<curiousgeorge408[at]hotmail.com> wrote in message
news:0ed4a37b-3e9d-44e6-b1bc-4ce2e5cfe5c6[at]q77g2000hsh.googlegroups.com...

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What kind of coverage is it you're looking for?

Elizabeth Richardson

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We understand that you do not have an "In Force Contract" on
hand. However, you CAN contact the various companies, and
request a Sample Contact from them.

Cal Lester CLU

On Jan 4, 8:17*am, kastnna <kast...[at]auburnalum.org> wrote:
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I do not have a contract to look at. I want to understand the
correct jargon to use (or to avoid misusing) in conversations
with professionals in the industry while I search for the right
solution for my situation. I don't want to make the mistake
of asking about "LTC" when, in fact, that is not what I really
mean, and my misuse of the terminology would lead to
confusion and misdirection.

Your response and the others have been very helpful. Thanks.

And thanks for changing the subject line back to the original.
I think it was rude for someone to change the title line. I am
surprised the moderators permitted it, not only on principle,
but also because the modified title become unduly generic.
I know the moderators are a stickler for distinctive titles.

CG,

Start with the contract you are considering. Definitions tend to vary
in small, but often very important, ways from company to company.
Definitions may even vary across different products offered by the
same company.

In general, the standard for requiring "long term care" has to do with
"activities of daily living" (ADLs). If a given number of ADLs cannot
be performed by the individual they are eligible for LTC support. The
condos or gated communities you refer to are primarily for individuals
that can fully perform ADLs on their own and therefore require little
or no support from medical professionals. Rather, individuals move
there for the social network, closeness to medical facilities, and
amenities. They are not covered under LTC insurance.

<curiousgeorge408[at]hotmail.com> wrote in message
news:5b934b56-be63-4a21-ae56-433854d4f58d[at]t1g2000pra.googlegroups.com...
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I was that someone.

State Farm defines 'residential care' as taking place in a facility
licensed to provide it. That excludes your own home and also excludes
the 'independent living' part of a full-spectrum community. From an
LTC policy perspective, that independent living is simply an apartment
or condo, even if home health help and some degree of community dining
is available. The cost of living in the apartment is not paid; the
cost of the home health help may be, if your policy includes it.
There's not a lot of benefit from the LTC policy, that I can see.

As a detail of my Mom's policy, State Farm pays 80% up to the daily
benefit limit of ~$210. That's true for the Assisted Living Facility
(ALF, a specific type of license in Florida) that my Mom chose.
Another facility markets itself as an ALF, but actually holds a
Skilled Nursing Facility (SNF) license. That's a higher level of care.
They had been an SNF but renovated slightly and changed their business
model. Had my Mom chosen that site (a rather bleak place) State Farm
would pay 100% up to the daily benefit limit, simply because of the
difference in license.

A detail I didn't state in my earlier post is that, not only are the
condo expenses eliminated, so are groceries and normal costs of living
like laundry detergent, toilet paper, etc. It's really not a bad deal
for someone requiring assistance, if the living arrangements are
acceptable.

<curiousgeorge408[at]hotmail.com> wrote in message
news:5b934b56-be63-4a21-ae56-433854d4f58d[at]t1g2000pra.googlegroups.com...
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Generaly speaking, the answer would be NO.
However, each CONTRACT is different, and one
would have to SEE the contract to determine.


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NO again, as I happene to live in one such............

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NO, it means a specific enterprise, usually small in
nature, wher there is primarily "HOUSING" and similar
services, but NO NURSING FACILITIES.

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That is a fair definition of the Terrm. It means inability
to perform two or more of usually SIX types of functions
(again they are LISTED in the contract)

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This would generaly be LISTED as Home Care Service ! !

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YES & YES


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IN THE CONTRACT. Alternative would be to ATTEND
Seminars, and speak to REPUTABLE Agents

Cal Lester CLU

I am confused about terminology related to what I call (but might
not be) "long-term care". Using the right terminology seems to be
essential (as always) to understanding long-term financial planning.

For example, in another thread, someone wrote:
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This is the kind of arrangement I would like for my elderly mother.
But I'm confused about the difference between "residential
situation" v. a condo in an "assisted living" situation.

Would a live-in care-giver qualify as "assisted living", even if the
"condo" (which might be a free-standing house) is not in a
"community living" situation?

And beware: I might not be using "community living situtation"
correctly. I mean a planned community, usually gated, that is
intended for retirement and/or elderly living.

Or does the term "assisted living" refer only to "nursing home"
situations?

Does "long-term care" apply only to care given only to someone
who cannot tend to their own personal care?

Or could the term also apply to someone who just needs help
with shopping, household chores, household projects because
the elderly person has physical limitations -- like arthritis,
difficulty breathing, etc -- that make these tasks difficult, but
not impossible?

Are these terms well-defined and used somewhat in a standard
manner in the LTC industry? Or must I read between the lines?

I could probably go on and on with questions, each built on the
possible-false assumptions about the answers to earlier questions.

But perhaps what I really am asking is: where is the best place
to start to understand the correct terms to use to apply to various
stages of the "elderly" phase, beginning with when a person
begins to have "difficulty" getting around and doing simple tasks
due to aches and pains and we begin to be concerned about her
living alone up to the point where a person is truly vegetative or
at least very incapacity either mentally or physically?

Disclaimer: I hope the moderator does not feel this is too far
off-topic. In my way of thinking, it is major part of the long-term
financial planning task. At least, this is one of the biggest
unknowns that my mother constantly brings up whenever we
discuss her current financial situation and whether or not it
covers her needs "later in life" -- which may not be that far off.
"How much can she spend now and what investment risk can
she assume now without jeopardizing her ability to support
herself for another 10-15 years?"