The impact of private long-term care insurance on claimants: formal and informal care in the community.
Policy makers show continuing interest in the potential for long-term care (LTC) insurance to save public money by reducing pressure on the Medicare and Medicaid programs. Although the purchase of LTC insurance is being encouraged by government - through tax incentives and the offering of private LTC insurance as an option for public employees - little is known about how benefits are used, whether those claiming benefits feel they are getting good value for their money, and whether the patterns of formal (paid) and informal (unpaid) service use differ for insurance claimants compared to similarly disabled persons without private LTC insurance. This brief provides information on older people claiming LTC insurance benefits and compares their experiences to those of non-privately insured older people who need LTC. We conclude that LTC insurance is an important source of support for those who lack informal support from family and friends. However, LTC insurance remains a complex product; claimants need help in using their benefits to obtain the appropriate level and quality of care and in understanding at the time of purchase how much protection they need.
Cohen
Marc
M
Lifeplans, Inc., Waltham, MA, USA.
Miller
Jessica
J
D000203:Activities of Daily Living; D000368:Aged; D002017:Budgets / Q000331:legislation & jurisprudence*; D003153:Community Health Services; D004608:Eligibility Determination; D005382:Financing, Personal; D006299:Health Services for the Aged / Q000706:statistics & numerical data; D006699:Home Care Services / Q000706:statistics & numerical data*; D006801:Humans; D007342:Insurance Benefits; D007345:Insurance Claim Review; D007353:Insurance, Long-Term Care; D006278:Medicare; D016134:Organizational Policy; D014481:United States