for Contractors/Vendors for Government Entities for State Employees for the Public
 
spacer
   
  HRDBenefits Administration Services > Medical Benefits > Long Term Care  

 

Long Term Care: Selecting a Level of Coverage

 
 

Selecting a Level of Coverage (Daily Benefit Allowance)
The plan offers a range of daily benefit allowances. Prior to enrolling, you can select the daily cash benefit you wish to receive each day you qualify for benefits. You may select any whole-dollar amount from $60 to $300 per day in $1 increments. Individuals who receive care in an eligible nursing facility are eligible for the full selected daily benefit allowance. Those who receive care in an assisted living facility receive payment of 80 percent of the daily benefit allowance. Care in the home or in other informal settings is eligible for 50 percent of the selected daily benefit allowance.


Optional Coverages
Three- or Five-year plan
You choose a three- or five-year plan. Your lifetime maximum will be an amount equal to the number of days in three years (1,095 days) or five years (1,825 days) multiplied by your chosen daily benefit amount. Benefits (at a reduced daily level) will last longer when care is received outside a nursing facility (therefore, benefits under a three-year plan, for example, may extend beyond three years).

Return of Contribution
You choose whether or not to have Return of Contribution. This optional coverage provides that premiums paid are returned to a beneficiary if the member dies. For employees, the amount returned decreases 10 percent per year after age 65 or upon retirement, whichever is later.

 

 


spacer
state home
OIT home
DAS home
site map
contact HRD
search DAS
privacy policy
spacer