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Long-Term Care Insurance for Peace of Mind

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Spotlight on: Long-Term Care Insurance

Long-term care insurance helps to cover the cost of care and living assistance when someone can no longer manage daily tasks independently due to aging, illness or injury. This coverage can offer financial relief and help to protect retirement savings from being depleted by out-of-pocket care expenses.

Policies are designed to begin paying benefits after a qualifying health event – usually when the policyholder is unable to perform two or more of the six Activities of Daily Living or experiences a severe cognitive impairment that lasts 90 days or longer.

Talk to a long-term care specialist who wants to listen.

Find out more about what long-term care coverage from Higginbotham can do for you.

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Qualifying for Long-Term Care

If a long-term care insurance policyholder is unable to perform two or more of the Activities of Daily Living or suffers a severe cognitive impairment for 90 days or more, their long-term care policy can start paying a daily benefit as soon as the waiting period has been met.

To qualify for benefits under most long-term care insurance policies, a health care provider with a license in the policyholder’s state must certify that the insured cannot perform at least two of the following Activities of Daily Living (ADLs):

  • Eating: The ability to feed oneself

  • Bathing: The ability to get in and out of a bath or shower and to wash properly

  • Getting Dressed: The ability to put on and take off clothing, including medical devices

  • Toileting: The ability to get to and from the toilet and to manage personal hygiene

  • Transferring: The ability to move in and out of a bed, chair or wheelchair

  • Continence: The ability to control bladder and bowel functions

Severe cognitive impairments such as those caused by stroke, traumatic brain injury, Alzheimer’s disease, Parkinson’s disease or advanced dementia may also trigger benefits.

What Long-Term Care Insurance Covers

Long-term care insurance covers long-term care services in a facility like a nursing home or assisted living center after a qualifying event.

After certification from a licensed health care provider and approval, the insured becomes eligible for cost reimbursement for the cost of care and living expenses as outlined in the plan of care designed by their primary care physician or doctor. Most policies offer benefit periods ranging from two to five years.

A long-term care policy can help to pay for services needed to support daily living activities in a variety of settings. Depending on the policy terms, these may include:

  • In-Home Care

  • Nursing Home Care
  • Assisted Living Facilities
  • Adult Day Care Centers
  • Hospice Care

What It Doesn’t Cover

While long-term care insurance can provide broad coverage, there are often exclusions, making it essential to review your policy with your insurance advisor. Common exclusions include:

  • Short-term rehabilitation services

  • Care provided by family members without professional credentials

  • Pre-existing conditions that were not disclosed at the time of application

  • Care required due to self-inflicted injuries or substance use

The Higginbotham Difference

A more personal and less institutional approach. That’s what we offer our clients. By making policies personal, we help you worry less and accomplish more.

Whether you’re an individual seeking peace of mind or an employer interested in providing long-term care coverage to your employees, we’ll advocate in your best interest. First, we’ll understand your specific needs. Then we’ll get you the most competitive prices today and use our Day Two Services® to deliver value for hundreds of tomorrows.

Learn more about how our values-based approach drives value for our clients.

How is the cost of a long-term care policy determined?

At Higginbotham, we believe each client deserves a unique policy tailored to their specific needs and budget. Therefore, it’s important to have a conversation about these factors in order to provide you with a customized quote for your own long-term care insurance policy.

The cost of a long-term care policy depends on a few factors, including:

Age

Gender

Marital Status

Medical History

Current Medical Condition

Amount of Coverage Needed

Not sure where to start? Talk to someone who wants to listen.

Whether you are an individual looking to better protect your health in retirement or an employer shopping for voluntary benefits, you can have the peace of mind knowing we’ll provide you with the right coverage at the best possible price.

Request a Personalized Quote

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