How does long term care insurance work and what does it cover?
I’m trying to understand how long-term care insurance actually works, especially when it comes to long term health care insurance and elderly care insurance. I live in the US and want to know what kind of daily care or services this insurance covers. Also, I’m curious about how buying long term care insurance helps with managing costs for things like nursing homes or in-home care. Can someone explain the basics and what to expect?
1 Answer
Hey! I have been looking into long term care insurance myself, so here is what I found that might help. Basically, long term care insurance is designed to cover costs when you need help with daily activities because of aging, illness, or disability. This could be things like bathing, dressing, eating, or even managing medications — all part of what they call activities of daily living (ADLs).
How it works:
- You pay monthly or annual premiums to keep your coverage active.
- When you can’t do at least two ADLs on your own or if you have cognitive issues like dementia, you become eligible to claim benefits.
- Most policies have an elimination period (30 to 90 days) where you pay out of pocket before insurance kicks in.
- After that, the insurance either reimburses your actual care costs or pays a set monthly benefit you can use however you want.
What it covers:
- Care at home (like hiring a nurse or caregiver)
- Assisted living or nursing home stays
- Adult daycare programs
- Sometimes even home modifications (ramps, grab bars)
If you’re thinking about buying long term care insurance, it’s smart to compare plans on platforms like Sun Life or RBC Insurance, especially if you want features like inflation protection or premium return options. Also, check if the plan covers both home care and facility care, since costs can vary a lot.
For people in the US, this kind of insurance is a great way to avoid draining savings on elderly care. It helps families focus on care, not just the bills
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