Long-Term Care Insurance: The Basics

Many families worry about how they will pay for the costs of care for their senior loved ones

After a health crisis, anyone may find they need long-term care. But since seniors especially are at a higher risk for debilitating medical conditions, they are more likely to need it. Long-term care insurance (LTCi) is a valuable tool to finance long-term care and protecting a family’s assets. The first question to ask yourself or an elderly loved one: “Do you have a long-term care insurance policy?”

Without LTCi, long-term care costs are paid using either Medicaid (if as a senior you qualify for it) or out-of-pocket savings (if a family can afford it). Middle-class families often fall into a limbo between having too much wealth to qualify for Medicaid or Medicare and too little to afford long-term health care on their own. Long-term care insurance is meant to be a solution for them.

Long-Term Care: What is Covered?

Long-term home care provides assistance with activities of daily living, or ADLs. These include bathing, dressing, meal preparation, medication reminders, housekeeping, shopping, toileting and other non-medical assistance. Forecasts indicate that over 70% of people over the age of 65 will need long-term care service at some point in their lifetime. According to the American Association for Long-Term Care Insurance, 30%, or 1.5 million people of the older population already have substantial long-term care needs. Unfortunately, when seniors are ready to benefit from their LTCi investment, many have difficulty filing their claims and can end up spending months or even years trying to convince their insurers to approve it. This is where Amada comes in to make a difference.

If you are a senior or an adult daughter or son trying to navigate long-term care policy for an aging parent, please know that you are not alone. Amada Senior Care is the one-stop-shop for long-term care insurance claims management and advocacy. We help policyholders understand and verify their long-term care insurance benefits. As your dedicated advocate, our senior care advisors will guide you through the process of reviewing and filing a claim so that you can start receiving your care benefits as soon as possible. Our advocates will:

  • Identify and analyze the requirements of your policy, including elimination periods, daily maximum, lifetime benefits, and coverage.
  • Assist policyholders in completing the necessary forms to file a claim.
  • Bill the LTCi carrier directly at the policyholder‘s request.

Making the Long-Term Care Insurance Claims Process Easier

Amada Senior Care has established relationships with multiple LTCi insurance companies and third-party administrators to make the claims process easier. We will not only assist you or your loved one with the details of your policy but also coordinate and deliver care—providing our clients and their families the peace of mind that their care needs will be met and they can focus on enjoying quality time together. 

We’re ready, willing and able to sit down with seniors and their family members before the filing of a long-term health insurance claim to make sure all involved understand the policy and either utilize the benefit to recover from an ailment or preserve the policy so that the senior has the ability to age in place. Our policy review is always a free service so do not hesitate to reach out to us for assistance.

Long Term Care Insurance Savings- Amada Senior Care

Making the LTCi investment before a senior’s health changes or emergencies occur will give families more options when the time comes for finding quality care for a loved one.

LTCi policies can be difficult to navigate, which is why the help of an Amada Senior Care professional can be crucial to getting the most out of your benefits.Are you ready to learn more?  File a claim today with the help of an Amada Representative.