What Do "Trigger" and "Elimination" Mean in Long-Term Care Insurance? | Monroe Township - Middlesex County
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What Do “Trigger” and “Elimination” Mean in Long-Term Care Insurance?

October 9, 2015

Filed under: Estate Planning — Neel Shah @ 9:15 am

Whether you have just purchased it for yourself or for an aging parent, it’s important to understand the factors involved in a long-term care insurance policy and when it will pay out. Long-term care insurance is a solid option to support or to stand in line with a general healthcare plan.

The term “trigger” refers to an event that activates the need for long-term care, such as difficulty with an activity of daily living or a cognitive impairment. The elimination period refers to the time that a patient must wait before benefits officially kick in. This usually means self-payment for care if some kind of care is absolutely necessary.

Make sure you understand the elimination period so that you or a loved one are not counting on insurance picking up the tab only to learn that self-pay is necessary in the interim. You can learn more about long-term care insurance and other options for planing ahead by consulting with an elder law attorney.

2 responses to “What Do “Trigger” and “Elimination” Mean in Long-Term Care Insurance?”

  1. Michael says:

    Be sure to understand which type of contract you have – critical in determining how a client,or policy owner,can access the benefit on the triggering of a long term care event.With a reimbursement approach,policy payments are limited to the lesser of the monthly benefit amount and the actual amount expended. With a indemnity approach,it is the status of the insured alone that triggers the benefit. Thus the client will receive a benefit even if they do not incur long-term care expenses.

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