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December 23, 2009

Long-Term Care Insurance

It is a very important decision when you are face with the question of whether to buy long-term health insurance or not.  Although long-term health insurance can be very expensive and the majority of people have trouble affording it, the question is can you afford to pay privately out of your pocketbook for long-term health care in facilities?  The average costs of long-term health care services on a daily basis are around $275.00 to $350.00, which works out to about 0,000 to 5,000 dollars per annum.Estimates of a person resides in a nursing home today average to two years.

In New York, home health care is expensive as well with the average costs between $20.00 and $30.00 per hour ,depends where you live upstate or downstate.  Most people require about twenty hours each week of in home care; therefore, these expenses also add up quickly and can run around ,000 to ,000 for a year’s care.  Unfortunately, as we age the chances of needing this type of care is normal with most of us requiring it.  Most people will, at some stage, enter a nursing home during their lives.This is just a simple and unpleasant fact of life and aging.

Long-term care can consists of a lot of things but most of it involves chronic or disabling conditions that require constant care and supervision. Usually, long-term care means being cared for in a nursing home, having nursing care brought into your own home, but all of these care options involve assisted living in the form of helping the patient to dress, bath, eat, and take their medications properly.  Today, many services fall under the definition of long-term care such as nursing facilities, institutional care, home health care, personal care, respite or hospice care, and non-institutional assisted care living programs.

In New York State, nursing homes are licensed under the Public Health Law as nursing facilities that provide long-term care services for people as a different option to that of being placed in a nursing home.  This home health care option allows nursing services to be delivered directly to the patient’s home environment and can include home health aide services, occupational therapy, physical therapy, skilled nursing care, and speech therapy.

The usual care they provide consists of receiving organized nursing services such as personal hygiene, feeding,dressing,nutritional guidance and meal support, and other health related tasks to keep the patient at home with their care.

December 19, 2009

Long-Term Care Insurance (Part2

Filed under: Uncategorized — Tags: , , — @ 7:40 pm

Like all people, as you age, you begin to consider the important of looking after yourself and your loved ones as they ease into their golden years.Long-term care is expensive but that is what most of us mean.

Some of the things you should consider before deciding whether to buy long-term health insurance are:

  • Medicaid pays long-term care expenses, so check to see if you are eligible to receive Medicaid.
  • Will your financial burden be too much if you are required to pay long-term care insurance out of your pocket?Can you afford it?
  • How much can you afford to pay to have a long-term health insurance policy?Are you expecting you can have more benefits from what you can afford to pay?
  • If you are approaching retirement age, will your pension income be enough to cover the cost of the long-term health insurance premiums?
  • If you purchase a long-term health insurance policy when you are still young the premium usually is lower… something to think about?Always remember this that when you reach certain age , most insurers will not provide policies for long-term insurance.
  • Before you decide on purchasing a health care insurance you need to find out also what type of insurance policy best suit your personal needs and preferences.
  • If you do consider purchasing a long-term care policy, do not wait until you are unwell or have a physical or mental condition to do it, as the companies will evaluate your overall health before issuing you a policy.When you apply for a policy and you have already a condition it will be much more expensive.
  • You may take a look at your costs, in your area, but what if you require these services and you do not have a long-term health insurance policy yet who will cover your expenses.

As with all health insurance policies, you are always best to discuss it with a professional that has experience and can guide you in the right direction.There are so many reputable insurance companies in New York State with many representatives willing to assist you in understanding the language used in the policies offered.

December 18, 2009

Long-Term Care Insurance (Part3)

Filed under: Uncategorized — Tags: , , — @ 6:59 am

After many hours of asking yourself all the pertinent questions, looking into expenses, and on-going deliberation, you have find and reach the conclusion that it is time to purchase some long-term health insurance to ease you through your golden years, just in case you require some additional long-term nursing home or in home health care services. Luckily, in New York State, all individual policies for long-term coverage must have a renewable guarantee, which means you have the right to receive the coverage in your policy, without changes, provided you pay all your premiums when they are due.The health insurance company must obtain permission from the Insurance Department to make changes to a policy, unless it applies to all members in a group covered by a policy.

Long-term health insurance policies all have certain limits on benefits and some may excludes certain benefits completely; therefore, it is best to choose the policy that best suits your own personal needs.If you sign any policy be sure you understand what is the benefit limitation and exclusions are in that policy.If you do not understand the term used in a policy, ask a reputable health insurance agent to discuss it with you.

The most commonly excluded or limited benefits within a long-term health insurance policy include:

  • Maximum Policy Benefit
  • Waiting Period or Elimination
  • Policy Exclusions
  • Pre-existing Condition Limitation
  • Daily Benefit Amount

The New York State Insurance Department requires the optional benefits listed below must be offered at the time the policy is purchased.  Many policies today also include the following optional benefits, but at an increased price:

  • Inflation Protection Benefit
  • Reduced Paid Up Benefit
  • Non-forfeiture Benefit
  • Shortened Benefit Period

It is important to understand that Medicare doesn’t pay for most long-term care services; therefore, individuals shouldn’t rely on their Medicare to look after them if they require long term care services.Since medicare doesn’t pay for custodial care, but if it is required nursing services are covered on a limited basis.  In order to receive any care from Medicare you must:

  • Require daily nursing skills for your condition
  • Have been in the hospital for three consecutive days, not counting day of discharge
  • Be admitted within 30 days after a hospital visit
  • Receive same treatment in hospital that you are receiving nursing care for
  • Receive documentation by a medical professional that you require this skilled nursing.

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