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LONG-TERM CARE
John Hancock Custom Care II
Underwritten by John Hancock. John Hancock is rated "A++ Superior" by A.M. Best
for financial strength.
Availability
This policy is available in all states EXCEPT the following: AK, CA, FL and IN.
Member must meet health guidelines to qualify.
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Policy Maximum Benefits
Coverage under the plan creates a flexible "pool" of benefit
dollars for each covered member that can be accessed at claim time to
cover the necessary treatment. The insured tailors his/her policy to address
his/her own needs and concerns. The Daily Benefit Amount is $50 to $500 daily and may vary by state.
Lifetime Maximum Benefit: 2, 3, 4, 5, 6, or 10 years or Lifetime.
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Elimination Periods
As in most insurance products, long term care insurance also has deductibles.
For long term care, these deductibles are called "Elimination Periods."
The first days of coverage that are not covered by the policy are the
Elimination Period. The insured may choose either 30, 60, 90, 180 or 365
days. All Elimination Periods
are applied only once in a lifetime.
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Benefit Trigger
Chronically Ill and Disabled ("Disabled" means unable to perform
two of the six Activities of Daily Living or Cognitively Impaired.)
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Accessing Benefits - Activities of Daily Living Triggers & Cognitive
Impairment
In order for a plan to be tax-qualified, the minimum triggers for accessing
benefits are "substantial assistance" ("stand-by" or "hands-on") with two out of six activities
of daily living. These activities are eating, bathing, dressing, toileting,
transferring, and continence.
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Benefit
Description
Nursing Home, Assisted Living, Adult Day Care or Hospice Care:
covered at 100% of benefit amount. Bed Reservation benefit of 60 days for any reason per calendar year.
Home Care, Skilled Home Care or Informal Home Care: covered at 100% of benefit amount when care provided by Home Health Care Agency or
Certified Home Health Care Provider. Respite Care: Up to 21 days per calendar year. Not subject to Elimination Period.
Must be Benefit Eligible. return
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Alternate
Plan of Care
Covered under the Stay at Home Benefit. Not subject to the Elimination Period and does not reduce the Policy Limit.
If agreed to by you, your licensed health care practitioner
and the company, the company may pay for equipment and services not specifically covered.
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Waiver of Premium
Once Elimination Period is satisfied and you begin receiving benefits.
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Inflation Protection
5%, 5% compound; 5%, 3% compound; or 5% simple.
Maximum Daily Benefit and remaining Lifetime Maximum will increase accordingly.
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Other
15% spouse/partner.
30% if both apply and are approved.
5% family discount.
Must have at least 3 members of immediate family buy separate individual policies.
Total combined discount limit is 40%.
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Coverage/product
may vary by state.
Age/benefit
restrictions may apply.
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