LTC 101:  Can My Parents Get Long-term Care Coverage?

LTC 101: Can My Parents Get Long-term Care Coverage?

That is one of our most frequently asked questions. The short answer is - possibly.

Before the question can be answered we need to drill into your parent’s specific situation. We will ask some questions to determine some factors that influence the final answer. Eventually, your parents will need to be directly involved in answering these questions.

  1. Do you understand what services are paid for under long-term care coverage?
  2. Does one or both of your parents currently require substantial assistance with two or more of the six Activities of Daily Living (called ADLs which are eating, bathing, dressing, continence, transferring, and toileting)?
  3. Does one or both of your parents need assistance to protect him-or-herself and/or others because of a mental deterioration (such as Alzheimer’s Disease)?
  4. What medical conditions are present and what medications are currently being administered?
  5. What surgeries or hospital stays have occurred in the past 5 years (brief details and diagnosis for each)?
  6. What are the ages of the parents?

The answers to these six questions will determine if coverage is possible. If your parents are not approvable for coverage we will let you know. In some cases the insurance company may have further questions.

Assuming that we get a green light, next come the design of the coverage and the preparation of a quotation.

There are lots of options in this stage, which means more questions. Among them are:

  1. Where do the parents want to receive long-term care (at home, in a facility, day care, etc.)? It is common that this care starts at home and eventually moves to a facility when a high level of services is needed.
  2. What are the financial constraints? Consumer protection regulations require the collection of financial information so that we can insure that this coverage is “suitable.” Financial information is submitted as part of the coverage application.
  3. Are their special requests or requirements that need to be considered? This may include considerations such as insuring that a specific facility or luxury level is planned for.

At this point we have enough information to provide an initial quotation. This quotation may change with the details of the plan that change as a result further discussion and clarification.

Once the coverage is settled and the quotation is approved, the detailed application is prepared and submitted to the insurance company for underwriting. The length of the approval process depends on the details of the medical history. It can take as much as thirty days to get the final approval. The time required depends on the completeness of the application and how fast medical service providers respond to the underwriter’s requests.

While somewhat lengthy, working through the details will insure that you and your parents get the coverage you need at a cost that is appropriate.

The last question: How about your long-term care coverage? Buying it earlier in life is less expensive and, chances are, disqualifying medical issues are less likely. There are policies available that guarantee your premium will not increase.
Call us for more details. There is never a charge for consultation.

C. Lawrence “Larry” Thomas

C. Lawrence “Larry” Thomas began working with long-term care and Medicare programs in the mid- 1980s. He is currently associated with Insurance 101 Services to provide long- term care solutions to seniors and those approaching. Larry can be reached at (949) 374-3316 or ltinsurance@me.com.
CA Insurance License # 0C79256.

Latest News

Isolate Pure CBD

Health & Wellness Sorbet Mag

Isolate  Pure CBD

Bringing a Different Kind of CBD Company to Consumers An exciting new CBD company has emerged, capturing marke...

Staying on Trac with Body Flex Sports

Health & Wellness Jody Robinson

Staying on Trac with  Body Flex Sports

It isn’t often that a series of decisions made over a cup of coffee end up working out for the best: or becom...

Bare Bunny Aesthetics

Health & Wellness Jody Robinson

Bare Bunny Aesthetics

Baring Your Best Self with Surf City’s Newest Wellness Spa There is much to be said for feeling divine. The ...

What to Do When You Hear the Life-Changing Words, “You Have Cancer”

Health & Wellness Wade Smith, M.D.

What to Do When You Hear the Life-Changing Words, “You Have Cancer”

As a medical oncologist, I understand the toll a cancer diagnosis takes on patients and their families and I kn...

Hide and Seek

Finance Donald A. Hunsberger

Hide and Seek

Observations on How People Store Their Planning Papers Every estate attorney has heard the story recited in he...

Why older adults should review their medications

Health & Wellness Sorbet Mag

Why older adults should review their medications

St Joseph Hoag Health is here to help You know the routine: Step 1: Get your prescription from your physician...

Away at College Redux

Education Donald A. Hunsberger

Away at College  Redux

Decades ago we published a piece warning parents sending their kids to college for the first time to provide th...

Loaded Inheritance: Safe Gun Storage, Ownership and Disposal with California Gun Services

Business Showcase Ann Laurence

Loaded Inheritance: Safe Gun Storage, Ownership and Disposal with California  Gun Services

My grandparents owned a beautiful three bedroom casita in Solana Beach. Just up the road from the train station...

Greetings from Family-Friendly Fun Island-Style

Travel Jody Robinson

Greetings from Family-Friendly Fun Island-Style

Each year in Hawaii as the winter temperatures drop to a lovely 81 degrees, the groundswell charges the shores ...

Visiting (like) Royalty in the Queen City Charlotte North Carolina

Travel Jody Robinson

Visiting (like) Royalty  in the Queen City Charlotte  North Carolina

My entire experience with North Carolina up until a few months ago consisted of a vague knowledge of the sports...

The Proof is in the Paint with

Business Showcase Jody Robinson

The Proof is in the Paint with

But unfortunately phrases like “bottom-line oriented,” “unscrupulous,” even “cutthroat” have croppe...

Travel Can Be Tough on Your Legs

Health & Wellness Livia De Los Rios

Travel Can Be Tough on Your Legs

Medical compression stockings and socks are a travel essential Many people travel long distances and have to r...

Sorbet Magazine Celebrates Its September Issue!

Business Showcase Sorbet Mag

Sorbet Magazine Celebrates  Its September Issue!

It’s impossible to say what we love most about our issue release parties, especially the most recent one at V...

The Escher String Quartet Opens Segerstrom Center’s 2018-2019 Chamber Music Series

Entertainment Sorbet Mag

The Escher  String Quartet  Opens  Segerstrom Center’s 2018-2019  Chamber Music Series

Thursday, November 1, 2018 in Samueli Theater Segerstrom Center for the Arts launches its 2018-2019 Chamber Se...

Segerstrom Center Kicks Off Its 2018-2019 Jazz Season With Jazz Master Ahmad Jamal

Entertainment Sorbet Mag

Segerstrom Center Kicks Off Its  2018-2019  Jazz Season  With Jazz Master Ahmad Jamal

Segerstrom Center for the Arts presents Grammy® Award Lifetime Achievement Award Winner Ahmad Jamal for one pe...

Beyond the Books Nadia Milner delivers "Top Notch Services"

Entertainment Jody Robinson

Beyond the Books  Nadia Milner delivers "Top Notch Services"

I remember when one of my college friends was appointed Payroll Specialist for a large company in Pasadena. Whe...

Ready for Open Enrollment?

Health & Wellness Sorbet Mag

Ready for  Open Enrollment?

In a few weeks, you’ll be making important choices about next year’s health plan. As you consider your opti...

Making Educated Choices for Your Loved One’s Care

Education Jody Robinson

Making Educated Choices for Your Loved One’s Care

A Q & A with Derek Mannion, founder of Alliance Eldercare You think it might be time to consider options f...

Lea Michele and Darren Criss Continue LM/DC Tour With North American West Coast Dates

Entertainment Sorbet Mag

Lea Michele  and  Darren Criss  Continue LM/DC Tour With North American West Coast Dates

November 2, 2018  in Segerstrom Hall Following the demand of fans and rave reviews, actors and musicians ...

Drug Free, Surgery Free & Needle Free: A New, Proven Treatment to Reverse Erectile Dysfunction

Health & Wellness Jody Robinson

Drug Free, Surgery Free & Needle Free:  A New, Proven Treatment to Reverse Erectile Dysfunction

A Q & A with Dr. Michael DeYoung, M.D., LaSara Medical Group Men with erectile dysfunction (ED) often suff...