LTC Insurance Claims Process with Dwight Smith

Steadfast Care Planning

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There are many strategies to filing a successful Long-Term Care Insurance claim.

I chatted with Dwight Smith, the owner of AMADA Senior Care Columbus & Toledo, about the LTC insurance claims process.
In this episode we covered:
🔹 Importance of understanding the policy coverage
🔹 Exploring additional benefits included (e.g., medical equipment, home modifications)
🔹 Understanding different activation protocols for different insurance companies
🔹 Activities of daily living (ADLs) and cognitive impairments as qualifying criteria
🔹 Need for care for more than 90 days and fulfilling the elimination period
🔹 Making sure benefits are properly utilized and extended if necessary
🔹 Doctors documenting the client's needs clearly and specifically
🔹 Encouraging open and honest conversations with physicians
🔹 The process of submitting a claim
🔹 Receiving benefits once the elimination period is met

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Watch this episode on YouTube: https://youtu.be/z9PBfT_1slk
Steadfast Care Planning podcast is made possible by Steadfast Insurance, CLTC, and AMADA Senior Care Columbus.
#LongTermCare #FinancialPlanning #SteadfastCarePlanning #AmadaSeniorCareColumbus #LongTermCareInsurance
For additional information about Kelly, check her out on Linkedin or www.SteadfastAgents.com.
To explore your options for long-term care insurance, click here.
Steadfast Care Planning podcast is made possible by Steadfast Insurance LLC,
Certification in Long Term Care, and AMADA Senior Care Columbus.
Come back next time for more helpful guidance!

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1. Introduction (00:00:00)

2. Today we are going to be talking about the long term care insurance claims process (00:00:24)

3. Look at that contract and policy (00:03:33)

4. Obtain the correct documentation (00:05:12)

5. Family communication with doctors (00:06:30)

6. What is the process to submit a long-term insurance claim (00:06:55)

7. Learn the lingo and elimination periods (00:08:26)

8. You get the cash or you can get the reimbursement (00:10:30)

9. Being an advocate for your loved one (00:11:28)

10. What do you typically see as far as a timeline once you submit that claim? How long does that process typically take? (00:12:29)

11. What do you see the biggest mistakes in this claims process that people make? (00:13:55)

12. What about even typically, maybe once a year, the insurance company might need to kind of come back to you and ask some additional questions? What does that look like? (00:15:32)

13. The importance of detailed notes (00:16:30)

14. Advice on how to plan for care to live well (00:18:01)

15. How to contact Amada Senior Care Columbus (00:19:16)