Long term care insurance is designed to pay benefits should you require extended care as the result of an accident or illness. These benefits are not typically covered by general health insurance or Medicare.

Policies are designed to pay for many types of care in almost all care settings, including your own home.

Types of Care Covered

  • Informal Care
  • Homemaker / Companion Care
  • Custodial Care
  • Speech, Occupational, Respiratory Therapies
  • Intermediate Nursing
  • Skilled Nursing

Care Settings Covered

  • Home Health Care
  • Assisted Living Facility
  • Community Based Care
  • Adult Family Homes
  • Alternate Plan of Care Arrangements
  • Skilled Nursing Facility

Care Enhancement Benefits

  • Case Management
  • Caregiver Training
  • Durable Medical Equipment
  • Meals on Wheels
  • Medical Alert Systems
  • International Benefits 
  • Ambulance Benefits
  • Stay-at-Home Cash
  • Respite Care
  • Home Modifications

How Benefits Are Triggered

Benefits are payable after satisfying either of two standardized benefit triggers found in all Federally Tax-Qualified policies:

  1. Cognitive impairment
  2. Inability to perform at least 2 of 6 activities of daily living, or "ADL's" (eating, bathing, dressing, transferring, toileting, continence) 

Care must be expected to exceed 90-days as certified by a licensed healthcare professional.


This is a Deep Dive topic.

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