 | Long Term Care FAQs (Frequently Asked Questions)
| Question: | How are long term care (LTC) benefits paid? |
| Answer: | Generally, we pay a benefit equal to 75% of the actual covered charges incurred up to the maximum daily benefit indicated on your benefit summary. You will be required to pay 25% of the charges plus any charges that exceed the daily maximum benefit. However, before paying any benefits, we must verify what, if any, of your expenses may be eligible for payment through other sources, such as Medicare, group health insurance, worker’s compensation, etc. To the extent that your expenses are compensable by another source, we will not pay LTC benefits. If your expenses are only partially covered through other sources, we pay an amount remaining up to the amount we would have paid in the absence of other reimbursement. |
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