WAITING PERIOD
Several choices. Also known as the Elimination Period; it is like a deductible, but expressed as the amount of time that
your expenses are out-of-pocket before benefits begin to kick in. There are many variations, but most commonly
chosen is 90 days. There is a new popular variation that waives this waiting period for home care, and only applies it to
a facility. It is especially popular because home care days that are covered right away are also counted towards
satisfying the facility requirement.
BENEFIT PERIOD
This is usually the minimum time benefits will last.
If you don't use up the entire pot of money during this time, your benefits will continue on. (examples-2, 3, 4, 5, years,
Unlimited Lifetime)
BENEFIT AMOUNT & PAID DAILY OR MONTHLY
Choose
the benefit amount in dollars, either on a monthly or daily basis. Similar examples would be $200 per day, or $6,000
per month.
BENEFIT PAID OUT METHOD- REIMBURSEMENT OR INDEMNITY
Choose to have only your exact expenses reimbursed back to you, or a set amount of predetermined cash paid regardless
of how much you spend for care. See the web page for the "Rookies Guide" for an explanation on the reasons
people may choose the indemnity option.
INFLATION PROTECTION
An
option to allow you to keep up with inflation on Long-Term Care costs. Common choices are: 5% Compound, 5%
Simple, 3% Compound, and either Future or Guaranteed Purchase Option. The last option allows you to catch up on inflation
periodically, but it is not added on automatically. However, those "catchups" are priced at your new age, which
can become quite expensive. The Inflation choice is usually influenced by age, with virtually all those under age 60
going with 5% compound. For the under-age 60 group, attempts to lower premiums costs are usually best done
by lowering the benefit amount or benefit period, instead of a lower grade of inflation. Younger people can fall too
far behind rising care costs over the long haul if the inflation option doesn't keep up.
HOME HEALTH CARE
Usually allows for choice of how much the insurance
pays for Home Health Care services in relation to Facilty Benefit chosen. Example is 75% of Facility Benefit, so a $200
per day facility benefit would only pay $150 for home care. Most people are simply keeping the home care figure the
same as the facility benefit. There is a new trend to offer even more for home care than the nursing home amount,
so people can afford to stay home longer. For example, 150% home care would mean that if the plan has $200 per day for
a facility, then it would cover $300 per day for home care.
GUARANTEED RENEWABLE
In virtually all policies. Insurance cannot
be canceled as long as premiums are paid, regardless of health.
COMPANY FINANCIAL STRENGTH
Very Important- Long Term Care costs are very high. The insurance company should have enough assets to cover
the cost of claims. Look up company's rating and their underwriting criteria, to see if they take on a lot of risk.