How To Make A Claim For Long-Term Care

November 22, 2022

Long-Term Care

After a lifetime of responsibilities and efforts, reaching the senior years can be a time of relaxation and rejuvenation. Unfortunately, your health might affect your ability to take care of yourself. In such cases, making a claim for long-term care with your insurance company would ensure that your needs are met.

Long-term care policies have many benefits when you need assistance in your everyday life.

According to, about 7 out of 10 people need long-term care in their lifetime. When the potential of rising costs for medical and care services is so high, having a safety net with your insurance company can put your mind at ease.

Activating your claim can be stressful if you need help understanding the process. Contacting an attorney is always a good option when you need help understanding your long-term care insurance policy. If you want to ensure that your claim is successful, the following points could help you better understand the process.

Prepare Your Documents Before Making the Claim

Before activating your long-term care policy, you must review some conditions to ensure eligibility. Understanding the terms and conditions of your insurance policy is essential before starting the activation process. You can always contact the company’s claim department to ask for clarifications. Furthermore, hiring a lawyer with extensive knowledge of this kind of insurance policy will make your process easier.

Another vital step is to communicate with your doctors. They will review your medical records and give you helpful advice. Your doctor will recommend a care plan which will suit your needs.


Depending on your situation, you might need home care or assisted living. When searching for home care, looking for agencies that have experience with long-term care insurance policies is the best option. On the other hand, if you require assisted living, you should contact a placement professional to help you find the facility which fits your needs. 

How to File a Long-Term Care Insurance Claim

After you understand your insurance policy, the first step toward filing a claim is to request a claim form. You can either find the claim online or contact your insurance company to send you one. The insurance company will contact you upon receiving the completed forms to collect information about your functional and cognitive status.

To be eligible for long-term care insurance benefits, you must prove that you either suffer from a loss of functional capacity or cognitive impairment, such as Dementia or Alzheimer’s. Your insurance company will schedule a third-party nursing visit to ensure that all your medical records are in order and that your medical conditions require the activation of a long-term care policy.

Long-Term Care Insurance Claim

How to go Through the Elimination Period

Before accessing your insurance benefits, you will have to undergo an elimination period, requiring you to pay your medical and care expenses out of pocket. The elimination period can last from 30 days to 90, depending on the conditions provided by your insurance policy. Most insurance companies implement this condition in their policies. 

The elimination period can be a confusing condition. You must provide written invoices to your insurance company during this time to prove that the elimination period has been satisfied. If you need assistance managing your documents and wish to be cost-efficient, contacting a lawyer for a consultation can help you go through this period with less stress so you can enjoy your retirement to the fullest extent.

Elimination Period



Sumona is the publisher for Finance Team. In terms of professional commitments, she carries out publishing sentient blogs by maintaining top to toe on-page SEO aspects. Follow more of her contributions at SmartBusinessDaily and FollowtheFashion

Leave a comment

Your email address will not be published. Required fields are marked *