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APPENDIX
C - Things
You Should Know Before You Buy
Long-Term
Care Insurance.
Things You Should Know Before
You Buy
Long-Term Care Insurance
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Long-Term
Care
Insurance
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A long-term care insurance policy may pay most of the costs
for your care in a nursing home. Many policies also pay for care at
home or other community settings. Since policies can vary in
coverage, you should read this policy and make sure you understand
what it covers before you buy it.
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[You should not buy
this insurance policy unless you can afford to pay the premiums
every year.] [Remember that the company can increase premiums in the
future.]
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Drafting Note:
For single premium policies, delete this bullet; for noncancellable
policies, delete the second sentence only.
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The personal worksheet includes questions designed to help
you and the company determine whether this policy is suitable for
your needs.
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Medicare
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Medicare does not
pay for most long-term care. |
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Medicaid
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Medicaid will generally pay for long-term care if you have
very little income and few assets. You probably should not
buy this policy if you are now eligible for Medicaid.
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Many people become eligible for Medicaid after they have used
up their own financial resources by paying for long-term care
services.
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When Medicaid pays your spouse’s nursing home bills, you
are allowed to keep your house and furniture, a living allowance,
and some of your joint assets.
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Your choice of long-term care services may be limited if you
are receiving Medicaid. To learn more about Medicaid, contact your
local or state Medicaid agency.
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Shopper’s
Guide
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Make sure the insurance company or agent gives you a copy of
a book called the National Association of Insurance Commissioners’
“Shopper’s Guide to Long-Term Care Insurance.” Read it
carefully. If you have decided to apply for long-term care
insurance, you have the right to return the policy within 30 days
and get back any premium you have paid if you are dissatisfied for
any reason or choose not to purchase the policy.
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Counseling
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Free counseling and additional information about long-term
care insurance are available through your state’s insurance
counseling program. Contact your state insurance department or
department on aging for more information about the senior health
insurance counseling program in your state.
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