New Hampshire Code of Administrative Rules
Ins - Commissioner, Insurance Department
Chapter Ins 3600 - LONG-TERM CARE INSURANCE
Part Ins 3601 - LONG-TERM CARE INSURANCE
Appendix C
Things You Should Know Before You Buy
Long-Term Care Insurance
Long-Term ·A long-term care insurance policy may pay most of the costs of your
Care care in a nursing home. Many policies also pay for care at home or
Insurance other community settings. Since polices can vary in coverage, you
should read this policy and make sure you understand what it covers
before you buy it.
·[You should not buy this insurance policy unless you can afford to
pay the premiums every year.] [Remember that the company can
increase premiums in the future.]
The personal worksheet includes questions designed to help you and
the company determine whether this policy is suitable for your needs.
Medicare ·Medicare does not pay for most long-term care.
Medicaid ·Medicaid will generally pay for long-term care if you have very little
income and few assets. You probably should not buy this policy if
you are now eligible for Medicaid.
·Many people become eligible for Medicaid after they have used up
their own financial resources by paying for long-term care services.
·When Medicaid pays your spouse's nursing home bills, you are
allowed to keep your house and furniture, a living allowance, and
some of your joint assets.
·Your choice of long-term care services may be limited if you are
receiving Medicaid. To learn more about Medicaid, contact your
local or state Medicaid agency.
Shopper's ·Make sure the insurance company or agent gives you a copy of book
Guide called the National Association of Insurance Commissioners'
"Shopper's Guide to Long-Term Care Insurance." Read it carefully.
If you have decided to apply for long-term care insurance, you have
the right to return the policy within 30 days and get back any
premium you have paid if you are dissatisfied for any reason or choose
not to purchase the policy.
Counseling ·Free counseling and additional information about long-term care
insurance are available through your state's insurance counseling
program. Contact your state insurance department or department on
aging for more information about the senior health insurance
counseling program in your state.
Facilities " Some long-term care insurance contracts provide for benefit
payments in certain facilities only if they are licensed or certified,
such as in assisted living centers. However, not all states regulate
these facilities in the same way. Also, many people move into a
different state from where they purchased their long-term care
insurance policy. Read the policy carefully to determine what types
of facilities qualify for benefit payments, and to determine that
payment for a covered service will be made if you move to a State
that has a different licensing scheme for facilities than the one in
which you purchased the policy.
The amended version of this appendix by New Hampshire Register Volume 35, Number 10, eff.2/13/2015 is not yet available.
