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What is Long Term Care Insurance?

Source: Kim Stanley

This column has been created to provide you with information about the various insurance and planning options available to you in the event you or a loved one becomes seriously ill and may or may not need professional care. People have different interpretations of the term ‘long term care’ and generally speaking, for insurance purposes, this means an individual requires constant and ongoing professional care. It is important that you understand the benefits of the coverage you have so that it meets your expectations.
 
This column will focus on all aspects of living benefits insurance. These are insurance policies that pay you while you are living, and include disability insurance, critical illness insurance and long-term care insurance. In this inaugural column and in future columns, I will review different topics in detail.
 
In the United States, long term care insurance is a very popular product. However, it is fairly new to the Canadian marketplace and is currently offered by only a handful of insurers, although a few more companies will be launching their product within the next few months. Few Canadians know that they can purchase a long-term care policy from some insurance companies, and even fewer own a policy.
 
The Canadian population is aging, and we’re living longer. According to Health Canada, seniors over age 65 are the fastest growing population group in the country. Aging baby boomers are looking for ways to preserve their assets for their retirement and their heirs, while worrying about who will look after them (and pay the bills) if and when they get sick. There are currently long waiting lists for good long term care facilities, and many would like the option of being cared for at home. But private nursing, professional caregiving, and home modifications cost money. Many people are reluctant to sell an asset (the house or the cottage) or to use their retirement income or savings to pay the bills. Long term care insurance may be the solution.
 
This product is designed to provide benefits to people who require either facility or home care on a long term basis. Most plans can be purchased after the age of 30. All benefits are tax free.
 
Long term care insurance can be purchased by applying for a monthly benefit, such as $100 a day (equivalent to $3000/month – which would cover the cost of an average long term care facility today). For most plans you can purchase anywhere from $10.00 to $300.00 a day. You can have the benefit paid for 1 year, 2 years, 5 years or your lifetime. You choose this at time of application. The premiums are paid for a set amount of time depending on the contract. You must satisfy an elimination period before you receive benefits. You can choose an elimination period of nil, 30 days, 60 days, 90 days, or 120 days.
 
Some policies define their elimination period as calendar days; while others will only use the days you actually received service/care towards qualifying for your elimination period. Some contracts will pay the daily benefit for you to use at your discretion, while others will want to see receipts for the services and care rendered.
 
For most contracts in Canada, premiums are level and only guaranteed for the first 5 years of the contract. The insurance companies are reserving the right to increase premiums later on. They are waiting to see how sales go and what their claims experience will look like. Some contracts do however put a cap on the maximum amount they can increase your premiums over the life of the contract.
 
Long-term care insurance does require underwriting, so you must be in reasonable health to obtain coverage.
 
There are several other features that are included in long-term care insurance contracts. These will be addressed in future columns. This particular column provides you with the framework from which long term care insurance is created and to give you an idea of how a contract works and what type of coverage you are purchasing.
 
Long term care insurance should be a key component in your retirement plan. It will provide you with tax free dollars in the event you require home care or facility care, so you are not exhausting your other financial resources. This is lifestyle protection.



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