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LONG-TERM CARE
MassMutual Signature Care 200 Series
Underwritten by Massachusetts Mutual Life Insurance Company.
Mass Mutual is rated "A++ Superior" by A.M. Best
for financial strength.
- Availability
- Policy Maximum Benefits
- Elimination Periods
- Benefit Trigger
- Accessing Benefits - Activities of Daily Living Triggers & Cognitive Impairment
- Benefit
Description
- Alternate Plan of Care
- Waiver of Premium
- Inflation Protection
- Other
Availability
This policy is available in the following states ONLY: CA and PA. 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 $20 to $300 daily and may vary by state.
Lifetime Maximum Benefit: 3, 4 or 6 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 0, 30, 90 or 180
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 30 days per year for hospitalization.
Home Care, Skilled Home Care or Informal Home Care: covered at 100% of benefit amount when care provided by Home Health Care Agency or Professional.
Respite Care: Up to 30 days per calendar year. Not subject to Elimination Period.
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Alternate
Plan of Care
If benefits are paid under "Alternate Care Services Benefit", no other benefits can be paid.
Subject to the Elimination Period and reduces Lifetime Maximum. 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
After 90 days of reimbursable care in a Nursing Home or with rider care at home.
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Inflation Protection
5% simple or compound. Maximum Daily Benefit and remaining Lifetime Maximum will increase accordingly.
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Other
Coverage/product may vary by state.
Age/benefit restrictions may apply.