Long-Term Care Questions & Answers

Q How does long-term care coverage give me financial protection?
A It pays for your care so you don't have to drain your own savings to do so. You decide how to use your assets, including gifts to your children or just to enrich your own life. It protects your spouse and allows your family to maintain their standard of living if one of you needs long-term care.

Q Is long-term care really that expensive?
A Sadly, it's very expensive. Nursing home care costs between $46,000 and $60,000 per year. At-home care is also expensive and can cost $20,000 or more per year, depending on the kind of care you need.

Q Won't my medical coverage or Medicare pay for long-term care?
A Medicare may cover some costs, but that coverage is limited and approved only for short periods. Neither Medicare nor the retiree medical plan cover lengthy nursing home stays or home care services for personal care needs. The retiree medical plan specifically excludes coverage for custodial care.

Q What about coverage for long-term care under Medicaid?
A Medicaid covers long-term care expenses, but only if you meet their financial eligibility criteria, which require you to spend down your assets. Under Medicaid, your choice of where you receive care may also be limited.

Q Will inflation protection be automatic or can I elect it at periodic intervals?
A The existing Bronze Option has no inflation protection. The three new options include one without and two with inflation protection. Inflation protection, if selected, will be automatic and associated benefit amounts, both daily and lifetime, will be adjusted annually.

Q If inflation protection is selected, will benefit adjustments be simple (a flat dollar amount) or compound (a percentage) each year?
A The Gold Option features simple inflation protection at 5% annually. The Platinum Option features compound inflation protection at 5% annually. The increases apply to both the daily and lifetime benefit amounts.

Q What happens to premiums under the inflation protection option?
A The premiums are designed to pay for the inflation protection and will not increase as the value of the benefit increases or as you age.

Q Are the premiums tax-deductible?
A Yes, if your total medical expenses exceed 7.5% of your adjusted gross income. However, there are limits on the amount of long-term care premiums that you can deduct. Contact your tax advisor for more information.

Q Are the benefits taxable?
A No, as a tax-qualified plan, any benefits that you receive are not taxable.

Q Can premiums increase?
A Yes, but only if premiums are increased for the plan as a whole. Premiums do not increase as you age or as inflation protection increases are made.

Q Does the plan coordinate benefits with another long-term care plan that I purchase?
A The new options will coordinate benefits with any group plan, such as one you might purchase from another employer. The two plans will coordinate to pay up to 100% of your costs or the daily maximum, whichever is less. However, most regulatory and advisory agencies recommend that you do not purchase more than one long-term care plan.
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