Best Long Term Care Insurance In Pennsylvania (Rates from $208/month!)

How Much Does Long Term Care Insurance Cost In Pennsylvania?

The average annual cost of long-term care insurance in Pennsylvania for a single 55 year old is $2,496 per year, which comes out to $208 per month. However, rates depend on many factors such as age, where you live, coverage options, and plan selected.

What Factors Influence the Cost of Pennsylvania Long Term Care Insurance?

LTC costs will vary depending on several factors, and your particular health insurance provider will determine them. In general, you’ll likely be asked to provide personal information, lifestyle data, and whatever else your insurance company believes is necessary for determining your insurance benefits and premium.

Below we take a quick look at a few of the most common factors:

Premiums are typically more expensive for people generally regarded as less healthy and have a higher risk of dying. Although various criteria determine it, your premium will usually be lower if you are younger, in better shape, and cautious.

What Factors Determine A Long Term Care Insurance Rate Increase In Pennsylvania?

The complexity of private LTCI, as the name implies, is due to the policyholder’s obligation to pay for care that they may or may not require decades later. As a result, long-term disability insurance necessitates a lengthy prediction period and provides benefits beyond age 100
for some clients. 

Premiums are also based on several assumptions regarding factors such as:

Types of Long Term Health Care Insurance In Pennsylvania

The three types of LTC policies offered in Pennsylvania are Home Care Only, Nursing & Residential Facility, and Comprehensive Long Term Care Insurance. However, keep in mind that there are also Hybrid LTC policies.

Home Care Only (No Coverage For Assisted Living Facilities)

Only housekeeping services and skilled home care are covered by In Home Care Only plans, which do not cover nursing homes or assisted living facilities. Benefits for home health care, adult day health care (ADHC), hospice, respite care, personal care, and homemaker services must all be included in these plans.

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Nursing Home & Residential Care Facility Only (Coverage For An Assisted Living Facility)

Nursing home and residential care facility-only insurance policies cover care in nursing homes or Residential Care Facilities for the Elderly (RCFE) that provides assisted living services. These policies’ benefits must cover the cost of all LTC services you obtain in the facility, not just room, and board — up to the policy’s maximum daily benefit amount.

Assisted living benefits under this sort of insurance is payable while you are staying in any RCFE-licensed setting, including small neighborhood homes (often known as board and care homes), retirement residences, and specialized community centers for Alzheimer’s patients. These policies also need to provide assisted living payments at least 70% of the nursing home care benefit.

Comprehensive LTC Insurance Policy In Pennsylvania (Will Cover Both Types Of Policies)

Comprehensive policies are insurance plans that cover nursing care, assisted living, home care, and community care (such as adult day care) under the same regulations as the other two types of plans.

Hybrid LTCI Policies

A hybrid LTCI policy is a form of long-term care insurance that uses assets as the basis for coverage. It incorporates either a life insurance policy or an annuity with a long-term care insurance rider. These plans haven’t been around for very long, yet they’re quickly gaining favor because they give you long term care with a death benefit.

What Are Tax Qualified (TQ) & Non-Tax Qualified (NTQ) Policies In Pennsylvania?

(TQ) Tax-Qualified policies enable you to deduct a portion or all of your premium from your federal and state income taxes as a medical expense. The amount you may deduct is determined by your age and medical expenses exceeding 7.5% of your adjusted gross income (AGI) if you are 65 or older and 10% if you are younger.

Non-tax qualified (NTQ) coverage premiums cannot be subtracted from your taxable income, and the benefits are not meant to be tax-free. However, because of federal legislation, NTQ insurance may have more generous benefit triggers and pay reimbursements faster than TQ insurance.

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What Does Pennsylvania’s Long-Term Care Insurance Cover?

LTCI in Pennsylvania is designed to
help protect you and your family in the case that you need long-term care for an extended period or after receiving a particularly devastating health diagnosis. Long-term care insurance is intended to assist if you or a family member outlive your savings or discover that maintaining self-care becomes more expensive as you grow older. You may spend your long-term care insurance benefits on a wide range of medical expenses, and costs such as:

If you need more detailed assistance with what can or should be covered in a policy, you can reach out to the Pennsylvania Department Of Insurance.

How long do benefits last under a Pennsylvania Long Term Care Policy?

Long-term care insurance (LTC) policies are usually intended to cover at least 12 months of care or more. However, you may get a policy that pays benefits for one, two, three, or five years, and it depends on your needs and the benefits offered in your policy.

Does LTCI Have A Waiting Period?

The same waiting periods apply to almost all participating insurance companies in the long-term health care industry. The duration may vary, but it is generally between 0 and 90 days. You will be responsible for any expenses during the waiting period, so pick a length that you believe you can afford to cover.

Why Would I Need Long Term Care Insurance Pennsylvania?

The reason you would need LTC insurance in Pennsylvania
is to help pay for long-term medical expenses once you’ve retired since Medicare won’t reimburse everything. However, that isn’t the only reason you might want to get long-term care insurance; there are several others.

Here’s a rundown of some of them:

Does Medicare Cover Long Term Health Care Services In Pennsylvania?

Medicare may pay for skilled care in a nursing facility for no longer than 100 days and only when the patient fulfills all of Medicare’s criteria for daily skilled care.

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While individuals do get personal assistance simultaneously, Medicare will not pay unless there is also a requirement for daily skilled services that only a nurse or therapist can provide.

Medicare will pay for specific personal care services at home, depending on whether you require skilled care daily, that only a qualified professional can provide.

For additional information, visit your Social Security office or call the Social Security Administration toll-free at 800-772-1213 for the Medicare benefits book.

How to Find the Best PA Long Term Care Insurance Quotes?

There is no reason to go without long-term care insurance coverage in Pennsylvania, especially when it’s so easy to find a plan that suits your needs and budget!

The best approach to finding low-cost long-term care insurance rates in Pennsylvania is to compare numerous quotes online.

All you have to do is click here or on one of the above buttons to get free long-term care insurance quotes. Best of all, you can accomplish this in less than five minutes.

Frequently Asked Questions About Pennsylvania Long Term Care Insurance

What is the average cost of long term care insurance in Pennsylvania?

In Pennsylvania, the average cost of long-term care insurance for a single 55 year old is $208 per month, which comes out to $2,496 per year. However, rates depend on many factors such as age, where you live, coverage options, and plan selected.

What age should you buy long term care insurance?

Before you are 65 years old, long-term care insurance is most effective. The expense of long-term care insurance will rise as you age, and the probability of needing it will go up. If you purchase sooner rather than later, the premiums are much lower.

How long do you pay premiums for long term care insurance in PA?

From the year your policy begins until you start drawing benefits, you will have to pay your long-term care insurance policy premiums, usually monthly or annual. You may be paying premiums for 20 or 30 years.

What are the three types of policies that are permitted for sale in Pennsylvania as long term care insurance?

The three types of LTC policies offered in Pennsylvania are Home Care Only, Nursing & Residential Facility, and Comprehensive Long Term Care Insurance.