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The Patient Protection and Affordable Health Care Act

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Long-term care insurance

Here’s a detail that we haven’t heard  much about in the media:

TITLE VIII of the Affordable Care Act is the ‘‘Community Living Assistance Services and Supports Act’’ or the ‘‘CLASS Act’’. Starting in 2013 Americans will be able to buy a kind of long-term care insurance from the government at initial premiums estimated to be between $100-$200 per month.

Anyone who pays premiums for five years and who works at least ¼ time for three of those five years is eligible to receive benefits* of not less that $50 per day to purchase nonmedical services and needed to maintain independence at home or in another residential setting of their choice in the community, including (but not limited to) home modifications, assistive technology, accessible transportation, homemaker services, respite care, personal assistance services, home care aides, and nursing support.

Benefits can be used to compensate a family caregiver.

No taxpayer funds shall be used for payment of benefits.

Administrative costs are limited to 3%

There are no underwriting requirements. This means everybody gets it who wants it no matter what their medical condition is. But remember that you have pay into it for five years first, and you have to earn income during three of those five years.

Having experienced the death of two parents from Alzheimer’s, this seems an answer to several prayers of mine: that I won’t have to leave home should I start to fail, or at least not immediately; that my husband will not have to divorce me in order to keep the house; that there will be some choice for us should I require care. Or should he.

This type of insurance is being phased out by the major private insurance companies, because they can’t make enough profit on it. Of course not. Family members who want to keep their family members at home can do it for a lot less than assisted livings and nursing homes. And they are willing to, because they are not motivated by profit, but by love.

The Act also sets up an Independence Advisory Council calls for the establishment of long-term care training programs.

This one is a thumbs up for me. At least it will be if I can work until I’m 68. Just in time for me. What do you think?

If you would like me to continue this series, have a question or commenet, a research topic, or a suggestion for me, or would like to contribute your own devilish detail, please contact me at: 208-304-9066 or docnangee@yahoo.com

*This is my interpretation. The act says that an eligible beneficiary ‘‘(i) has paid premiums for enrollment in such program for at least 60 months; ‘‘(ii) has earned, with respect to at least 3 calendar years that occur during the first 60 months for which the individual has paid premiums for enrollment in the pro- gram, at least an amount equal to the amount of wages and self-employment income which an individual must have in order to be credited with a quarter of coverage under section 213(d) of the Social Security Act for the year; and ‘‘(iii) has paid premiums for enrollment in such program for at least 24 consecutive months, if a lapse in premium payments of more than 3 months has occurred during the period that begins on the date of the individual’s enrollment and ends on the date of such determination.

Subscribe to comments feed Comments (2 posted)

Dale M. Krause, J.D., LL.M. 01/06/2012 09:18:38
The primary purpose of the Patient Protection and Affordable Care Act (“PPACA”) of 2010 was to reduce the number of uninsured in the United States by making coverage more affordable. Employer-based insurance has been the foundation of health care financing in the United States. In 2010, sixty-nine percent of employer offered coverage to their employees, whereas in 2009 only sixty percent offered such coverage. In order to get all employers to offer such coverage, the Internal Revenue Code needs to be changed so that an employer gets * 150% deduction, rather than * 100% deduction, for the cost of the insurance that he or she pays for. If the employer’s insurance coverage includes that for long term care – whether at home, an assisted living facility, or nursing home, the deduction increases from 150% to 200%. The aforementioned percentages would only apply to those employers who pay 100% of the insurance premium costs associated to an employee.
Jeremy Engdahl-Johnson 04/11/2011 08:06:40
How do we ensure long-term solvency for the CLASS program? Possible solutions to apply to the Federal LTC program. http://www.healthcaretownhall.com/?p=3743
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Nancy Gerth is a freelance writer

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Obamacare, health insurance, long-term care insurance, The Patient Protection and Affordable Health Care

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