For Families
Using a long-term care insurance policy
How to start a claim and what insurers usually ask for.
- Find the policy and call the insurer to open a claim.
- Ask about the benefit trigger (often needing help with 2 of 6 daily activities, or a cognitive impairment), the elimination period (waiting days before benefits pay) and the daily or monthly benefit.
- The insurer usually needs a doctor's statement and a plan of care, and may send an assessor.
- Ask whether assisted living, memory care, home care and adult day care are covered, and whether the provider must be licensed.
- Keep copies of everything and note every call (date, name, what was said).
General information only, not medical, legal or financial advice. Programs and amounts change; confirm with the official source or a qualified professional.