Disability & Long-Term CareQuestion 340 of 716

Benefits under most long-term care (LTC) insurance policies are typically triggered when the insured:

a.Is unable to perform a specified number of the activities of daily living (ADLs) or has a severe cognitive impairment
b.Loses their job and can show a drop in earned income, since LTC benefits are designed to replace lost wages during unemployment
c.Reaches a specified age such as 65, at which point the daily benefit starts automatically whatever the insured's health or living arrangement
d.Is admitted to a hospital for any reason, with the daily benefit payable for every night of the inpatient stay

Explanation

LTC benefits are usually triggered when the insured cannot perform a set number (commonly two) of the activities of daily living, such as bathing, dressing, eating, toileting, transferring, and continence, or suffers a severe cognitive impairment like Alzheimer's disease. Simply reaching an age does not trigger benefits. LTC is not the same as hospital coverage; it pays for custodial and long-term care such as nursing home or home care. Loss of employment is unrelated to LTC eligibility.

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Reviewed by John Zihao Zhang — California-Licensed Life Insurance Agent (CA Dept. of Insurance License #4396095 — verify)
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