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How to Get Insurance Companies to Pay for Long-Term Care

5/12/2021

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A variety of medical conditions—including mental handicaps like Alzheimer’s or dementia, physical problems like paralysis, and the lethargy and arthritis that comes with increasingly old age—can necessitate an extra level of care for an individual’s wellbeing. Unfortunately, getting insurance to cover that care is tricky. Knowing how to talk to insurance companies, using legal force, and ___ will help you receive the insurance help that you need to stay healthy and safe when it becomes harder (if not impossible) to do it on your own.

Know How to Talk to Them

The goal with insurance companies is to get them to cover as much as possible so that you don’t have to pay out of pocket. Keep your descriptions of your life straightforward, and refrain from adding in emotional arguments. Don’t ask for all the benefits you can receive, and don’t mention extra, perhaps unnecessary activities you participate in (like vacations, frequent outings, even your voluntary contributions to other causes). Essentially, you want your insurance adjuster to believe that long-term care is absolutely necessary because you cannot function in your daily tasks without help. Anything more can be held against you as examples of things you are able to do without help.

File a Lawsuit if Necessary

Taking an entire insurance company to court is a giant of a challenge, but may be necessary if you feel they are unfair in their treatment of you and your needs. Find an attorney who knows how to handle these kinds of cases, who have experience with insurance specifically. Many lawyers are skilled at winning personal injury cases against insurance companies. These lawyers may be a good resource (or at least starting point) to getting you the claim you deserve based on your own conditions. Look for wording and details in your policies that may prove your situation qualifies for the insurance packages you need. If nothing else, you may be able to use this concept of “good faith” (a clause included in insurance contracts promising charitable action) to argue for your claim.

Present Your Case Professionally

Insurance companies will take you more seriously if you provide a serious argument that has been clearly researched, laid out, and established within legal understanding. The better presentation you give, the better chances you have of good long-term care insurance coverage. Put in the work required for a good case!

This kind of assistance is so important in helping you live a healthy life. Find the long-term care that is best for you and don’t settle!

Read this next: How to Earn Passive Income in Retirement

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    My name is Dan Hopwood and I first started my career in the insurance business back in 1988.  2018 will be the start of my 30th year in the business. My agency is a member of the Better Business Bureau and holds an A+ rating.

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