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Long term care benefits are paid when you:

  • Suffer from a impairment
  • Be unable to do two ADLs
  • Have Alzheimer's or senile dementia
  • Have your doctor certify it is medically necessary
  • Satisfy your waiting period

Long term care insurance will not reimburse you for care:

  • Given because of a self-inflicted injury
  • Given because of war
  • Given because of drug abuse
  • Given arising from an attempt to commit a crime
  • Received outside the United States
  • Provided in a government facility
  • Provided by a family member, unless professionally licensed
  • Not included in your LTC contract
  • Over the maximum coverage amount under your policy
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