Short Term Care
What is Short Term Care?
Short Term Care (STC) offers a facility (nursing home or assisted living) benefit and may have some hospital coverage and home health care for up to 365 days. Short Term Care will help people for temporary stays in a nursing home, assisted living or hospital. This can be for skilled care and custodial care. Prior hospitalization is not required for short term care.
What are the benefits of Short Term Care?
Plan design options for short term care insurance varies by insurance company and state of issue (resident state of applicant).
Applicant may select the following:
- daily benefit amount for facility benefit, elimination period, and benefit period (up to maximum 365 days)
- daily hospital indemnity amount
- optional weekly amount for home health care, benefit period.
Who is eligible for Short Term Care?
Ages vary by insurance company. Some start at 40 and go up to age 89.
Medical history is considered. For a confidential prequalification contact Baygroup Insurance. We will either provide you with a medical history form to complete or we can take the information over the phone. This information is necessary to check with multiple carriers to determine which solutions are available to you and then to run comparative quotes. The best solution is based on your preferences, health and finances.
How does Short Term Care (STC) compare to Long Term Care (LTC)?
- STC - an insured must need help with at least two ADLs (bathing, dressing, eating, transferring, toileting, continence) or continued supervision and assistance due to cognitive impairment. There is no period of time these limitations are expected to be needed.
- LTC - an insured must be unable to perform, without substantial assistance from another person, at least two activities of daily living for an expected period of at least 90 days due to a loss of functional capacity; or you require substantial supervision due to your severe cognitive impairment.
What method are claims made?
- STC - indemnity method
- LTC - reimbursement method, cash or indemnity
- STC - up to a maximum of 365 days
- LTC - from two years to unlimited. Most insurance companies offer a benefit period from two years to five years.
- STC - generally not an option. We recommend you select a higher benefit amount to offset not having inflation rider.
- LTC - inflation offset future increases in cost of care. There are many options available and vary by insurance company.
- STC - fewer health questions that look back up to five years based on conditions.
- LTC - applicant's health history via telephone interview or a personal visit by a medical professional and doctor's record. Family history is also considered with insurance companies.
To learn more about what solution is best for your needs, contact Baygroup Insurance LLC. Our process begins with obtaining your medical and family histories and your preferences, we review underwriting guidelines to determine which options are available for you, schedule a time for an educational meeting (ofttimes it is a screen-share, you view my computer screen and talk on the phone). During the education meeting, pricing of sample plan designs will be shared and tweaked based on information you share. When you are ready to apply for coverage, an application will be completed via screen share or in person and submitted to insurance company. The length of time for the underwriting process varies based on timing of medical records received and then reviewed by the underwriter, sometimes six to eight weeks.