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Long Term Care Insurance: Don't Wait to Apply
Wednesday, 06 June 2018 12:40

If you need Long Term Care insurance, then you should apply today. Here's why:

You pay for Long Term Care insurance with money, but you buy it with your health.

As you get older, buying new Long Term Care insurance is more expensive. For example:

Monthly Premiums for New Long Term Care insurance1

Age of Applicant Male Female
30 $26 $35
40 $27 $37
50 $34 $47
60 $47 $66
70 $90 $123
79 $156 $271

Moreover, it's more difficult to qualify for a new Long Term Care insurance policy at older ages. Most people experience health problems over their lifetime, and as we age, those health issue can prevent someone from qualifying for Long Term Care insurance.

Percentage of Applicants Declined for Long Term Care insurance

Age of Applicant Percentage Declined Coverage
Under 50 7%
50 to 59 14%
60 to 69 23%
70 to 79 45%
80 and Over 70%

Many factors go into evaluating long-term care insurance applications and whether people are eligible for coverage. The more informed you are about those factors now, the more confident you and your agent can be about your decision whether to proceed.

The following is a partial list of the kinds of conditions and situations that we consider when reviewing applications and underwriting coverage. Please:

1. Read the Pre-submission Underwriting Considerations.
2. Review the Disqualifying Conditions.
3. Discuss your health history with your agent if any of these apply to you and you’re wondering whether you would qualify for coverage.
4. If you are unsure you will qualify for coverage due to an exiting health condition, talk to your agent about completing a pre-health qualification questionnaire before submitting your application. That will help determine whether an insurance company would be able to insure you and at what rate class and benefits.
5. Discuss with your agent what to expect during the underwriting process and personal health interview should you decide to submit an application.

Pre-submission Considerations

If you...

Please wait to submit your application until
Received any joint injections within the last six-12 months Six-12 months have passed (this depends on the reason for the injection).
Are currently undergoing physical, occupational or speech therapy You are released from care and have returned to 100% function.
Have any invasive tests, labs, X-rays, MRI, ultrasounds, other procedures scheduled The testing is completed and you no longer need to seek care for the condition that prompted testing.
Have been advised to have surgery not yet completed Surgery is completed, you’ve been released from care and are fully recovered.
Are undergoing evaluation for an undiagnosed medical condition All evaluations have been completed and a benign and or insurable condition has been diagnosed and proper wait time has passed.
Have sleep apnea noted in medical records and you are noncompliant with treatment You are compliant with treatment outlined by your physician for a three month period and documented as such in medical records.
Have applied for long-term care insurance and have been declined or postponed The reason for decline or postponement is under control, appropriate wait time has been met, or no longer exists. Please have your decline or postpone letter available for your insurance agent to review and advise.

Disqualifying Conditions

  • You are age 65 or older and it’s been more than two years since you have had a doctor’s visit which included a head to toe physical examination with blood work (comprehensive metabolic profile)
  • If you are currently using any of the following: quad cane, walker, wheelchair, electric scooter, stair lift, hospital bed, respirator, nebulizer, oxygen (including supplemental CPAP use)
  • Within the past six months you have been confined to, used or been advised to have any of the following: residential care, assisted living or adult day care facility services, nursing home or home health care services
  • You require the assistance or supervision of another person or a device of any kind for any of the following: bathing, toileting, dressing, eating, medication management, getting in and out of a chair or bed, your inability to control your bowel or bladder
  • You have you been diagnosed or treated by a member of the medical profession as having Acquired Immune Deficiency Syndrome (AIDS), AIDS Related Complex (ARC) or Human Immunodeficiency Virus (HIV) Infection (symptomatic or asymptomatic)
  • You currently qualify for payment or are receiving benefits under Medicaid (not Medicare), disability income plan, workers’ compensation, Social Security disability or any federal or state disability plan

You ever had, have been diagnosed as having, or received medical advice or medical care from a physician or health care provider for any of the following:

• Alzheimer’s Disease
• Dementia
• Memory Loss
• Mild Cognitive Impairment (you may still submit applications on people who voted for Hillary, though)
• Organic Brain Syndrome
• Schizophrenia
• Mental Retardation
• Connective Tissue Disease
• Kidney Failure or Received Dialysis
• Huntington’s Chorea
• Chronic Hepatitis
• Cirrhosis
• Hydrocephalus
• Multiple Myeloma
• Psychosis
• Organ Transplant
• Amyotrophic Lateral Sclerosis (ALS, Lou Gehrig’s Disease)
• Parkinson’s Disease
• Systemic Lupus
• Multiple Sclerosis (MS)
• Muscular Dystrophy
• Myasthenia Gravis
• Scleroderma
• Paralysis
• Ministroke or Transient Ischemic Attack (TIA) in the past year, single episode stroke in the past two
years, two or more strokes or TIAs, or you have not fully recovered or continue to have weakness,
decreased sensation or loss of function from a stroke or TIA
• Diabetes for 20 or more years and currently taking more than 50 units of insulin daily, or with peripheral neuropathy, numbness, tingling or decreased sensation in your feet, retinopathy or history of a stroke, ministroke or a TIA
• Cancer (except basal or squamous cell skin cancers, or stage I/A bladder, thyroid, breast or prostate cancers) in the past two years
• Chronic Obstructive Pulmonary Disease (COPD), Emphysema or Chronic Bronchitis and have used tobacco in the past year

Please don't wait until it's too late.

Do you want more information? Call today (800) 680-5596, or This e-mail address is being protected from spambots. You need JavaScript enabled to view it .



 1. A hypothetical $1,500 per month benefit plan, 2 year benefit period, 90 day elimination period, 100% assisted living, 100% home health care, 3% inflation rider (20 years), standard risk. Sample rates, not indicative of any particular company, not guaranteed issue. Subject to medical underwriting. Premiums subject to change. Not available in all states.