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HomeLong Term Care PlansGroup Long Term CareLong Term Care FAQs
Long Term Care FAQs (Frequently Asked Questions)

Question:What services are covered under the WEA Trust Group Long Term Care (LTC) Plan?
Answer:There are six general types of services that are covered. You may receive benefits while you reside in a nursing facility or alternate care facility. While you live at home, you can receive home health care, hospice care, or adult day care benefits. We will pay only one type of benefit per day, except in the case of respite care as noted below. If you access any of these benefits, you will be required to pay a 25% copayment plus any charges that exceed the daily maximum benefit allowed under the policy.

If you receive regular care from someone who lives with you and who is not paid for providing this care, you may be eligible for respite care benefits. This benefit pays a specified amount for no more than 14 days per benefit period to someone who replaces your usual caregiver while your regular caregiver takes a rest or vacation from providing care. This benefit is the only one that can be paid to a nonlicensed provider or a family member. The respite care benefit can also be paid in addition to home health care or adult day care benefits for the same day.