Long-term care insurance helps pay for nursing home or long-term care. Unfortunately, insurance agencies oversold policies at a price that wouldn’t support future benefit payments. Our Florida insurance claims attorneys help individuals and families receive the benefits they deserve under these policies.
LONG-TERM CARE INSURANCE
Long-term care insurance pays the cost of nursing home care or home health services to policyholders who are no longer able to care for themselves. It may also pay for care in assisted living facilities and adult daycare centers. The care covered by long-term care insurance policies includes assistance with the activities of daily living, such as bathing, dressing and eating.
Long-term care insurance provides a wide range of medical and support services, including, but not limited to:
- Daily care for degenerative conditions.
- Medical attention for prolonged illnesses.
- Assistance for those with cognitive disorders.
Long-term care policies are often sold to individuals who want to prepare for potential long-term care as they age. However, long-term insurance policies may also provide coverage for long-term care that is needed by younger individuals because of accidents or illnesses.
ASSISTANCE FOR A GROWING NUMBER OF PEOPLE
Approximately 10 million people required some level of long-term care in the United States in the year 2000, the majority of whom were over 65. It is estimated that about half of all Americans aged 65 or older will need some form of assisted living services.
Long-term care insurance has been one of the fastest-growing types of insurance sold in recent years. There are many insurance companies now selling long-term care policies. Policies sold at prices that cannot support future benefit payments can make it more difficult to obtain benefits under these policies.
Now that policyholders are aging and need to claim their benefits, some insurance companies are engaging in bad faith practices to maximize their profits. Sadly, senior citizens are left financially destitute when their claims are denied, as they must pay the crushing cost of nursing home care out of their own pockets.
FIGHT BAD FAITH PRACTICES
Unlike many other types of insurance premiums, long-term care insurance premiums may increase. As policyholders grow older, premium costs increase at an enormous rate. Often, senior citizens on fixed incomes can no longer afford the insurance premiums and must let their long-term care insurance policies lapse. In addition to raising policyholders’ premiums to unbearable amounts to force a policy lapse, insurance companies attempt to deny benefit payments to policyholders in many ways.
The process of obtaining payment for a claim can be extremely difficult, frustrating and time-consuming. Insurance companies often inundate policyholders with confusing and burdensome paperwork. People in need of these insurance benefits often do not have the strength or ability to fight with their insurance company for their benefits. Many individuals may already have some level of cognitive impairment by the time they are ready to file a long-term insurance claim.
Long-term care insurance companies also deny claims based upon the “fine print” in their policies about the conditions under which benefits are to be paid. Insurance companies interpret plan terms to advance their interests and deny or limit benefits. Some insurance companies engage in tactics such as denying receipt of documents sent to them, utilizing biased doctors and nurses to justify denials and ignoring or failing to advise insureds about benefits to which they are entitled to receive.
RETAIN A LAW FIRM WITH PAST RECOVERIES WORTH MILLIONS
If you or a loved one have been victimized by a long-term care insurance company, we can help. Our Florida insurance law attorneys and staff members at Murray Law Group take the time to listen to your problems to help you sort out the issues involved in your case.
The Florida insurance lawyers of Murray Law Group offer free initial consultations in English or Spanish. If you cannot travel, we can travel to you. Contact our law firm by calling 1-855-269-4317 for more information.