Long Term Care Insurance

Definition


Long Term Care Insurance (LTCI) – Canada: A private insurance product (regulated provincially as an accident-and-sickness policy or collectively as life/health insurance) that pays a tax-free benefit when the insured is unable to perform, without substantial assistance, at least two Activities of Daily Living (bathing, dressing, toileting, continence, transferring, feeding) or suffers severe cognitive impairment for a period expected to last at least 90 days. Benefits are triggered by a licensed health-care professional’s assessment and are payable as a predetermined monthly cash amount or reimbursement for eligible expenses such as home care, adult day programs, assisted-living facilities, or nursing homes. Premiums may be level for life or increase with attained age and may include optional inflation indexing. Provincial health plans do not cover most ongoing assisted-living or chronic-care facility costs, making LTCI a financial planning tool to protect other retirement assets. Policies are medically underwritten at issue; once in force, coverage is guaranteed renewable and cannot be cancelled for health reasons.

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Disclosure

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