Texas Nursing Homes and Texas Long Term Care Insurance - An Easy Guide
Long term care insurance covers the
kind of medical and personal care services you need if you become
incapable of caring for yourself alone because of chronic illness,
disability, reduction in function, or cognitive impairment. Long
term care differs from traditional medical care in that it does
not treat symptoms or physical problems in an attempt to cure
them. Instead, long term care is about helping a person function
and manage day to day activities when the problems cannot be
cured, so that they can maintain more of a normal lifestyle.
Insuring your long term care creates protection in case your
savings or income are not sufficient to pay for it.
While you
will have to pay premiums for most of your life, the money you
spend on them can be only a fraction of the amount that routine
long term care will cost. If you do not qualify for Medicaid
or other public assistance, long term care insurance may be the
solution to securing your future. Long term care premiums are
least expensive if you secure them early, and rise as you get
older or develop medical problems. For this reason, it's often
a good idea to start shopping for long term care insurance when
you're forty or fifty – before you
need it.
Unlike homeowners and other kinds of insurance, long term care
coverage isn't standardized in Texas. This means that every policy
can be just a little bit different, with wildly varying premiums.
However, many companies in Texas do belong to licensing associations
that will guarantee their quality of service. Look for one of these
companies when you shop for long term care insurance. The state
also mandates that you have a 30 day free look period at the beginning
of your policy, in which you may cancel it without penalties. Generally,
any long term care insurance policy you come across will cover
residency in a nursing home. However, other policies will also
cover assisted living, home care, and adult day facilities. Be
sure to look over the contract for your long term care insurance
before signing to be sure that you are getting the coverage you
want.
In Texas, the law requires that companies must offer long term
care insurance that provides coverage when a policyholder cannot
perform at least two of the six activities of daily living for
at least ninety days. These daily activities are bathing, dressing,
attendance to bodily elimination, transferring from location to
location (bed to chair, etc), eating, and maintaining continence.
No matter what event or illness causes the policyholder to lose
functionality, the insurance company must provide coverage, even
if the duration of the loss will be short, such as a wheelchair
confinement after surgery. As long as the policyholder has lost
function for more than ninety days, Texas law requires that coverage
be extended.
The Texas department of insurance states that nursing home costs
should range from $30,000 to around $50,000 per year, depending
on rates and services. This can come to more than $100 per day.
Be sure that your long term care insurance can cover these kinds
of expenses. Nursing homes are the costliest option for long term
care, because of the close supervision they entail. Cheaper options
for those who still retain some functionality include assisted
living and home care by a friend or relative.