for-a-while rule. The insurance
provider will require a waiting period (in some cases 6 or months or more)
before full coverage goes into effect on treatment for pre-existing conditions.
This varies from carrier to carrier.
Or, our insurance folks refer to this as Range of Care: In
other words, coverage may vary for different levels of care. Some care may be
at a skilled level, intermediate level, or a custodial level. The facility
itself has a range of care definition that your agent will explain. The nursing
home, assisted living facility, and/or at home care are all levels of care that
come with a different price tag. Ask for clarification on this.
7. Jacking Premiums
Or, better known as Premium Increases: Your policy will have
terms in it that explain if, how, and when your premiums will increase. Reality
check here. There is usually no “if” but there is almost always a “when.” Of
course your costs will go up, just make sure you know how much and if you have
any options when they do. Can you reduce the type of coverage you have if your
premiums increase or are you locked in? Ask your agent.
Or more commonly referred to as: Guaranteed Renewability: This
is a policy agreement in long-term care insurance policies that allows you to
renew it and maintain coverage even though you may have had changes in your
health.
9. Amazing Grace Period
Or, in less poetic terms, Grace Period for Late Payment: If
you slip up and you’re a little late on your payment, this is how much time the
company will allow before they do something nasty like cancel your policy. It
is highly advised that you don’t test just how graceful your insurance carrier
can be. They don’t always have the same sense of humor that this writer does.
This is a fun one for a change, Return of Premium: This is
the little clause that says you may get some of your money back if you haven’t
used your policy for a certain number of years. Remember, we did say “may get
some of your money back.”
Better known as Prior Hospitalization: This is the clause
that indicates whether or not you must stay in a hospital before you qualify
for long-term care insurance benefits.
There’s obviously a lot to know with this insurance game so do your homework long before you need it. Learn more of the specifics to long-term care insurance at the blog called www.GuaranteeYourMoneycom.
Make sure and check with a financial planner, attorney or accountant to get some guidance on this complicated topic. Not everyone needs or qualifies for long-term care insurance so ask a lot of questions and don’t forget to eat your dang vegetables!
Call 888-GRIP WORKS (888-474-7967) to learn more.
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