This is the most straightforward method for purchasing protection against the devastating costs of extended health care, or long term care. In a certain sense, it will almost always give you the highest benefit limit for your dollars in long term care benefits. You might also find this option to be more affordable than you think. It is based on providing a set “cost per day” benefit, for a certain number of years. For example, $250 per day, for 36 months, or 3 years. Another key factor that affects you premiums is your choice of “elimination period.” Think of it like a time deductible. You can typically choose from 30 days to 120 days, and sometimes more. During this time, you are responsible for your costs. Once the elimination period is met, your benefit payments kick in. These plans pay based on what’s called a “reimbursement basis”, not in advance. In other words, even if your benefit limit adds up to $8000 per month, if your actual costs for care are $4700, that is what is reimbursed. Also, this means you may be required to pay the costs of care initially, and then will be sent reimbursement payment from the insurance company so your cost is zero. And
1 2017 U.S. Department of Health and Human Services 10/10/2017.
2 Genworth cost of care survey, 2017
don’t worry, many carriers now work directly with your care providers, whether in-home or in a facility, and provide direct payment to them rather than you having to come out of pocket on the cost and wait (with nervous trepidation) to get paid back.
The primary downside that people see in this product is, if they die without needing care, then the money spent on this insurance is “lost”. It has one purpose, and is purely protection, just like your auto insurance or home owner’s insurance. One more thing worth noting – premiums are not guaranteed. While uncommon, rates can change, usually going up. This unknown can also be unsettling. Is it still a worthwhile purchase? Absolutely. The bottom line is, you are still able to receive back in coverage for care dramatically more than the dollars you paid in premium, especially if you end up needing care only a few years into buying the policy.