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Rule 20:06:21:0F Disclosure Form. DEPARTMENT OF REVENUE AND REGULATION

 

 

 

 

 

 

 

 

 

 

 

 

 

DEPARTMENT OF LABOR AND REGULATION

 

DIVISION OF INSURANCE

 

 

 

 

DISCLOSURE FORM

 

THINGS YOU SHOULD KNOW BEFORE YOU BUY LONG-TERM CARE INSURANCE

 

 

Chapter 20:06:21

 

APPENDIX F

 

SEE: § 20:06:21:53.02

 

 

 

 

 

 

 

 

 

 

 

 

 

          Source: 28 SDR 157, effective May 19, 2002; 33 SDR 230, effective July 2, 2007.

 


Things You Should Know Before You Buy

Long-Term Care Insurance

 

Long-Term

•   A long-term care insurance policy may pay most of the costs for your care in

Care

    a nursing home. Many policies also pay for care at home or other community

Insurance

    settings. Since policies can vary in coverage, you should read this policy and

 

    make sure you understand what it covers before you buy it.

 

 

 

•   [You  should not buy this  insurance policy unless you can afford  to pay the

 

    premiums every year.] [Remember that the company can increase premiums

 

    in the future.]

 

 

 

•   The  personal  worksheet  includes  questions  designed to help  you  and the

 

    company determine whether this policy is suitable for your needs.

 

 

Medicare

•   Medicare does not pay for most long-term care.

 

 

Medicaid

•   Medicaid will generally pay for long-term care if you have very little income

 

    and  few  assets. You  probably  should  not buy this  policy if  you  are now

 

    eligible  for Medicaid.

 

 

 

•   Many  people  become eligible  for  Medicaid after  they have  used  up their

 

    own financial resources by paying for long-term care services.

 

 

 

•   When Medicaid pays your  spouse's nursing  home bills,  you  are allowed to

 

    keep your  house and furniture,  a living allowance,  and some  of  your joint

 

    assets.

 

 

 

•   Your  choice of long-term care  services may be limited  if you are receiving

 

    Medicaid.   To  learn  more  about  Medicaid,   contact  your  local  or  state

 

    Medicaid agency.

 

 

Shopper's

•   Make sure the insurance company or agent gives you a copy of a book called

Guide

    the National Association of Insurance Commissioners' "Shopper's Guide to

 

    Long-Term Care Insurance." Read it carefully. If you have decided to apply

 

    for long-term care insurance,  you have the right to return  the policy within

 

    30 days and get back any premium you have paid if you are dissatisfied for

 

    any reason or choose not to purchase the policy

 

 

Counseling

•   Free counseling and additional information about  long-term care  insurance

 

    are available  through  your state's  insurance  counseling  program.  Contact

 

    your  state  insurance  department or department on aging for more informa-

 

    tion about the senior health insurance counseling program in your state.

 

 

Facilities

•   Some long-term care insurance contracts provide for benefit payments in

 

    certain facilities only if they are licensed or certified, such as in assisted

 

    living centers. However, not all states regulate these facilities in the same

 

    way. Also, many people move to a different state from where they purchased

 

    their long-term care insurance policy. Read the policy carefully to determine

 

    what types of facilities qualify for benefit payments, and to determine that

 

    payment for a covered service will be made if you move to a state that has a

 

    different licensing scheme for facilities than the one in which you purchased

 

    the policy.

 

 


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