Your LTC Program is designed to protect you now–and well into the future. The Long Term Care Program offered to PERA members and retirees gives you options that enable you to customize your long term care protection in a variety of ways. Consider these standard features that place all of the decisions in your hands:

 

	Your choice of daily benefit amounts of $100, $130 or $180.
	Your choice of benefit periods: 3 years, 5 years or Lifetime maximums.
	Your choice of elimination periods, either 60 or 90 days, providing more flexibility and cost management.
	A unique "Pool of Dollars" approach that lets you decide how your long term care dollars are spent, making your benefits more flexible.
	Daily benefits that compare favorably with current costs and likely levels of usage.
	A choice of Tax-Qualified or Non-Tax-Qualified Programs, which gives you the option of how you access your long term care benefits. Click here for more information on the differences between these two types of programs.
	Rate guarantees that ensure your rates won't change over time. The LTC Program offered to PERA members and retirees offers a 10-year rate guarantee for those less than 65 years of age at the time of application and a 5-year rate guarantee for those 65 and over.

In selecting the benefits you want, please note that the Nursing Home Benefit you choose determines the maximum daily benefit amount available to you for other benefits (e.g., Assisted Living Facility, Home Health Care, etc. and your Lifetime Maximum Benefit).

This is a brief description of benefits available. The information provided is intended only to assist in the selection of benefits. Final determination of benefits and exact terms and conditions are contained in the policies issued by the insurance company.

 

	FEATURE		OPTIONS/DESCRIPTION
	Nursing Home Benefit		$100/day $130/day $180/day
	Benefit Period		3 years 5 years Lifetime
	Elimination Period (Lifetime)		60 days 90 days
	Tax Status		Tax-Qualified or Non-Tax-Qualified
	Assisted Living Facility Benefit		Up to 100% of the Maximum Daily Benefit
	Home Health Care Benefit		Up to 100% of the Maximum Daily Benefit
	Lifetime Maximum Benefit		Maximum Daily Benefit x Benefit Period
	Benefit Triggers (These are the requirements for accessing benefits.)		Tax-Qualified Program Substantial Assistance for 2 of 6 ADLs or Chronic Illness (in excess of 90-days) or Substantial Supervision due to Severe Cognitive Impairment Non-Tax-Qualified Program Nursing Home Facility: Assistance with 2 of 7 ADLs or Cognitive Impairment or Physician-certified Medical Necessity Community-Based Home Care: Assistance with 1 of 7 ADLs or Cognitive Impairment or Physician-Certified Medical Necessity Community-Based Homemaker/Companion Care: Assistance with 1 of 7 ADLs or Assistance with 2 of 7 IADLs or Cognitive Impairment or Physician-Certified Medical Necessity
	Care Coordinator Benefit		Care Coordinator optional at no charge
	Bed Reservation Benefit		Up to 30 days
	Caregiver/Family Training Benefit		5 x Selected Maximum Daily Benefit
	Supportive Equipment Benefit		$1000 max/year $5000 max/lifetime
	Family Member As Caregiver Benefit		Up to 100% of Maximum Daily Benefit
	Respite Care		Up to 21 days per calendar year
	Hospice Care		Up to 100% of the Maximum Daily Benefit
	Coverage Area		USA and its possessions
	Pre-Existing Condition Limitations		None, once approved for coverage
	Waiver of Premium				First day after elimination period (60 or 90 days) requirement has been met for Nursing Home, Assisted Living Facility or Hospice benefits
					91st day of Home Health Care or Adult Day Care benefits
	Alternate Care				Qualified Long Term Care Services that are medically acceptable and cost effective; includes medically necessary transportation to/from Adult Day Care
					Home Modification
	Payment Options				10-Pay: Premium payments are required during the first 10 years the policy is in force. Once paid, the policy is paid up for your entire life. No further premiums will be required to keep this policy in force.
					Pay As You Go: Premium payments are required over the life of the policy to keep the policy in force.
	Spousal Discount		10% off both policies
	Issue Ages		18 - 89
	Rate Guarantee				Under 65 - 10 years
					65 plus - 5 years

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The best benefits in the world are of little value if they can't be accessed. The Long Term Care Program for PERA members and retirees was designed to make it even easier for you to access benefits when you need them:

	A Care Coordinator serves as your advocate, helping you access benefits and provides you with information about various long term care providers. YOU make the final choice regarding your care.
	Benefits are completely portable, and can be used anywhere in the United States, and its possessions.
	Added-value benefits, such as:

Respite Care-
Everyone needs a break once in a while. Your respite care benefit provides temporary relief from caregiving duties for a family member, or another person who is the unpaid primary caregiver. This "time-off" helps your caregiver maintain his/her health and mental well being.

Waiver of Premium-
Once you have met your elimination period requirement (60 or 90 days), premiums are waived on the first day you receive benefits in a Nursing Home, Assisted Living Facility or for Hospice benefits. Premiums are waived on the 91st day of receiving benefits for Home Health Care or Adult Day Care. Premiums will continue to be waived as long as you are receiving care. After all, when you are receiving long term care services, the last thing you want to worry about is insurance bills.

Family Member Training-
Pays expenses (up to five times the maximum daily benefit) for training a family member that does not live with you to provide you with care in your home.

Bed Reservation-
Reserves your bed in the facility for up to thirty (30) days if you become hospitalized during your stay.

Plus, consider the value of these optional features:

 

	Lifetime Inflation Protection: You need to protect your money over time, and inflation protection ensures that your investment keeps pace with the economy for the lifetime of your policy. Inflation protection increases your Maximum Daily Benefit by 5%, compounded every year on the anniversary of the date you purchased the inflation protection, for the lifetime of your policy. The Maximum Lifetime Benefit also increases proportionally. The annual increases will continue to be made even if you are receiving benefits under the policy.
	Refund of Premium: Give a little extra financial protection to your loved ones by purchasing Refund of Premium, which returns a portion of your premiums to your estate if you die before you use all of your benefits.
	Nonforfeiture: Nonforfeiture enables you to keep a portion of the benefits if your policy lapses after having been in force for at least three years. In effect, you get back in benefits what you paid in to the policy.
	Spousal Benefit Transfer: Spousal Benefit Transfer helps protect the financial and emotional well being of you and your spouse because it enables married couples who buy similar coverage to combine their Maximum Lifetime Benefit. That way, when you or your spouse need to access benefits you have the strength of combined coverage backing you - and that strength gives you even more protection when the need for long term care arises. In the event of your death, your surviving spouse's Maximum Lifetime Benefit will be increased by any unused benefits from your policy.
	Survivorship: In the event of your death, your spouse will be protected by the benefits of Survivorship, which enables him/her to continue the policy for the rest of his/her life and waives all renewal premiums. You and your spouse's policies must be in force for ten consecutive years to access this benefit.
	Restoration of Benefits: If you access some or all of your benefits and then do not receive or require care/assistance for a period of 180 consecutive days, you don't have to worry about decreased benefit amounts if you require care some time in the future. With Restoration of Benefits, the Maximum Lifetime Benefit is restored to its original maximum after 180 consecutive days of not receiving care or assistance. There is no limit to the number of times benefits may be restored.
	How This Program Works! Comprehensive long term care offers a flexible benefit account which acts as a pool of money and may be allocated for care at home or in a facility. As you utilize benefits, money is deducted from your pool.

To order and enrollment kit call Your Benefit Specialists at the toll-free number:
1-888-PERA-LTC (1-888-737-2582)

U.S. Care, Inc.
3130 Wilshire Boulevard
Santa Monica, CA 91403

Click here to E-mail U.S. Care.

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