Private Insurance Plan for Seniors

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Questions and Answers

Which Long Term Care insurance statement is true? (Select all that apply)

  • Benefits are usually payable for alcohol rehabilitation
  • Inflation protection is usually not offered
  • Can only be offered to individuals under the age of 70
  • Pre-existing conditions must be covered after the coverage has been in force for six months (correct)

What does the guarantee of insurability option provide a long-term care policy owner?

the ability to buy additional coverage at a later date

If a retiree on Medicare required five hospital stays in one year, which policy would provide the best insurance for excess hospital expenses?

Medicare Supplement

What amount of covered Long-Term Care expenses does a 'reimbursement policy' pay?

<p>actual covered expenses up to the daily maximum</p> Signup and view all the answers

Which of the following will a Long Term Care plan typically provide benefits for? (Select all that apply)

<p>home health care (C)</p> Signup and view all the answers

How long is the typical free look period for Long Term care insurance policies?

<p>30 days</p> Signup and view all the answers

Long Term Care policies will usually pay for eligible benefits using which of the following methods?

<p>expense incurred</p> Signup and view all the answers

What is Medicare Part C?

<p>available to those who are enrolled in Medicare Part A and Part B</p> Signup and view all the answers

Medicare Part B does NOT cover which of the following?

<p>inpatient hospital services (A)</p> Signup and view all the answers

Qualified Long-Term Care policies may take into consideration an applicant's pre-existing conditions for a maximum of not more than __ month(s) prior to the effective date of coverage.

<p>6</p> Signup and view all the answers

Which of the following types of care is typically not covered in a Long-Term Care policy?

<p>acupuncture</p> Signup and view all the answers

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Study Notes

Long-Term Care Insurance Overview

  • Pre-existing conditions are covered after a six-month waiting period if they were treated or advised within this timeframe.
  • The guarantee of insurability allows policyholders to buy additional coverage later without providing evidence of insurability.
  • Best option for retirees on Medicare requiring multiple hospital stays is a Medicare Supplement policy.

Policy Types and Coverage

  • Reimbursement policies pay actual covered long-term care expenses up to a specified daily maximum.
  • Long-term care plans typically provide benefits for home health care services.
  • The typical free look period for long-term care insurance policies is 30 days.

Payment Methods and Eligibility

  • Long-term care policies generally reimburse based on the expense incurred method.
  • Medicare Part C (Medicare Advantage) is available to individuals enrolled in both Medicare Part A and Part B.

Medicare Coverage Details

  • Medicare Part B does not cover inpatient hospital services; it mainly covers physician services and outpatient care.
  • Qualified long-term care policies can only consider pre-existing conditions for a maximum of six months prior to the policy's effective date.

Exclusions in Long-Term Care Policies

  • Acupuncture is typically not covered under long-term care insurance policies.

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