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How can the insurance company pay if no one is billing them?

Preparing For Tomorrow podcast

Release Date: 06/04/2026

What are typical exclusions with LTC insurance? show art What are typical exclusions with LTC insurance?

Preparing For Tomorrow podcast

Mike emailed asking about typical exclusions or pre-existing concerns with LTC insurance. LTC insurance is governed by Internal revenue Code (IRC) 7702(b).  To be able to offer insurance, companies must adhere to this rule. American Association for LTC insurance (AALTCi) has many resources available on this  You can view both current and projected costs of care where you live at   I strongly suggest using a 4 or 5% cost of living factor when checking future costs.  I think we'd be lying to ourselves if we believe the costs of care will be lower than that in the...

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What's on the menu? show art What's on the menu?

Preparing For Tomorrow podcast

Just send me a quote can be compared to going out for dinner, but on a bigger level. When we go out to eat, we consider how hungry we are, what atmosphere we want for dining, what fits our budget, what kind and amount of food we want, and more. We need to plan for LTC needs the same way. Where would we want to live?  Who will be providing care?  How can we afford this? What companies and plans will consider our health risk? As a planning specialist, I have several insurance companies (restaurants) with various planning and funding options (menu). LTC planning can seem overwhelming,...

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Which is my favorite hybrid LTC plan? show art Which is my favorite hybrid LTC plan?

Preparing For Tomorrow podcast

This week, because I was the primary caregiver for our very sick dog, I exhausted myself for 10 days (nothing compared to caring for a parent or grandparent for several years). We're replaying one of your most listened to episodes about hybrid life/LTC plans as a refresher. Learn current and projected costs of care where you live at Learn what each state let's you keep to qualify for Medicaid at and please note that if you request to meet with a specialist from this website, you'll need to ask for me specifically as there are six specialists on this team. Schedule an introductory meeting...

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What's Your Long Term Care Plan? show art What's Your Long Term Care Plan?

Preparing For Tomorrow podcast

As promised, here is the link to view my dog's awesome workout routine on Facebook He's doing a little better each day and will hopefully be back to normal in a few more days. On long term care, we all have a plan.  Some of us know what our plan is, and some are leaving the decisions up to others, maybe family, maybe the state Medicaid system. In either case, if our memory is fading, or if our decision making skills diminish, we can't be involved in those decisions, and the people around us are stuck tryuing to figure out what we would have wanted. If we have these conversations 10-20-30...

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Guest Interview: Mary Ellen Gilbert with Navacare show art Guest Interview: Mary Ellen Gilbert with Navacare

Preparing For Tomorrow podcast

This week, my guest Mary Ellen Gilbert with shares how we can see the early signs that an aging parent or family member needs more support, even when they insist they're fine. She shares how her company helps families find the right place where their loved one can be the most comfortable at a time when nothing seems comfortable. We need to understand that the person in need is not resisting the help; they're resisting losing thier independence.  That we can help them stay as independent as possible with the right support. We need to have these conversations early, so we're not scrambling...

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How to keep our parents from ruining our plans show art How to keep our parents from ruining our plans

Preparing For Tomorrow podcast

We all want to wait as long as we can to buy LTC insurance.  Too often, health concerns diminish or eliminate what can be offered.  In this week's episode, Diane shares consequences that show up when our parent's health and care needs interfere with our ability to plan well. If we implement and start paying the premiums earlier, we can fully fund our policies before mom or dad needs our money and/or our time because they had failed to prepare for their own care needs. If we could completely fund our plan before mom or dad asks for $2000/$4000/$6000 every month for their care, then we...

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Where are we most independent as we age? show art Where are we most independent as we age?

Preparing For Tomorrow podcast

This week we turn independence upside down.  We think we're independent when we can live and receive care in our homes, but that forces our family to reshape their lives to support our progressing needs.  Then families feel really bad when they realize they can't do it - they never knew how much work and time it takes. So many parents beg their children to never "put" them somewhere.  Or when the subject comes up, they exclaim,  "I'm not ready yet!" But then, after they do move to Senior Living, the new exclamation becomes "OMG, why didn't I move her sooner?"  ...

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He walked out on us show art He walked out on us

Preparing For Tomorrow podcast

In almost three decades, I've been asked to leave, I've been hung up on, I've been sworn at and more.  But only one person actually got up and walked out of the meeting. This week, I'm talking about dads.  The 82 year olds and the 32 year olds and how  the role is changing for the better, in my opinion. Men are stepping up to help more with the kids and to just be present for them.  It's a choice. It's also a choice to prepare today for a time when it may be harder to do the things that are taken for granted today, like putting on socks and shoes, or walking up steps...

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What is LTC Partnership and how can it help me? show art What is LTC Partnership and how can it help me?

Preparing For Tomorrow podcast

This week, we learn about how state LTC Partnership programs started and how they developed over time to include most states. What is Long Term care Partnership?  Why is this an effective way to help middle income and middle asset families protect savings when long term care is needed.  Who benefits from these kinds of plans? The American Association for Long Term Care Advocacy has a ton of inormation on Partnership and may other subjects.  You can find it You can view both current and projected costs of care )please be realistic and use 5% annual inflation Learn what state...

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How did I get here & why do I stay? show art How did I get here & why do I stay?

Preparing For Tomorrow podcast

People sometimes ask how I got involved in LTC insurance and how do I feel always talking about getting old or sick because it's so depressing. Here's how long term care and LTC insurance showed up in my life and why I am committted to stay. Review both current and projected costs of care where you live   Please use 5% COLA for projections.  If we think the caregiving industry's inflation will decrease going forward, we're fooling ourselves.  Baby boomers are starting to turn 80 this year.  The tsunami is here. Learn Medicaid rules in your state The National Council on...

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More Episodes

LTC insurance claims are hard to get approved because so many claims are not actually long term care.

When a claim is declined, the family becomes disgruntled and angry at the insurance company.

Usually the problem is what the providers/doctors, facilities are reporting when filing the claim.

LTC News reported over $15 billion was paid in claims in 2024.  See the details at  https://www.ltcnews.com/articles/rising-claims-growing-demand-long-term-care-insurance-key-retirement-plan

AHIP (America's Health Insurance Plans) reports over $16 billion paid in 2024 and separates results by states at https://www.ahip.org/resources/long-term-care-insurance-coverage-state-to-state-2025

View current and projected costs of care where you live at https://www.carescout.com/cost-of-care

Please be sure to use 5% cost of living increases to get a clear picture of future costs.

Schedule time with me to learn more at https://calendly.com/diane-p4t/30min