At this writing approximately six states have passed legislations for Home Care Insurance with more to follow.
Notice: Finally, Home Care Policies Now Available for Senior Citizens of NYS
American Independent Network Insurance Company of New York has been approved as of 3/00 to offer the Independent Living Policy which provides Home Care Benefits at Home to NYS Residents. This new coverage will now allow many Seniors to maintain their personal Independence at home without being a burden on their loved one. The Home Care policy will also help many Seniors from ending up in a local nursing home as the policy will now pay for help with a persons normal activities of daily living, commonly called ADL’s. The good news is that these benefits cost normally less than 50% of a normal long term care policy which many Seniors have not been able to afford may very well afford now.
As you may already know, 3 of 4 Seniors 65+ will require some form of Home Care. This care is usually provided by a family member or an aged spouse. These new benefits may now be payable if the care is provided by family members, friends, homemakers, licensed practitioners, registered nurses and more, i.e. PT’s and Nutritional Care, etc.
You may wish to look into Home Care coverage in order to maintain your Independence at Home without placing these burdens on your loved one or leaving your assets as risk to pay for such care.
“Tax Qualified” and “Non-Tax Qualified” Home Care Policy
There are Two Home Care Policy’s offered. Both a “Tax Qualified” and “Non-Tax Qualified.” Premiums for this type of policy is generally around 50 – 60 % less than that of a traditional Nursing Home Policy.
Additional, in order to qualify for benefits under each plan, the insured may receive benefits if he or she is unable:
to perform 1 of 7 ADL’s (bathing, dressing, eating, ambulating, continence, transferring, toileting)
there must be a cognitive impairment
care certified by your physician as essential to your health, safety and welfare.
Additionally, You may also qualify for Personal/Homemaker Care if you cannot perform 2 or 7 Instrumental ADL’s (meal preparation, telephoning, shopping/travel, handling money/bill paying, light housekeeping, mediation management, laundry).
to perform 2 of 6 ADL’s (bathing, dressing, eating, continence, transferring, toileting)
There Must be a Severe Cognitive Impairment
Both Plans also offer a Nursing Home Rider which would include Assisted Living Facilities, Personal Care Facilities, Alzheimer’s Centers, Adult Congregate Living Facilities as well as all Levels of Care in a Nursing Home Facility. You may also add a Return of Premium Rider that if you do not ever need any care then the premiums you paid into the plan will be returned to your estate upon your death.
You May Choose Your Home Care Spending Account with these benefit choices:
Age 40-89 May Apply
$60-$300 per day of Benefit
1,2,3,4,5 Years of Lifetime Benefits
Additional Built In Benefits:
Pre-Existing Conditions Listed on the Application are Covered Immediately
10% Marital Discount
No Prior Hospitalization
First Day Coverage
Alternate Plan of Care
Waiver of Premium (Do not pay for coverage when receiving care)
Restoration of Benefits
Non-Forfeiture Premium Benefit Rider
Refund of Premium Rider
LifeTime Inflation Rider
For additional information on rates, presentation request to your Group or Organization or if you have any questions, please call me at 814-723-9663 or Toll Free at 1-800-861-0402 Ext 2920. I may also be reached through my Email at firstname.lastname@example.org or SrLTCIns@aol.com. You may wish to visit the Public Online Toolkit for Rates and Selected Coverage on the Internet at http://www.penntreaty.com/pttoolkit/common/notpermitted.asp
When you find the time you may visit and review My Home Page (http://www.geocities.com/WallStreet/Floor/2821) Dedicated to my Mom’s memory.
David L. Coffelt