Why & when would an insurance company not approve and pay a claim?

Why & when would an insurance company not approve and pay a claim?

Author: Diane Stoddart, Certified Long Term Care Consultant, CLTC September 26, 2024 Duration: 16:30
To answer this question, I need to first share why and when LTC insurance companies are required to approve and pay a claim, and then I'll discuss where this can get confusing or messed up. LTC insurance companies are strictly regulated by the Internal Revenue Code (IRC) 7702(b). If the plans offered will be tax deductible to some individuals and most businesses, and for benefits to be paid tax-free, LTC insurance companies must adhere to the 7702(b) rule. This week, I'm sharing and simplifying definitions within the 7702(b) code. When we understand when companies are required to pay, we'll be better able to use their own vocabulary when talking with the claims departments. If you already own LTC insurance, you should read the policy and review it every couple of years. Have your kids read it, too. And adult children should read and review their parents' policies. If you would like help reviewing your plan, ask. I'll be glad to to review it with you. If you don't own LTC insurance, it's time to schedule with me at start designing a customized plan to meet your specific wants and needs. Schedule at https://calendly.com/diane-p4t/60min

Diane Stoddart brings a professional yet deeply personal perspective to the complex world of long-term care planning in Preparing For Tomorrow podcast. As a Certified Long Term Care Consultant, she understands that preparing for future care needs involves more than just finances-it's about safeguarding your family's well-being and peace of mind. Each conversation cuts through the industry jargon to clarify the real options available, from insurance products to legal strategies, all aimed at protecting your life savings from being depleted by unexpected care costs. You'll hear Diane break down essential concepts and terms, making a daunting subject feel manageable and urgent. Alongside expert guests, she explores the emotional and physical dimensions of caregiving, offering a holistic view that acknowledges the full weight of these decisions. This isn't about fear; it's about empowerment through knowledge. Tuning into this podcast provides a straightforward guide to creating a practical plan, ensuring you can face tomorrow with confidence rather than anxiety, knowing your loved ones and your legacy are secure.
Author: Language: English Episodes: 100

Preparing For Tomorrow podcast
Podcast Episodes
I want to buy an LTC policy for my parents [not-audio_url] [/not-audio_url]

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We often hear from sons and daughters who want to buy LTC coveeage for a parent. This could be to preserve a family home, to avoid Medicaid, or because they watched their parents care for their own parents for several ye…
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Questions 9 & 10 - Nursing homes? Paying family? [not-audio_url] [/not-audio_url]

Duration: 9:51
This week, we answer two questions by sharing some history of the long term care industry. 1) Do I have to go to a nursing home to receive my benefits? 2) Can I use my LTC policy to pay my family? Listen and learn how th…
Question 8 - How long will I need to pay my LTC premiums? [not-audio_url] [/not-audio_url]

Duration: 11:56
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Question 7 - Does Medicare pay for long term care? [not-audio_url] [/not-audio_url]

Duration: 12:12
Many believe that Medicare pays for long term care needs. Many also confuse Medicare and Medicaid. Listen and learn how both of these government programs work and why we need to understand why it's important to plan for…
Question 6 - What's the best age to buy LTC insurance? [not-audio_url] [/not-audio_url]

Duration: 11:15
This is always the question. We all want to wait as long as we can before paying for something we don't want to own to protect our family from something that we don't want to happen. Let me tell you - if that something i…