The "What & Where"
The Rule of Six (ADLs & Eligibility)
Dollars & Sense
Myth vs. Reality
The Price is Right
100

This type of care is provided in your own residence rather than a facility.

Home Helalth Care

100

This ADL refers to the ability to move oneself from a bed to a chair or standing position.

Transferring

100

This is the maximum amount a policy will pay out in a single 24-hour period.

Daily Benefit Amount

100

True or False: Standard Medicare pays for long-term custodial care indefinitely.

False, it only covers limited time

100

In 2026, the national average annual cost for a private room in a nursing home has surpassed this six-figure milestone.

What is $100,000?

200

These facilities provide housing, meals, and help with personal care, but not 24/7 skilled medical monitoring

Assisted Living

200

This is the ADL involved when a person can no longer feed themselves.

Eating/Feeding

200

Think of this as a "waiting period" or a deductible in days before the policy starts paying.

Elimination period

200

To qualify for this government program, you generally must "spend down" your assets to nearly nothing.

Medicaid

200

While men pay less, a 55-year-old single woman in 2026 can expect to pay roughly this much annually for a standard policy.

What is $3,700 - $3,800?

300

This "temporary" care provides a much-needed break for primary family caregivers.

Respite Care (Temporary, short-term care)

300

Most policies require a person to need help with this many ADLs (out of 6) to "trigger" benefits.

Two

300

This "total sum" is calculated by multiplying your Daily Benefit by the number of years in your coverage period.

Pool of Benefits
300

This is the average age range experts recommend looking into purchasing an LTCI policy.

Mid 50's to early 60's

300

This common policy rider helps your benefit keep up with the 8% annual rise in care costs.

What is Inflation Protection?

400

This setting provides specialized care for those with Alzheimer’s or other forms of dementia.

Memory Care

400

Even if a person can perform all physical ADLs, they may qualify for benefits if they suffer from this type of impairment.

Cognitive impairment

400

This is the total pool of money available in the policy

Maximum Lifetime Benefit

400

These "Hybrid" policies combine Long-Term Care coverage with this other type of insurance.

Life Insurance

400

This is the typical "waiting period" or out-of-pocket window before the insurance company starts paying.

What is the Elimination Period?

500

LTCI typically covers "Custodial Care," which helps with these daily activities, abbreviated as ADLs.

Activities of Daily Living

500

This ADL covers the ability to perform the associated tasks of personal hygiene and grooming.

Bathing/Dressing

500

This feature allows a couple to share one pool of benefits or transfer benefits to one another.

Shared Care Rider

500

This 1996 Act (acronym) established the tax-qualified status of most modern LTCI policies.

Health Insurance Portability and Accountability Act (HIPAA)

500

For a 55-year-old couple in 2026, this is the average combined annual premium to secure $165,000 in initial benefits.

What is $5,050?

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