Oregon Long-Term Care Policy Types
There are several kinds of Oregon long-term care insurance policies available. Most are referred to as expense incurred or indemnity policies. An indemnity policy or ‘per diem’ policy pays up to a fixed benefit amount. It does not matter what you spend. In an expense-incurred plan, you select the benefit total as you purchase the policy, and you are reimbursed for the expenses for LTC services. You are afforded a specified dollar amount per month, week or day.
Many insurance companies also sell integrated policies. These are also referred to as insurance plans with pooled benefits. This kind of policy offers a sum dollar amount that can be used for various types of LTC services. There is often a monthly, weekly or daily limit for the covered expenses in the Oregon long-term care insurance policy.
It is worth noting that there are not OR long-term care insurance policies that guarantee full coverage of all expenses. Typically, you will have a choice of daily benefit sums ranging from $50 to over $300 a day for formal care coverage. The daily benefit for informal care will often be less than the benefit for formal care. It is crucial to note that you are liable for your actual home care or nursing home costs that go beyond the daily benefit sum you bought.
Since the per-day benefits you purchase today probably will be insufficient to cover increased costs years from now, the majority of long-term care insurance policies provide adjustments for inflation. For instance, in many plans, the initial benefit amount will increase automatically every year at a specific rate compounded over the policy’s life.
What Does Oregon Long-Term Care Insurance Cover?
LTC services are offered when an individual is unable to complete specific activities of daily living (ADL). It is also the case when they are cognitively impaired due to Alzheimer’s disease or senile dementia. The most common ADLs that determine service needs are bathing, dressing, toileting, transferring (getting from a seat to the bed), eating and continence.
OR long-term care insurance policies cover custodial, intermediate and skilled care in nursing homes that have been licensed by the state. The plans often also include home care such as non-skilled or skilled nursing care, home health assistance and physical therapy. Most policies also include assisted living, alternate care, adult daycare and respite care.
Following is a list of some of the most common coverages available:
Nursing Home: A facility that provides skilled health care, rehab, personal care and daily activities around the clock.
Assisted Living: An apartment style residence that makes personal care and other helpful services available when needed.
Adult Day Care: An outside the home service that provides health, social and support services in a supervised setting.
Home Care: An agency or person who comes to the home who performs services likes bathing and helps with chores.
Home Modification: Handicap ramps, grab bars, easier to enter baths to make your home more accessible.
Care Coordination: Services provided by a licensed professional who helps with determining needs, locating services and arranging for care.
What Oregon Long-Term Care Insurance Doesn’t Cover
Long-Term Care insurance typically does not cover illness, treatment or medical condition arising out of:
- Participation in a felony, riot or insurrection
- Attempted suicide, while sane or insane
- Injuries intentionally inflicted on self
- Treatment or care for alcoholism or any drug addiction
- Care or treatment provided in a government facility unless otherwise required by law.
- Care you receive while in a hospital, except in a unit specifically designated as a nursing home or hospice facility.
- Any service to the extent the expense for it is reimbursable under Medicare or would be so reimbursable except for the application of a deductible, coinsurance or co-payment amount.
- Services or supplies for which you are not obligated to pay in the absence of insurance.
- Services provided by any person who normally lived in your home at the time you became eligible for benefits.
How Much Does Oregon Long-Term Care Insurance Cost?
How much does Oregon long-term care insurance cost? The premiums vary depending on the company and their underwriting rules, and it depends on the coverages and deductible selected.
Before buying a OR LTC insurance policy, remember that all insurance plans are considered legal contracts. Ensure that you read and review the plans under consideration before purchasing. You should understand all the provisions before making a decision. It is advisable to discuss the policies with individual who can offer a professional opinion such as a financial advisor or your physician.
OR LTC Insurance Quotes
Request a Oregon Long-Term Care Insurance quote in Albany, Ashland, Baker City, Beaverton, Bend, Canby, Central Point, Coos Bay, Cornelius, Corvallis, Cottage Grove, Dallas, Damascus, Eugene, Forest Grove, Gladstone, Grants Pass, Gresham, Happy Valley, Hermiston, Hillsboro, Keizer, Klamath Falls, La Grande, Lake Oswego, Lebanon, McMinnville, Medford, Milwaukie, Monmouth, Newberg, Newport, North Bend, Ontario, Oregon City, Pendleton, Portland, Redmond, Roseburg, Salem, Sandy, Sherwood, Springfield, St. Helens, The Dalles, Tigard, Troutdale, Tualatin, West Linn, Wilsonville, Woodburn and all other cities in OR.
Insurance Regulations In Oregon
Let's take a look at insurance in Oregon. There are definitely some state regulations that govern insurance in the state of Oregon. You should become familiar with what these regulations are, even if they do not necessarily apply to you.
You will be much better informed about insurance if you know what types of insurance businesses are required by law and what types they normally get regardless of law. You also may want to know the regulations governing personal insurance such as automobile insurance and life insurance. Let's take a closer look at OR insurance regulations.
Oregon Business Insurance
The first type of insurance that we will start with is business insurance. Specifically, we will be discussing general liability insurance. Commercial liability, sometimes called general liability, is a type of insurance that protects your business in case someone slips and falls on your floor or experiences roofing materials falling on their car that does damage. There are many other situations in which general liability insurance may kick in.
There are also some types of insurance that are mandated by law including Worker's Compensation insurance for any company that has one or more people working for them full-time or part-time.
Oregon does not have any laws stipulating that companies must carry disability insurance like in many states, but if there are vehicles being used for commercial purposes, then they must carry commercial auto insurance.
OR Personal Insurance
There are definitely some regulations that govern the auto insurance that normal motorists are required to carry on their vehicle. These are pretty standard across the states and match what is required in most. In Oregon, you are required to carry 25 000 USD per person for bodily injury and 50 000 USD per accident for the same. Property damage is a little higher than you will find in other states at 20 000 USD per accident and there is also an additional requirement that requires a personal injury protection amount of 15 000 USD per person.
Finally, there are regulations governing life insurance in Oregon as well. Unlike most states, there is no free look period for life insurance. However, there is the normal grace period Of 30 days when it comes to late payments. Lastly, insurance companies are required to make payment within 30 days of receiving notification of the death described in the policy. If they do not make payment within 30 days then the person that is the beneficiary of the policy may receive interest as well.