Using a policy your family already has
Long term care insurance benefit help
If a parent holds a policy, the question is how to actually get it paying.
You don't pay. There's no fee.
Families hold policies they never learn to use
A parent bought long term care coverage twenty years ago, the paperwork is in a drawer, and nobody knows what triggers it. Meanwhile the family is paying privately for care the policy might cover.
We help you read the policy for the parts that matter, then refer you to partners who handle claims work. We do not sell insurance, we are not your insurer, and we do not adjudicate claims.
You don't pay. There's no fee. Book a free call with us, or call (201) 686-8232 if the need is today.
The six things to find in the policy
- Daily or monthly benefit amount, and whether it has an inflation rider.
- Benefit period or lifetime maximum, which sets how long it can pay.
- Elimination period, the days of care a family pays before benefits start.
- Benefit trigger, usually a number of activities of daily living or cognitive impairment.
- Which settings qualify, since some older policies exclude assisted living or home care.
- Whether the insurer requires licensed providers or its own assessment.
How a claim usually starts
- Call the insurer's claims line and request the claim packet.
- Get the physician statement and the care needs assessment they require.
- Document daily help needed with specifics, not general descriptions.
- Confirm in writing that the chosen community or agency meets the policy definition.
- Track the elimination period, and keep every invoice from day one.
Why we bring it up during placement
The policy changes which communities are realistic. A family with benefits paying part of the monthly cost can often look at options they had crossed off. So we ask about coverage on the first call, before the shortlist.
We do not quote fees or percentages for claims assistance, and we do not promise any policy will approve a claim.
Tell us about the policy
Related pages
Frequently asked questions
- Do you sell long term care insurance?
- No. We do not sell or underwrite insurance. We help families understand a policy they already hold and refer them to partners for claims work.
- What does it cost to get claims help?
- That is between your family and the specialist you choose. We do not publish a fee or a percentage for anyone else's service.
- Will the policy cover memory care?
- It depends on the policy language and the community's license. Some older policies are narrower than families expect, which is why the wording matters.
Ways to start
Sit with us first. Then pick the home.
- Call (201) 686-8232. Best for an immediate need such as a discharge this week.
- Take the two minute care quiz
- See how we help families
- Print the tour question checklist
- Communities and agencies: partner with us
Informational and referral only. Not medical, legal, or insurance advice. We do not operate communities or employ aides, and we do not publish community prices, waitlists, or bed counts. Verify licensing and current rates with each community or agency.
This site is not medical or financial advice. Confirm coverage with the plan or the state Medicaid office. Facility fees are set by the community.