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Long-Term Care Planning

Understand that Medicare is not comprehensive long-term custodial-care coverage and evaluate other planning approaches.

Medicare does not finance routine custodial care

Most long-term care is assistance with everyday activities and is outside Medicare’s coverage, whether provided in a nursing home or the community. Medigap generally does not pay for that long-term-care service either.

Official source: Medicare: Long-term care ↗ · Medicare: Medigap coverage ↗

Skilled nursing is a different benefit

Medicare may cover a qualifying short-term skilled nursing facility stay when its medical and eligibility conditions are met. That benefit does not become indefinite room-and-board or custodial coverage. Read the specific qualifying-stay and day-limit rules.

Official source: Medicare: Skilled nursing facility care ↗ · Medicare: Long-term care ↗

Separate planning needs documents

Medicaid eligibility is state-specific and private long-term-care insurance follows its issued policy. If comparing such a product, obtain the daily or monthly benefit, elimination period, inflation provisions, coverage triggers, exclusions and premium history in writing.

Official source: Medicare: Long-term care ↗

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