Help with Long-Term Care Insurance

This page is part of a series in our comprehensive guide to home care. To access our guide to home care, click here.

Long Term Care Insurance 101: What You Need to Know

Many families worry about how they will pay for the costs of care for their senior loved ones. If a senior’s needs are non-medical, options like health insurance, Medicare, or Medicaid will not cover the costs of senior care. Investing in a long-term care insurance policy is one of the best ways to financially prepare for long-term care costs, and it can be a great way to give families peace of mind as their senior loved ones age.

Long-term care insurance policies are designed to reimburse their policyholders a daily benefit amount for services to assist them with activities of daily living (ADLs). Long-term care benefits help keep the financial burden off of family members when their loved ones have chronic illness, or are aging in good health, but simply need additional care and attention on a daily or weekly basis.

Not only does LTC cover in-home care through home care providers, it also covers other long-term care services like assisted living facilities, skilled nursing home care and memory care communities. Some of the key components to consider when purchasing an LTC policy are the benefit amount (also known as the amount of coverage), the benefit period and the elimination period.

Long-term care insurance premiums vary, but so do the costs of long-term care. Making the long-term care coverage investment before a senior’s health changes or emergencies occur will give families more options when the time comes for funding quality care for a loved one. Long-term care insurance policies can be difficult to navigate, which is why the help of an Amada Senior Care professional can be crucial to getting the most out of your benefits.

Check out the video below to find out how having long-term care insurance coverage helped this Amada client.

Long-Term Care Insurance: The Basics

Many families worry about how they will pay for the costs of care for their senior loved ones.

When our loved ones are in good health, we do not often think about their potential needs for long-term care insurance. After a health crisis, anyone may find they need long-term care. Seniors are at a higher risk for debilitating medical conditions, so they are more likely to need long-term care coverage. When considering long-term care insurance costs, it is also important to consider the cost of not having LTC insurance.

Long-term care insurance (LTCi) is a valuable tool to finance long-term care and protecting a family’s assets.

The first question to ask yourself or an elderly loved one: “Do you have a long-term care insurance policy?”

Without LTCi, long-term care costs are paid using either Medicaid (if as a senior you qualify for it) or out-of-pocket savings (if a family can afford it). Middle-class families often fall into a limbo between having too much wealth to qualify for Medicaid or Medicare and too little to afford long-term health care on their own. Long-term care insurance is meant to be a solution for them.

Long-Term Care: What is Covered?

Long-term home care provides assistance with the cost of an assisted living facility or at home, it can provide help with activities of daily living, or ADLs. These include personal care activities such as bathing, dressing, meal preparation, medication reminders, housekeeping, shopping, toileting and other non-medical assistance. Forecasts indicate that over 70% of people over the age of 65 will need long-term care service at some point in their lifetime. According to the American Association for Long-Term Care Insurance, 30%, or 1.5 million people of the older population already have substantial long-term care needs. Unfortunately, when seniors are ready to benefit from their LTCi investment, many have difficulty filing their claims and can end up with a long waiting period. They may spend months or an even longer period of time trying to convince their insurers to approve it. This is where Amada comes in to make a difference.

If you are a senior or an adult daughter or son trying to navigate long-term care policy for an aging parent, please know that you are not alone. Amada Senior Care is the one-stop-shop for long-term care insurance claims management and advocacy. We help policyholders understand and verify their long-term care insurance benefits. As your dedicated advocate, our senior care advisors will guide you through the process of reviewing and filing a claim so that you can start receiving your long-term care benefits as soon as possible. Our advocates will:

  • Identify and analyze the requirements of your policy, including elimination periods, maximum daily benefit, lifetime benefits, and coverage.
  • Assist policyholders in completing the necessary forms to file a claim for long-term care expenses.
  • Bill the LTCi carrier directly at the policyholder‘s request.

Making the Long-Term Care Insurance Claims Process Easier

Amada Senior Care has established relationships with multiple LTCi insurance companies and third-party administrators to make the claims process easier. We will not only assist you or your loved one with the details of your policy but also coordinate and deliver care—providing our clients and their families the peace of mind that their care needs will be met and they can focus on enjoying quality time together.

We’re ready, willing and able to sit down with seniors and their family members before the filing of a long-term health insurance claim to make sure all involved understand the amount of coverage in their policy and either utilize the benefit to recover from an ailment or preserve the policy so that the senior has the ability to age in place. Our policy review is always a free service so do not hesitate to reach out to us for assistance.

Need help navigating the LTC process? Amada can help. Our LTC Concierge service can help you communicate with your insurance company to find out how to activate your long-term care coverage benefits. We can help you ensure that you are receiving the maximum monthly benefit to cover the costs of your long-term care needs.

Long Term Care Insurance Savings- Amada Senior Care

Making the LTCi investment before a senior develops health conditions or medical care becomes necessary will give families more options when the time comes for finding quality care for a loved one.

LTCi policies can be difficult to navigate, which is why the help of an Amada Senior Care professional can be crucial to getting the most out of your benefits. Are you ready to learn more?  File a claim today with the help of an Amada senior advisor.

Filing an LTCi claim can be challenging and cumbersome—even intimidating, as companies may not make it easy for you to obtain the benefits to which you are entitled. Most home care companies leave claims filing and reimbursement paperwork to the policyholder, but handling this chore can be incredibly daunting. To correctly file a claim, a person needs to understand what an elimination period is, what their maximum daily benefit is, whether or not they have an inflation rider (or inflation protection) or what a waiver of premium is. This is something an expert Amada Senior Care advisor does for you. We also know how confusing terminology can be, providing our own LTCi glossary of terms to help you understand the process