"what you do today will affect how you live tomorrow"

Things to Consider...


altWhen determining how much coverage you may need, here are some things to consider:

* What do you anticipate your cost will be for long-term care services? (I can show you the average cost of care in your area.)

* How much can you afford to contribute to the cost of your care

* How much will you need your policy to pay in benefits each month?

* How long do you think you will need long-term care services?

* How long can you wait until your policy begins paying benefits?


Medicare and Medi-Cal Benefit Limitations



Many people are surprised to learn that Medicare does not cover long-term nursing care. Medicare does not provide coverage for people who need to go into nursing homes indefinitely because they are disabled or can no longer take care of themselves. Medicare also does not cover assisted living or adult daycare.

Medicare also does not cover daily custodial care, such as assistance with eating, bathing and dressing.


Medi-Cal (California)

The California Medical Assistance Program is California's Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level. They may provide some long term care benefits for only the most impoverished individuals and qualifying for this limited availability is difficult at best. 

Basic Policy

The Basics of a LTC Policy

Maximum Lifetime Benefit – This is the initial maximum dollar amount payable over the life of the policy.

You may choose a maximum lifetime benefit of:

  • $75,000 to $500,000

Monthly Benefit – This is the initial maximum dollar amount your policy will pay each month.

You may choose a monthly benefit of:

  • $3,000 to $10,000 subject to Monthly benefit and Maximum lifetime benefit combinations

Calendar Day Elimination Period – Your policy has a waiting period before policy benefits begin.
The elimination period starts on the first day you are chronically ill and you receive a covered service.
Once the elimination period has been satisfied, benefits for covered services are paid to you each month,
up to the maximum monthly benefit you select.

Your options include:

  • 0, 30, 60, 90, 180 or 365 calendar days (I can help with understanding how Medicare may help with Elimination Period)