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Long Term Care Insurance Claims

Filing LTC Insurance Claims Forms:

When it comes to your loved one, you want to make sure you have the best care plan. But, do you have a long-term care insurance policy that you’ve been paying premiums on for years? If you do, it is estimated that 85% of the population will need some type of long-term care. It does not matter if it’s for care in a nursing home, assisted living community, or if it is in-home care with a caregiver. Continue reading to ensure that you will get the coverage you’ve been paying for years.

1: Know what your policy covers:

It’s important to know what your policy covers and pays for. Don’t assume that your insurance company is your best resource to do this. It is not uncommon for an individual to forget details of the policy they signed up for 10/15 years ago. So, it’s important to get familiar with your policy, before starting the claim process. But, if you don’t have a copy of the policy, make sure you call your LTC insurance company to get a copy of your policy. Remember, this could take sometime, but it’s worth it. In addition.

Also, your insurance agency, or financial adviser who help you setup the policy for you might also be a good first step. But, if you can’t get into contact with them, you can also try an elder care attorney, or a senior care provider. It is a good idea to also involve family members. They may able to assist in understanding the policy, and give good advice or support as you go through this process.

2: Ask Questions

Remember, it’s okay to call your insurance company to get your policy information before you file a claim. But, filing a claim without knowing what is in your policy, and how it works is not good. So, once you know the details of your policy and how it works, you have a better chance of getting the claim approved, and getting reimbursed for your care needs.

3: Choose the right care provider

It is important that you choose the right care provider that is familiar with long-term care insurance, and knows how to bill the policy so you get paid quickly and in full. But, many In-home care companies will provide caregivers or senior care provider don’t know how to bill long-term care insurance companies. Because of this, most of these providers have their billing offices who specialize in billing Medicare, Medicaid, and private duty/pay services. So, if a provider does not have experience, and is not willing to provide needed documentation you may have difficulty getting reimbursed.

4: Track your policy limits:

Lastly, make sure to continue to track what your policy limits are, and find a provider who can help you in tracking policy limits. Next, as soon as your policy is approved, and you get reimbursed, it is important to do annual updates with your insurance company or provider. This way, it can help determine how much of your benefit was utilized, and how much of your benefit still remains. Many policies have a finite amount of benefits. So, it’s important to keep track of what is going on.