Txoj Cai Sib Koom Tes
California Partnership for Long-Term Care
Kuv Yuav Tau Txais Txoj Cai Sib Koom Tes Li Cas?
Txhua txoj cai koom tes-pom zoo yuav tsum muaj qee yam kev tiv thaiv kom ntseeg tau tias koj muaj txoj cai zoo uas ua tau raws li koj xav tau. Cov no suav nrog:
- Inflation Protection – This protects the policyholder from covering the difference between what the insurance policy will pay, which is based on the costs of services when you purchased the policy and the actual cost of care when you need it. Every Partnership policy is required to have this protection, and the state highly recommends that you protect yourself by only purchasing a policy with inflation protection.
- Kev tiv thaiv khoom vaj khoom tsev
- Comprehensive Care Management – A process to assess, plan, coordinate, and monitor long-term care needs and services. Care management/care coordination takes an all-inclusive look at a person’s total needs and resources, and links that person to a full range of appropriate services, using all available funding (and informal) sources.
- Rate Increases Regulated by the California Partnership for Long-Term Care – Long Term Care is the care given to someone who can no longer perform activities of daily living.
Partnership policies have two unique features that make them especially attractive.
Care Management: The Partnership requires that a Care Management Provider Agency, approved by the State Department of Health Care Services and independent from the insurer, provide care coordination for Partnership policyholders.
Using a collaborative process, the care manager works with the policyholder, their family, and physician to complete a comprehensive assessment to determine the client’s needs and resources, and develop a detailed Plan of Care individualized to meet those needs.
- Plan of Care: In developing the plan of care, the care coordinator will consider the unique needs of the client and recommend alternatives for how those needs can best be met. It is likely that without the help of a care coordinator, a policyholder or their family would have no idea of where to find someone to provide the necessary care. Partnership regulations require the care coordinator to consider how the policy benefits can help meet the policyholder’s needs and how the needs might also be met through other sources, perhaps through community services or the client’s health coverage, etc. These other sources can help reduce the out-of-pocket expenses to the policyholder as well as help the policy benefits last as long as possible. The identification of other sources of care can be especially important for a person who has a policy designed to pay benefits for only one or two years. Furthermore, since the Partnership requires the care coordinator to live in and be familiar with the community in which the policyholder resides, he or she will have a good understanding of where the quality providers are.
- Kev Saib Xyuas Kev Ua Haujlwm thiab Kev Saib Xyuas: Ntxiv nrog rau kev ua tiav kev ntsuam xyuas thiab cov phiaj xwm kev saib xyuas, tus neeg saib xyuas kuj tuaj yeem tiv tauj cov neeg saib xyuas thiab npaj kom lawv nyob hauv tsev los muab kev saib xyuas raws sijhawm, sib tham txog cov nqi them thiab saib xyuas cov kev pabcuam zoo, yog tias xav tau los ntawm tus tuav txoj cai.
Lifetime Asset Protection: This feature assures that catastrophic long-term care expenses won’t reduce you to poverty even if you run out of insurance benefits. That’s something other long-term care insurance policies do not offer (long-term care policies are a specific type of insurance policy designed to offer financial support to pay for necessary long-term care services.)
Here is how this special feature works. When you need care, your Partnership-approved private long-term care insurance policy pays for your care in the same way other high-quality long-term care policies would, but unlike a traditional non-Partnership policy, each dollar your Partnership policy pays out in benefits entitles you to keep a dollar of your assets if you ever need to apply for Medi-Cal services.
For most of you, the benefits of a Partnership insurance policy will provide all the care you will ever need. But you won’t have to impoverish yourself if you run out of insurance benefits and still need care. You can apply to Medi-Cal for assistance in paying the costs of your continued care and not have to “spend down” your savings to the poverty level. Each dollar your Partnership policy pays in benefits for your care is protected against Medi-Cal “spend down” rules. You may have to apply a portion of your income toward the cost of your care, but the assets you protected by purchasing a Partnership policy remain yours, for you and your spouse’s use or to leave to loved ones.
Txoj Cai Sib Koom Tes Tus Nqi Npaum Li Cas?
A Partnership policy costs about the same or slightly less than other policies that offer similar coverage. Each insurance company offering Partnership policies has its own premium rates. However, the younger you are when you purchase coverage, the less expensive your premium will be. That is a good reason to buy earlier.
Unlike other policies, Partnership policies include lifetime asset protection and access to Medi-Cal services should you ever need them – an invaluable added benefit at no extra cost. This added protection and peace of mind comes only with the purchase of a Partnership policy.
Because of the Partnership’s asset protection feature, you don’t have to worry that you may run out of insurance benefits and end up spending the savings that you hoped to protect by having to pay for ongoing care needs. The asset protection feature allows you to purchase policies with coverage equal to the amount of assets you want to protect, from approximately $47,000 up to your total assets, with the assurance that these assets are protected for life, no matter how extended or expensive your long-term care needs may be. Without a Partnership policy, you could only achieve lifetime asset protection by purchasing lifetime insurance coverage – something most people cannot afford.
Kuv Yuav Tau Txais Kev Pabcuam Kev Koom Tes Li Cas?
Partnership long-term care insurance policies may only be sold by select insurance companies that meet the special standards established by the state. Here is a list of Partnership certified companies.
Kev koom tes nrog txoj cai tuav pov hwm mus sij hawm ntev tsuas yog ua lag luam los ntawm cov kws kho mob muaj ntawv tso cai uas tau ua tiav kev cob qhia tshwj xeeb uas yuav tsum tau ua los ntawm lub xeev California. Txoj Cai Sib Koom Tes, nrog rau nws qhov tshwj xeeb tiv thaiv cov cuab yeej cuab tam lub neej, paub tseeb tias koj yuav tsis raug yuam kom siv txhua yam koj tau ua haujlwm rau kev saib xyuas mus sij hawm ntev.
Siv Txoj Kev Txiav Txim Tawm Ntawm Txoj Cai Zoo
Muaj ob hom kev sib koom tes txoj cai muaj:
- Txoj cai-tsuas yog txoj cai uas them rau kev saib xyuas hauv ib lub chaw (tsev laus thiab cov chaw tu neeg nyob) lossis
- Ib txoj cai tswjfwm uas suav nrog kev saib xyuas hauv tsev, hauv zej zog, nrog rau hauv tsev laus thiab chaw tu neeg nyob.
Koj xaiv qhov kev pab them nqi uas koj xav tau. Txoj cai muab kev pab cuam txij li ib mus rau tsib xyoos lossis lub neej. Txhawm rau kom ntseeg tau tias koj tab tom xaiv cov kev pabcuam zoo, txhua txoj cai koom tes nrog:
- Kev tiv thaiv kev nce nqi tsis siv neeg los xyuas kom meej tias koj cov txiaj ntsig ua kom nrawm nrog kev nce nqi ntawm kev saib xyuas;
- Ib qho kev txiav tawm uas yuav tsum tau ntsib tsuas yog ib zaug hauv koj lub neej;
- Kev saib xyuas kev sib koom tes los pab koj hauv kev npaj thiab kev ruaj ntseg cov kev pabcuam uas koj xav tau thiab xav tau;
- Kev zam ntawm cov nqi them thaum koj tau txais kev saib xyuas hauv tsev laus lossis chaw tu neeg nyob; thiab
- Kev hloov pauv txoj cai tau txais txiaj ntsig kom kev saib xyuas tuaj yeem hloov kho kom tau raws li koj tus kheej xav tau.