Insurance World

Yes, you may want to consider a long term care insurance plan if you don’’t want to drain your retirement savings and other investments in the future! It is currently estimated that nursing home costs are more than $10,000 per month. Imagine, how much this will cost you on an annual basis if you had to pay this money out of your pocket if you needed care from a nursing home! This would be financially devastating without long term care insurance.

Did you know that prior to the passage of the Deficit Reduction Act of 2005, most Americans were able to count on Medicaid to assist them with long term health care. The Deficit Reduction Act changes all of that. This new law places the majority of long term health care costs on you, especially if you have assets. Unfortunately, middle class Americans will be hit the hardest with this new law.

How does the Deficit Reduction Act affect me if I need nursing home care and have assets? Well, for the most part, you will need to exhaust your assets before you will be eligible for Medicaid. Under this new law, there is a five year look back period from the date that you apply for your Medicaid benefits. This five year look back period, is to ensure that you have not transferred assets to relatives, friends, or other individuals. If you have transferred your assets to someone, Medicaid will count this against you and you will have a period of penalty wherein you will not qualify for benefits. Basically, this means that you could be out of money and Medicaid will not pay for your nursing home care!

The other side of this new law is that even if you have not transferred your assets to someone, you cannot have more than $500,00 in home equity. The majority of your assets including trusts and annuities are viewed differently under this new law.

It is important, that you consider long term care insurance as part of your retirement planning. With passage of the Deficit Reduction Act of 2005, it is a must! Unless you are independently wealthy and don’’t mind coming out of your pocket with more than $10,000 per month for your prospective nursing home care! For the average person, this would be a severe financial hardship.

What age should I consider getting a long term care insurance plan? You may want to consider in your early to mid fifties. However, it is recommended that you consult your insurance agent or financial advisor about this.

Planning is important, in order to assist you in eliminating a potentially devastating financial disaster. You want to live out the golden years of your retirement as stress free as possible. So make sure you plan for your future long term health care needs!

Ohio residents are afforded certain protection when buying health insurance from a state licensed insurer as a result of standards put in place by the Ohio Department of Insurance. Below are some of the standards you should be aware of when buying insurance:

Alcohol Treatment : There must be at least $550 per year in alcohol treatment whether inpatient or outpatient

Mental Illness : On an outpatient basis, there is a requirement for $550 per year for treatment. This applies only if the policy covers in hospital treatment of mental illness.
Kidney dialysis : If an insurer provides coverage for dialysis in a hospital, it must also provide the same coverage for dialysis on an outpatient basis.

Specific practitioners : Health policies in Ohio cannot discriminate against particular health professionals. It must pay any licensed professional who legally performs a service. This includes Chiropractor, dentist, nurse-midwives, Mechanotherapists, osteopaths, Optometrists, Podiatrists, Psychologists

Generic drug use : If a policy covers prescription drugs, it must pay for any legally approved drug prescribed by your doctor even if it has not been approved by the government for treating your particular medical problem or disease.

Pregnancy and Maternity : Insurance companies do not have to offer maternity benefits, However, when it is provided, it may never be considered a pre-existing condition. Although, under certain conditions, an insurer may impose a 270-day waiting period before providing maternity benefits.

Mammograms: Every major medical policy group and individual must cover mammograms for breast cancer screening in adult women.

The frequency varies depending on age:

Age: 35-39 One only

Age: 4-49: One every two years unless your doctor has reason to believe you are a high risk for breast cancer

Age 50-64: one a year.

This is subject to a maximum of $85 per covered mammogram.

Please view our recommended insurance quote companies below. They are also great sources for information about rates and coverages for most of the lower 48 states.