ARIZONA Long-Term Care Insurance Information

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ARIZONA Long-Term Care Insurance Information

April 4, 2012
LTCFacts
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The Long Term Care Partnership Program

Under the Long Term Care Partnership Program, the Arizona Long Term Care System (ALTCS) will
not count some or all of the applicant’s resources (assets) when determining eligibility if the applicant
has a long-term care insurance policy that meets certain requirements. In addition to the amount not
counted in determining eligibility, AHCCCS will not recover the same amount from the person’s estate
under the Estate Recovery program.

• The resource exclusion can be applied to any type of countable resources, including real
property.
• When the ALTCS applicant has a spouse, the resource exclusion only applies to resources
owned solely or jointly by the applicant and cannot be applied to resources owned solely by the
spouse.

How much of my resources are not counted?
AHCCCS will not count resources that a person with a qualified long-term care insurance policy has
in an amount equal to the insurance benefit payments received through the end of the month before
the month the person applied for ALTCS. The same dollar amount of the person’s resources are
protected from the Estate Recovery program.

Example:
Mr. X, a single man, buys a qualifying long term care insurance policy. When he enters a
nursing home, the policy begins issuing benefits to Mr. X that he uses to pay for his nursing
home costs.

Mr. X receives $80,000 in payments before he applies for ALTCS. As a result, $80,000 of his
resources will not be counted in determining if he is resource eligible for the ALTCS program.
In addition, $80,000 of any estate he may leave when he dies will be exempt from the Estate
Recovery program and can be passed to Mr. X’s heirs.

How do I know if I have a Qualified State Long-Term Care Insurance Partnership Policy?
There are certain requirements that insurance companies must meet in order to have a long term care
insurance policy approved under the partnership. For example, policies must have built in inflation
protection and meet other legal requirements. Policies purchased in Arizona prior to July 1, 2008 will
not meet requirements for the partnership. Contact your insurance agent to find out if your policy is a
qualified LTCP policy.

Several states have participated in the Partnership for a number of years, and Arizona honors Long
Term Care Partnership policies purchased in other states. If you bought your policy in another state
and you think it may meet requirements for the partnership, AHCCCS will review it to determine if it
meets the requirements.

Please contact your local ALTCS office for additional information.

Long Term Care Shopping Tips

  • Shop around for an insurance agent and an insurance company–ask friends, family or neighbors if they recommend their insurance agent or company.
  • Ask insurance agents which insurance company’s products they sell; most agents only sell products from a few companies. Compare several different products from several different insurance companies. You might need to talk with several different agents.
  • Carefully compare the benefits and restrictions between policies.
  • Most LTC insurance premiums increase over time. Carefully evaluate whether premium payments over a long period could be a financial hardship.
  • Never pay insurance premiums in cash; do not make checks payable to the insurance agent.
  • Read your policy carefully and ask follow up questions.
  • Use your 30-day “Free Look” period to return a policy for a full refund if you are not satisfied!
  • Understand what a Long Term Care Partnership (LTCPP) policy is, how it differs from non-LTCPP policies, and whether it is affordable for you.

RESOURCES:

Arizona Department of Insurance

All information referenced here was obtained from the Arizona Department of Insurance website and documents available online.

For further assistance, please contact click here or complete the form below:

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