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An Important Consideration When Reviewing A Potential LTC Policy

What should you look for when considering a long term care (LTC) insurance policy for your employees? A very important—and often overlooked—benefit to the employee is the Home Health Care (HHC) feature. As you review LTC products, you’ll often notice a reduced benefit for the HHC feature—often stated at 50%. As this is the most critical component of an LTC plan, according to employees (1), the coverage amount should be the maximum available
(at least 100% HHC benefit; some coverages go up to 130%) to allow them to
have their health needs managed at home for as long as possible, versus in a nursing care facility.

Unfortunately, HHC expenses are often presented as lower than those of a nursing care facility. Though this is true in some instances (normally the comparison shows HHC for 8 hours per day), it is often the case that HHC expenses are dramatically higher than those of a nursing care facility, especially when 24-hour HHC coverage is required (1).

Additionally, one must factor in the future of HHC. With the miniaturization of
medical equipment such as oxygen tanks, we have already seen how people canreceive health services at home that were formerly only available in a facility—and can increase their mobility as well! As home health equipment continues to become more sophisticated and maneuverable, and HHC services more widely available, we will see a trend towards an increase in home medical service usage.

You can help your employees with their future needs now by structuring their LTC policy to provide maximum available HHC cost coverage, potentially giving them the medical care they need in the comfort of their own home.

(1) Employee Benefit News. Financial, EAP Counseling Can Improve Fiscal, Physical Health. March 1, 2007.

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