A person who wants to be guaranteed quality care. One third of all nursing home expenses are paid for out of the pockets of the individuals or their families. One half are paid for by Medicaid programs and only one sixth is paid for by private insurance. Medicare, Medicare supplements and major medical health insurance generally do not pay for long term care expenses. Statistics reflect national average and costs vary widely across the country.
Policies provide coverage on either a reimbursement of cost basis, or flat rate per day basis.
Both are limited to the maximums of the policy. All policies contain provisions that determine if and when benefits are paid. Some policies use more then one trigger to determine benefits. The most common method for determining benefits is based on the insured s inability to perform ADL s. These are bathing, dressing, eating, toileting, continence, and transferring.