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Long Term Care Insurance Checklist

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The first column in this checklist has been completed to illustrate how the daily benefits, the day benefits begin, elimination periods, benefits periods, maximum benefit period (all confinements), waiting periods for preexisting conditions and the policy cost should be set forth for a long-term care policy offered by a fictitious insurer, the ABC Insurance Company.

The 2 additional columns can be used to compare long-term care policies presented to you by insurance companies or their representatives.

Remember, the illustrated values for the ABC Insurance Company merely demonstrate how the checklist should be completed.  The values illustrated do not represent the recommendations of the Georgia Insurance Department.  Each applicant for long-term care must determine his own needs and ability to purchase the benefits selected.

Individual Long-Term Care Insurance Checklist
ABC Company
       
Skilled and Intermediate Care Facilities A. B. C.
Elimination Period (Number of Days) 20    
Day Benefits Begin 21st    
Daily Benefit - Skilled Care $60    
Daily Benefit - Intermediate Care $50    
Benefit Period - Each Confinement 3 years    
Maximum Benefit Period - All Confinements Unlim.    
Prior Hospitalization Required for Skilled Nursing Care Only Yes    

If "Yes", Requirements:

a.  Hospital Stay - at least 3 days; and
b.  Skilled Nursing Confinement begins not less than 30 days following hospital discharge

     
 
Custodial Care Facilities      
Elimination Period (Number of Days) 30    
Day Benefits Begin 31st    
Daily Benefit $40    
Benefit Period - Each Confinement 2 years    
Maximum Benefit Period - All Confinements 2 years    
 
Home Health Care      
Elimination Period (Number of Days) 50    
Day Benefits Begin 51st    
Daily Benefit $40    
Benefit Period - Each Confinement 2 years    
Maximum Benefit Period - All Confinements 2 years    
 
Preexisting Conditions      
Waiting Period - Not to Exceed 6months 6 months    
 
Cost of Policy      
Monthly Premium Based on health and age    
Membership Fee    
 
Total Cost $ $ $

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