Long-term care insurance and alternatives: a comparison of employer and individual policy markets.
This article presents findings from a recently completed Health Insurance Association of America-sponsored survey that sought to measure the extent to which long-term care insurers paid for newer, long-term care alternatives. The focus of the survey was on payment for three services: adult day care, board and care homes, and assisted living facilities. The survey also collected information on companies offering reimbursement for these services under an alternate care benefit (i.e., a plan of nonconventional care and services that can serve as an alternative to more costly inpatient nursing home care). Survey data showed that long-term care insurance sold in employer markets reimburses a richer set of alternative long-term care benefits than policies sold in individual markets. In addition, the majority of employer market companies reimburse for alternatives under their base policy, recognizing the importance of payment for noninstitutional, long-term care alternatives.
Public Administration Institute, Fairleigh Dickinson University, Teaneck, NJ, USA.
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McSweeney
D000368:Aged; D003631:Day Care, Medical / Q000191:economics; D006264:Health Benefit Plans, Employee; D006699:Home Care Services / Q000191:economics; D006707:Homes for the Aged / Q000191:economics; D016852:Housing for the Elderly / Q000191:economics; D006801:Humans; D007342:Insurance Benefits; D007353:Insurance, Long-Term Care / Q000331:legislation & jurisprudence; D009735:Nursing Homes / Q000191:economics; D014481:United States