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Long-term care insurance (LTCI) is designed to help cover the cost of care if you develop a chronic illness or disability and need assistance with daily activities. But unlike other types of insurance, LTCI has more specific eligibility requirements, especially when it comes to your age and health.

Age Requirements

Most people purchase long-term care insurance between the ages of 50 and 65. While some policies are available to individuals as young as 30, the ideal time to apply is when you’re still relatively healthy and premiums are more affordable. The older you are when you apply, the higher your premiums will be and the greater the chance you’ll be denied due to health concerns.

Health Considerations

Your current and past health play a big role in whether you’re approved for LTCI coverage. Long-term care insurance companies typically require applicants to go through a health underwriting process that may include:

  • A detailed health questionnaire
  • A review of your medical records
  • A phone interview or cognitive assessment
  • Sometimes a physical exam

If you have certain pre-existing conditions, such as Alzheimer’s, Parkinson’s, or a history of stroke, you will likely be ineligible for coverage. Other chronic conditions may not automatically disqualify you but could impact your premium rates or benefit options.

When to Apply

The best time to apply for LTCI is well before you need care. Once you begin experiencing difficulties with mobility, memory, or activities of daily living (ADLs), it’s usually too late to qualify. Applying earlier while you’re still in good health gives you the best chance of approval and the most flexibility when choosing a policy.

 

Need help deciding if you qualify?

An LTC Advocate can help you evaluate your health history and explore your options to find a policy that fits your needs. Reach out today to learn more about long-term care insurance eligibility and planning for your future.

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