Protect your Future with Long-Term Care Insurance

Secure your retirement and safeguard your family’s future with the right coverage.

Long Term Care Insurance

What is Long-term Care Insurance?

Long-term care is the assistance people need when they can no longer perform basic activities of daily living, such as eating, bathing, dressing or taking medications. A long-term care insurance policy is designed to help you pay for assistance with these types of activities. Long-term care needs typically arise as part of the normal aging process but can also be due to injury or illness, such as stroke or cognitive impairment like Alzheimer’s disease.

icon long-term care insurance

Importance of Long-Term Care Insurance

It's essential to plan for long-term care as part of your overall financial and retirement planning, as the costs associated with long-term care can be substantial. Learn about the coverage it offers, who can benefit from it, and how it can safeguard your future.

Customize Insurance Coverage

Customizing Your Coverage

Discover how you can tailor your long-term care insurance to match your unique needs. We'll explain the customization options available, including benefit amounts, coverage duration, inflation protection, and additional riders. Make sure your policy aligns perfectly with your long-term care goals.

icon insurance claims process

The Claims Process Made Easy

Navigating the claims process for long-term care insurance doesn't have to be daunting. In this section, we walk you through the steps involved in filing a claim and receiving the benefits you deserve. Find out how MRS Insurance can support you every step of the way.

Insurance Plan Options

Navigating Long-Term Care Options

Understanding your long-term care options is essential. We can help break down the various types of long-term care, including in-home care, assisted living, nursing homes, and more. We'll help you make informed choices about the type of care that suits your needs and preferences.

Who Needs Long-Term Care Insurance?

Happy Family
The U.S. Department of Health and Human Services estimated that about 70% of people who reach age 65 will require some form of long-term care services in their lifetime.

If you prefer to live in your home for as long as possible and you want to help protect your retirement savings, you may benefit from a long-term care insurance policy. Typically, Medicare doesn’t fully cover assisted care expenses, including custodial care, which is provided in nursing homes, assisted living facilities or at home. Coverage for these types of health expenses helps you maintain control of where you will receive care and helps protect your life’s savings. Long-term care expenses can pose a significant financial challenge in retirement. Covering these costs out of pocket typically demands substantial financial resources, and Medicare often falls short in providing comprehensive coverage. This is why many retirees find long-term care insurance to be a sensible and practical solution


Top 10 Questions on Long Term Care Insurance

The duration of coverage for long-term care insurance policies can vary based on the policy you choose. Generally, long-term care insurance policies offer coverage for a specified number of years, and common options include 2 years, 3 years, 5 years, or even unlimited coverage.

For example, with a 2-Year Coverage policy, you have coverage for up to 2 years of long-term care expenses. A 3-Year policy would cover you for 3 years, while a 5-Year policy extends coverage to 5 years. 

Some policies even offer unlimited coverage, which means they’ll pay for eligible expenses without a time limit as long as you need long-term care.”

Yes, long-term care insurance policies often include exclusions and limitations.

These are conditions or circumstances under which the policy may not provide coverage or may restrict the benefits. It’s crucial to thoroughly review the policy documents and discuss these exclusions and limitations with your insurance provider or agent.

Here are some common exclusions and limitations:

Pre-Existing Conditions: Many policies have a waiting or exclusion period for pre-existing conditions. This means that if you have a health condition when you purchase the policy, you may need to wait for a specified period before that condition is covered. Some policies may exclude certain pre-existing conditions altogether.

Mental and Nervous Disorders: Some policies may limit or exclude coverage for mental and nervous disorders, such as Alzheimer’s disease or dementia, or impose specific conditions for coverage.

Self-Inflicted Injuries: Injuries or conditions resulting from self-inflicted harm or substance abuse may be excluded.

Injuries from War or Military Service: Some policies may not cover injuries or conditions related to active military service or war.

Care Received Outside the U.S.: Coverage may not extend to long-term care services received outside the United States.

Family Care: Most policies do not pay family members for providing care, although they may cover professional in-home care providers.

Facility Limitations: Some policies may have limitations on the types of long-term care facilities covered, such as assisted living, nursing homes, or home care.

Benefit Limits: As mentioned previously, policies have daily or monthly benefit limits and a maximum lifetime benefit. You should be aware of these limits, as they determine the extent of coverage.

Failure to Pay Premiums: If you fail to pay your premiums, your policy may lapse, resulting in a loss of coverage.

Exclusions and limitations can vary significantly from one policy to another, so it’s essential to read your policy documents carefully and ask questions to understand what is and isn’t covered. This will help you make informed decisions regarding your long-term care insurance.

If you have a long-term care insurance policy and you do not use the benefits, several scenarios can occur:

No Refund of Premiums: In most cases, if you do not use the benefits of your long-term care insurance, you will not receive a refund of the premiums you paid. Long-term care insurance operates similarly to other types of insurance, such as auto or home insurance, where premiums are paid to provide coverage in case you need it. If you remain in good health and do not require long-term care, the premiums you paid are used to fund the coverage for those who do need it.

Peace of Mind: While you may not directly benefit from the policy in terms of receiving care, having long-term care insurance can provide peace of mind for you and your family. It ensures that if you ever require long-term care services in the future, you have financial support to help cover the expenses.

Passing Down Benefits: Some long-term care insurance policies offer a feature that allows any unused benefits to be passed down to beneficiaries upon the policyholder’s death. This means that the coverage may benefit your heirs, even if you didn’t use it during your lifetime.

Reduced Financial Burden: By having long-term care insurance in place, you reduce the potential financial burden on your family in case you do need long-term care. The policy can help protect your savings and assets.

It’s important to remember that long-term care insurance is a form of risk management, just like other types of insurance. While you hope not to need it, it’s in place to provide financial protection and support when you do. Additionally, having long-term care insurance can help you avoid depleting your assets to cover the costs of care, which can have a significant impact on your financial security and legacy.

The claims process for long-term care insurance typically involves several steps, and it’s important to follow the procedure outlined in your policy.

Here’s a general overview of how the claims process works:

Eligibility Assessment: When you or your designated caregiver believe that you need long-term care services, you should contact your insurance company to start the claims process. The insurer will provide guidance on what is required to initiate a claim.

Documentation: You will need to provide documentation to support your claim. This may include a physician’s assessment and a plan of care that outlines the specific services you require.

Review and Approval: The insurance company will review the submitted documentation to determine whether your condition and care needs meet the policy’s criteria for coverage. This may involve a review by a medical professional employed by the insurance company.

Benefit Determination: Once your claim is approved, the insurance company will determine the amount of benefits you are eligible to receive based on the terms of your policy, including daily or monthly benefit limits and any waiting periods (elimination periods).

Payment: The insurance company will begin disbursing payments directly to you or, in some cases, to the long-term care provider, depending on the policy terms.

Ongoing Review: Long-term care insurance policies often require periodic reviews of your condition and care needs to continue receiving benefits. You may need to provide updated documentation as part of this process.

Claims Assistance: Many insurance companies offer assistance services to help policyholders navigate the claims process and access the appropriate care services.

It’s crucial to read your policy documents carefully to understand the specific requirements, waiting periods, and coverage details. Be sure to keep thorough records of all communications and documentation related to your claim. If you encounter any challenges during the claims process, you can reach out to your insurance agent or the insurance company’s customer service for assistance.

The process may vary slightly depending on your insurance provider and the terms of your policy, so always refer to the policy for precise guidance.

Yes, many long-term care insurance policies offer flexibility for customization. You can often tailor your policy to match your specific needs and budget. Features like benefit amounts, coverage duration, inflation protection, and additional riders allow you to create a policy that suits your requirements. MRS Insurance is here to help you navigate the customization process, ensuring you get the right coverage for your unique circumstances. Our experienced agents can guide you in selecting the options that best align with your long-term care goals and financial considerations.

Long-term care insurance typically covers a range of services and expenses associated with extended healthcare needs. This can include coverage for services like nursing home care, assisted living, in-home care, adult day care, and rehabilitation services. The specific coverage can vary based on your policy, so it’s essential to review the details of your plan to understand the services and benefits it provides. Long-term care insurance is designed to help you pay for the costs of care and support when you are unable to perform everyday activities on your own due to illness, disability, or age-related conditions.

The cost of long-term care insurance can vary significantly based on several factors, including your age, health, the amount of coverage you choose, and the specific features of the policy. 

Here are some key factors that can influence the cost:

Age: Generally, the younger you are when you purchase a policy, the lower your premiums will be.

Health: Your current health and medical history can impact the cost. Individuals in good health typically pay lower premiums.

Amount of Coverage: The more comprehensive the coverage and the higher the benefit amount, the higher the premiums.

Elimination Period: This is the waiting period before your coverage kicks in. Longer elimination periods can lead to lower premiums.

Inflation Protection: Choosing inflation protection can increase your premiums but helps ensure your coverage keeps pace with rising healthcare costs.

Provider and Location: Costs can also vary based on the insurance provider and your location.

To get an accurate estimate of the cost for your specific needs and circumstances, we can provide quotes from multiple insurance providers for you to compare the cost and amount of coverage.  We can help you find a policy that fits your budget and provides the coverage you need.

Yes, many long-term care insurance policies include a waiting period, which is often referred to as an “elimination period.”

During this period, you are responsible for covering your own long-term care expenses before your insurance benefits become available. The elimination period is a set number of days, typically ranging from 30 to 90 days, although longer periods are also available.

Here’s how it works:

Let’s say you have a long-term care insurance policy with a 60-day elimination period.

If you require long-term care services, you will need to pay for those services out of your pocket for the first 60 days.

After the elimination period is satisfied, the insurance benefits become available, and the policy starts covering eligible long-term care expenses.

Keep in mind that the length of the elimination period can affect your premium cost. A longer elimination period usually leads to lower premiums because it means you’ll be responsible for covering a larger portion of the expenses upfront. When choosing a policy, you should consider your financial resources and how long you can comfortably cover the costs during the elimination period.

Yes, inflation protection is often available as an optional feature when purchasing long-term care insurance.

This feature is designed to help your policy benefits keep pace with rising healthcare costs over time. Without inflation protection, the coverage amount you purchase today may not be sufficient to cover the same level of care in the future due to the impact of inflation on the cost of healthcare services.

There are generally two types of inflation protection options:

Simple Inflation Protection: With this option, your coverage amount increases at a fixed rate each year. Common options are 3% or 5% annual increases.

Compound Inflation Protection: This option increases your coverage amount each year by a percentage based on the previous year’s benefit amount. It provides compounding growth, which can offer more significant protection against rising costs over time.

Inflation protection can be an important consideration when purchasing long-term care insurance, as it ensures that your policy remains relevant and provides adequate coverage in the future. However, it’s important to note that policies with inflation protection typically come with higher premiums than those without this feature. Be sure to carefully evaluate your long-term care needs, budget, and the long-term care landscape when deciding whether to include inflation protection in your policy.

The policy limits and maximum benefits in a long-term care insurance policy refer to the maximum amount the insurance company will pay for covered long-term care expenses. These limits are an important factor to consider when selecting a policy, as they determine the extent of your coverage. 

Here are the main types of policy limits and maximum benefits you should be aware of:

Daily or Monthly Benefit Limit: This specifies the maximum amount the policy will pay per day or per month for your long-term care expenses. 

Lifetime Maximum Benefit: Some policies have a maximum lifetime benefit, which is the total amount the policy will pay over the life of the policy. Once you reach this maximum, the policy will no longer cover expenses, even if you haven’t used the entire daily or monthly benefit limit.

Policy Duration: The policy duration refers to the number of years your policy will cover long-term care expenses. Common options are 2 years, 3 years, 5 years, or even unlimited coverage. It’s essential to consider how long you want the coverage to last based on your needs and budget.

Maximum Benefit Amount: This is the total amount the policy will pay for all covered expenses, combining daily or monthly limits over the policy’s duration. 

The specific limits and maximum benefits can vary from one policy to another, so it’s crucial to carefully review the details of any policy you’re considering. Your choice of limits will impact the policy’s cost, so you should balance your coverage needs with your budget when making a decision.

Scroll to Top