LTC ELIMINATION PERIOD

Definition

LTC elimination period is the waiting period that must pass after a long term care insured becomes benefit eligible before the policy begins paying benefits. It functions like a deductible measured in time rather than dollars and is commonly set at thirty, sixty, ninety, or one hundred eighty days. During the elimination period, the insured is responsible for paying care costs out of pocket or from other sources. The length of the elimination period significantly influences premium levels; longer elimination periods usually reduce premiums but require greater self funding at the start of a claim.

Common Usage

In everyday discussions, advisors help clients choose LTC elimination periods that reflect their emergency reserves, income sources, and risk tolerance. They may suggest shorter elimination periods for clients with limited liquidity or no nearby family support, and longer periods for those with strong savings and willingness to self insure initial care costs. Some policies count only days when paid services are received, while others use calendar days, an important distinction that advisors explain. During claims, families must track when eligibility began and how days are counted to know when benefits will start. Advisors also remind clients that Medicare may cover some short term skilled care but does not eliminate the need to plan for the elimination period. By understanding LTC elimination period design, producers can align policy structure with client resources and preferences, avoiding unpleasant funding gaps at the onset of care.