Steadfast Care Planning

LTC Insurance Claims Process with Dwight Smith

November 07, 2023 Kelly Augspurger Season 1 Episode 29
Steadfast Care Planning
LTC Insurance Claims Process with Dwight Smith
Show Notes Chapter Markers

There are many strategies to filing a successful Long-Term Care Insurance claim.

I chatted with Dwight Smith, the owner of AMADA Senior Care Columbus & Toledo, about the LTC insurance claims process.

In this episode we covered:

๐Ÿ”น Importance of understanding the policy coverage
 
๐Ÿ”น Exploring additional benefits included (e.g., medical equipment, home modifications)

๐Ÿ”น Understanding different activation protocols for different insurance companies

๐Ÿ”น Activities of daily living (ADLs) and cognitive impairments as qualifying criteria

๐Ÿ”น Need for care for more than 90 days and fulfilling the elimination period 

๐Ÿ”น Making sure benefits are properly utilized and extended if necessary 

๐Ÿ”น Doctors documenting the client's needs clearly and specifically

๐Ÿ”น Encouraging open and honest conversations with physicians 

๐Ÿ”น The process of submitting a claim 

๐Ÿ”น Receiving benefits once the elimination period is met

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Watch this episode on YouTube:  https://youtu.be/z9PBfT_1slk

Steadfast Care Planning podcast is made possible by Steadfast Insurance, CLTC, and AMADA Senior Care Columbus.

#LongTermCare #FinancialPlanning #SteadfastCarePlanning #AmadaSeniorCareColumbus #LongTermCareInsurance

For additional information about Kelly, check her out on Linkedin or www.SteadfastAgents.com.

To explore your options for long-term care insurance, click here.

Steadfast Care Planning podcast is made possible by Steadfast Insurance LLC,
Certification in Long Term Care, and AMADA Senior Care Columbus.

Come back next time for more helpful guidance!

Introduction
Today we are going to be talking about the long term care insurance claims process
Look at that contract and policy
Obtain the correct documentation
Family communication with doctors
What is the process to submit a long-term insurance claim
Learn the lingo and elimination periods
You get the cash or you can get the reimbursement
Being an advocate for your loved one
What do you typically see as far as a timeline once you submit that claim? How long does that process typically take?
What do you see the biggest mistakes in this claims process that people make?
What about even typically, maybe once a year, the insurance company might need to kind of come back to you and ask some additional questions? What does that look like?
The importance of detailed notes
Advice on how to plan for care to live well
How to contact Amada Senior Care Columbus