Short-Term Home Health Care

Similar documents
SEASON FINAL REGISTRATION REPORTS

Upgrading Voter Registration in Florida

Advanced Nurse Practitioner Supervision Policy

Policies for TANF Families Served Under the CCDF Child Care Subsidy Program

Governor s Office of Electronic Health Information (GOEHI) The National Council for Community Behavioral Healthcare

National Committee for Quality Assurance

Building Blocks to Health Workforce Planning: Data Collection and Analysis

The Affordable Care Act and Its Potential to Reduce Health Disparities Cara V. James, Ph.D.

The MetLife Market Survey of Nursing Home & Home Care Costs September 2004

BUFFALO S SHIPPING POST Serving Napa Valley Since 1992

Cesarean Delivery Model Meeting the challenge to reduce rates of Cesarean delivery

National Perspective No Wrong Door System. Administration for Community Living Center for Medicare and Medicaid Veterans Health Administration

Report to Congressional Defense Committees

FIELD BY FIELD INSTRUCTIONS

Dashboard. Campaign for Action. Welcome to the Future of Nursing:

Patient-Centered Specialty Practice Readiness Assessment

Role of State Legislators

National Provider Identifier (NPI)

SPACE AND NAVAL WARFARE SYSTEMS COMMAND

Award Cash Management $ervice (ACM$) National Science Foundation Regional Grants Conference. June 23 24, 2014

Developmental screening, referral and linkage to services: Lessons from ABCD

CONNECTICUT: ECONOMIC FUTURE WITH EDUCATIONAL REFORM

Medicare & Medicaid EHR Incentive Programs Robert Tagalicod, Robert Anthony, and Jessica Kahn HIT Policy Committee January 10, 2012

Prescription Monitoring Program:

The Legacy of Sidney Katz: Setting the Stage for Systematic Research in Long Term Care. Vincent Mor, Ph.D. Brown University

NSF Award Cash Management $ervice (ACM$) and Financial Update. June 1, 2015

Poverty and Health. Frank Belmonte, D.O., MPH Vice President Pediatric Population Health and Care Modeling

National Association For Regulatory Administration

United States Property & Fiscal Officer (USPFO)

CONTINUING MEDICAL EDUCATION OVERVIEW BY STATE

Medicaid Managed Care 2012 Fiscal Analysts Seminar August 30, 2012

NCHIP and NICS Act Grants Overview and Current Status

Driving Change with the Health Care Spending Benchmark

IMPROVING THE QUALITY OF CARE IN SOUTH CAROLINA S MEDICAID PROGRAM

The Journey to Meaningful Use: Where we were, where we are, and where we may be going

We can never insure one-hundred percent of the population against one-hundred percent of the hazards and vicissitudes of life. Franklin D.

BEST PRACTICES IN LIFESPAN RESPITE SYSTEMS: LESSONS LEARNED & FUTURE DIRECTIONS

Adult Day Health Services Across States: Results from a 50-State Survey of State Health Policies

Counterdrug(CD) Information Brief LTC TACKETT

2014 Giving Report. A Look at Fidelity Charitable Donors and How They Give. REPORT SPOTLIGHT How Donors Approach Philanthropy as a Family

Its Effect on Public Entities. Disaster Aid Resources for Public Entities

ASA Survey Results for Commercial Fees Paid for Anesthesia Services practice management

RECOUNT RULES & VOTING SYSTEMS

NATIONAL GUARD BUREAU OFFICE OF SMALL BUSINESS PROGRAMS. Panelist: Dr. Donna Peebles Associate Director

Independence and Dignity

Practice Advancement Initiative (PAI) Using the ASHP PAI Ambulatory Care Self-Assessment Survey

Summary of 2011 National Radon Action Month Results

Medicaid Innovation Accelerator Project

NC TIDE SPRING CONFERENCE April 26, NC Department of Health and Human Services Medicaid Transformation and the 1115 Waiver

MCBH Kaneohe Bay DISBURSING SEPARATION BRIEF

FHWA Office of Innovative Program Delivery Mission

A Snapshot of Uniform Assessment Practices in Managed Long Term Services and Supports

NCCP. National Continued Competency Program Overview

Framework for Post-Acute Care: Current and Future Issues for Providers

Subcontracting Tools. First Wednesday Virtual Learning Series 2018

ASA Survey Results for Commercial Fees Paid for Anesthesia Services payment and practice manaement

Summary of 2010 National Radon Action Month Results

National School Safety Conference Reno, Nevada / June 24 29, 2018

Prescription Monitoring Programs - Legislative Trends and Model Law Revision

Navigating the New CMS Quality Measures

SETTLEMENT ADMINISTRATION STATUS REPORT NO. 2

NCQA PCMH Recognition: 2017 Standards Preview. Tricia Barrett Vice President, Product Design and Support January 25, 2017

Medicaid Innovation Accelerator Program (IAP)

Medical Orders for Life- Sustaining Treatment

Comprehensive Care for Joint Replacement (CJR) Readiness Kit

Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO)

ECONOMIC IMPACT OF LOCAL PARKS EXECUTIVE SUMMARY

Home Health Agency (HHA) Medicare Margins: 2007 to 2011 Issue Brief July 7, 2009

The Value and Use of CME in Medical Licensure

NEWS RELEASE. Air Force JROTC Distinguished Unit Award. MAXWELL AIR FORCE BASE, Ala. Unit OK at Union High School, Tulsa OK, has been

The Next Wave in Balancing Long- Term Care Services and Supports:

DoD-State Liaison Update NCSL August 2015

The Association of Community Cancer Centers 2011 Cancer Program Administrator Survey

Medicaid: Current Challenges and Future Prospects

ACRP AMBASSADOR PROGRAM GUIDELINES

How Technology-Based-Startups Support U.S. Economic Growth

Value based care: A system overhaul

The 2015 National Workforce Survey Maryland LPN Data June 17, 2016

Licensee Requirements

Rebates & Incentives - WTF. Lee Guthman February 28, 2012

2017 STSW Survey. Survey invitations were sent to 401 STSW members and conference registrants. 181 social workers responded.

2012 Federation of State Medical Boards

Benefits at a Glance. Vectrus Systems Corporation Policy Number: 04804A. OAP Global Plan

131,,000 homeless veterans on any given night 300,000 homeless veterans during the year 23% of the total number of homeless people are veterans

Green tax incentives and credits for businesses and individuals. Federal and state planning ideas

Federal Highway Administration Future of Highway Funding

ASA Survey Results for Commercial Fees Paid for Anesthesia Services payment and practice management

Higher Education Employment Report

College Profiles - Navy/Marine ROTC

Current and Emerging Rural Issues in Medicare

States Roles in Rebalancing Long-Term Care: Findings from the Aging Strategic Alignment Project

Assuring Better Child Health and Development Initiative (ABCD)

Pain Advocacy: A Social Work Perspective THANK YOU! First Things First. Incidence of Pain

AHRQ Quality Indicators Program Update OECD Health Care Quality Indicators Expert Group May 22, 2014

MEMORANDUM Texas Department of Human Services * Long Term Care/Policy

FY15 Rural Health Care Services Outreach Funding Opportunity Announcement (FOA) HRSA Technical Assistance Webinar for SORHs

NCQA s Patient-Centered Medical Home Recognition and Beyond. Tricia Marine Barrett, VP Product Development

Name: Suzette Sova MA, LPC, NCC Title: Marketing MHFA and Having Successful Instructors

Advancing Health Equity and Improving Health for All through a Systems Approach Presentation to the Public Health Association of Nebraska

2016 STSW Survey. Survey invitations were sent to all STSW members and 2016 conference registrants. 158 social workers responded.

Transcription:

Short-Term Home Health Care Guarantee Trust Life Near Guaranteed Issue VERY Fleible & Powerful! (Another MUST-HAVE for Your Senior Insurance Portfolio!) WELCOME! Simply Dial 1-866-299-7945, then 8754# when prompted. Today s Agenda The Carrier The Product Niche the need The Plan Details Completing the Application Calculating Rates Marketing Ideas Questions & Answers Short-Term Home Health Care GTL Home Health Care 1

Home Office Glenview, Illinois From 2013-15, GTL posted record operating gains Grew surplus by over 29% Grew assets by 35% ($496M) Grew reserves by 36%+ ($398M) Increased net premium to $221M. Guarantee Trust Life Current financial condition is the strongest ever in their 80 year history *May, 2015 A.M. Best upgraded to B++ GTL Supplemental Products Cancer * Critical Illness * Hospital Indemnity * LTC Alternative NEWSTC Home Care GTL Home Health Care 2

Why Choose This Policy? Can pay up to $450/day for 360 days (or less!) Benefits paid regardless of any other insurance Almost everyone qualifies only 2 or 3 health questions Currently in NH/ALF or receiving HHC? Unable to perform ADL s or cognitively impaired? Epect hospital/nh/alf/surgery or HHC services in net 60 days? (Only if top, Option C plan chosen) Up to $120/day for 60 days for HHC Aide no prior hospital stay required Built-in Prescription Drug Benefit up to $600/year! Built-in Restoration of Benefits Strong Hospitalization, Critical Accident, Ambulance & Dental/Vision Riders Available Policy Claim Triggers Functional or Cognitive Impairment Cannot perform 2 or more of the 6 ADL s without substantial assistance Bathing, continence, dressing, eating, toileting and transferring Includes hands on or stand by assistance (or) Cognitive Impairment (includes Alzheimer s/dementia) No 90-Day Epectation (6-Month Pre-Eisting Conditions Limitation) GTL Home Health Care 3

Base Plan HHC Benefits Combined Ma. Daily: $150 $300 $450 Ma. Benefit Period is 360 Days* *Idaho has a Maimum Benefit Period of 280 Days. Built-in HHC Aide Benefit Pays Over & Above Base Plan HHC Benefits No Prior Hospital Stay Required Ma. Benefit Period is 60 Days* *Idaho has a Maimum Benefit Period of 100 Days. GTL Home Health Care 4

Built-in R Benefit (Not avail. In KY.) Payable without regard to eligibility for other HHC Benefits Each re-fill received in a year would count best to wait Can Greatly Reduce Net Plan Cost Built-in Benefit Restoration Refers to both Base Plan and HHC Aide maimum benefit periods Benefits restore if: Covered HHC services have not been received for 180 consecutive days AND Licensed Health Care Practitioner certifies that insured has sufficiently recovered to no longer require HHC or nursing care services No limit to the number of times restored Prescription Drug benefit & riders restore yearly or have their own maimum lifetime benefit limits Possibility for Multiple Claims GTL Home Health Care 5

Optional Rider (1 time 30-Day Waiting Period. Special rules in ID, PA & UT**) Accident & Sickness Hospitalization Rider Full daily benefits are paid as long as confinement was at least 24 hours Benefits Restore After 60 Days **ID ALSO pays $40/day for remainder days up to 31 days. PA ALSO pays $15/day for remainder days up to 31 days. UT has 10 days option only. Optional Rider Critical Accident Rider (1 time 30-Day Waiting Period. Not avail. in DE, KY, MD, MT or TN.) Lump-sum payments after emergency room or urgent care Fractures to fingers, toes, ribs, coccy or caused by acquired disease not covered (see rider details) No Restoration of Ma. Benefit GTL Home Health Care 6

Optional Rider Ambulance Benefit Rider (Not available in KY.) For ground service to or from a medical facility up to 4/year No hospital confinement required Lifetime maimum of $2,500 No Restoration of Ma. Benefit Optional Rider Dental/Vision Rider (Not available in DC, GA, ID, KY, MD, MO or TN.) Per calendar year deductible & co-pay ($100 & 20%/80%) Limited first-year benefits (& usually half of ma. above) Prescription eyewear paid at up to $200/year Eye eam/refraction paid at up to $50/year (no deductible) Dental cleaning paid at up to $75/year (no deductible) Annual Restoration of Benefits GTL Home Health Care 7

Optional Rider DENTAL Details After 3 Mos.: One annual eam & dental cleaning at up to $75/year (no deductible) After 6 Mos.: Fillings or root canal treatment After 12 Mos.: Bridges, crowns, dentures, out-patient dental surgery, full mouth etractions, fluoride treatments and services/treatment relating to replacement of teeth missing prior to effective date. After 12 Mos.: Replacement or repair of eisting bridges or dentures (if result of Injury, the 12 Mos. wait not applicable) Annual Restoration of Benefits Optional Rider VISION Details After 3 Mos.: One eye eam OR One eye refraction up to $50/year (no deductible) After 6 Mos.: Eyeglasses or contact lenses up to $200/year (if needed as result of injury, the 6 Mos. wait not applicable) Annual Restoration of Benefits GTL Home Health Care 8

Ask Mayo Clinic Free Ask Mayo Clinic 24-Hour Nurse Line 24/7 access RN s have average of 24 years eperience Ask Mayo Clinic Online On-demand, secure web-based tool Private, anonymous & easy assessment for symptoms Ask Mayo Clinic Critical Illness Support Cancer, heart attack & stroke eperts available Help w/ test results, medications, treatment options, etc. Guided to a lower, more appropriate level of care than they originally intended to seek* Would have sought an inappropriate level of care had they not called Ask Mayo Clinic* Report a high level of satisfaction with Ask Mayo Clinic* *Caller statistics from Ask Mayo Clinic, Book of Business, 2015. 29 (+DC) States Approved* as of Nov. 1st, 2017 AL, AK, AZ, AR, DE, DC, GA, HI, ID, IL, IN, IA, KY, LA, MD, MI, MS, MO, MT, NE, NC, NV, OH, OK, PA, SC, TN, UT, WV & WY *(Awaiting more all the time!) Note: RED states are where Kemper HHC is NOT available! KY has NO Plan A & NO riders or R benefit. No Crit. Acc. Rider in DE, KY, MD, MT or TN. No Den./Vis. Rider in DC, GA, ID, KY, MD, MO or TN. Epecting Many State Approvals GTL Home Health Care 9

Completing the App. SIMPLE Two Health Question Application (Three questions if Plan Option C) Just 5 Pages in App Packet! App Page 1: Basic Information GTL Home Health Care 10

App Page 1: Applicant Information App Page 1: Step 1: Base Plan Options GTL Home Health Care 11

App Page 2: Step 2: First Optional Bens App Page 2: Step 2 (cont.): Optional Bens GTL Home Health Care 12

App Page 2: Step 3: Pre-Qualification App Page 2: Step 3 (cont): Replacement GTL Home Health Care 13

App Page 3: A & A Signature Page App Page 4: Agent s Statement GTL Home Health Care 14

App Page 4: Monthly EFT Approval Note: No CWA needed if monthly EFT. App Page 5: Notices & Receipt GTL Home Health Care 15

Info Packet: Leave with Applicant E-Consent: GTL Home Health Care 16

Calculating Rates Four Pages Total Cover Simple Rate Worksheet Monthly Rate Charts Annual Rate Charts Note: Some states have their own rate book. A Quick Note on Rates Incredibly Fleible E: Female Age 51 VERY AFFORDABLE: Premium Only $14.22/Month Plan A no Etra Riders Up to $150/Day Base HHC $54,000 Ma. Base Benefit $40/Day HHC Aide Benefit $2,400 Ma. HHC Aide R Benefit up to $300/Yr! Restoration of Benefits From $171/Year to $1,043/Year Premium Fleibility! VERY ROBUST: Premium $86.91/Month Plan C w/ Ma. Riders Up to $450/Day Base HHC $162,000 Ma. Base Benefit $120/Day HHC Aide Benefit $7,200 Ma. HHC Aide R Benefit up to $600/Yr! Restoration of Benefits $300/day for 6 Days Hosp.; $10K Crit. Acc.; $2,500 Ambulance; $1,200/Yr D/V! GTL Home Health Care 17

A Quick Note on Rates Compared to Kemper HHC* * Kemper AL rates shown What If 2 GTL Products? Critical Cash w/ New HHC Female-Age 51 GTL Critical Cash: Premium $68.16/Month $24K Lump-Sum Diagnosis $2,500/mos. Addn l if ALF $5,000/mos. Addn l if NH 24 Month Coverage $432,000 Ma. Benefit Cancer, Stroke, Alzheimer s, Heart Attack, etc. Total $102.55/Month Strong protection & easier UW! GTL Short-Term HHC: Premium $34.39/Month Up to $450/Day Base HHC $162,000 Ma. Base Benefit $120/Day HHC Aide Benefit $7,200 Ma. HHC Aide R Benefit up to $600/Yr! Restoration of Benefits $10K Critical Accident Rider $2,500 Ambulance Rider GTL Home Health Care 18

Simple Worksheet Included Important Agent Note: Like Kemper s HHC plan, rates do go up as insured s hit new age tiers. Step 1: 54.22 Note: Let s use a 66 Yr-old Female as an eample. Determine Base Rate(s) GTL Home Health Care 19

Step 2: 16.25 Accident & Sickness Rider Step 2 (cont.): 3.08 Ambulance Rider ($200/trip; 4/year; $2,500 ma.) GTL Home Health Care 20

Step 2 (cont.): 3.08 6.50 Critical Accident Rider ($10K ADB; $2.5K Hip/Skull Fracture; $2K Hip Dis.; $1K Knee; $500 Other Fracture) Step 2 (cont.): 3.08 6.50 38.17 Dental & Vision Rider (Limited 1st year; Includes $200 for glasses or contact lenses) GTL Home Health Care 21

Step 3: $ 54.22 $ 16.25 $ 3.08 $ 6.50 $ 38.17 $118.22 54.22 Include spouse if applicable. 16.25 3.08 6.50 38.17 $118.22 28.25 Step 3 (or 3-5): $ 54.22 $ 16.25 $ 3.08 $ 6.50 $ 38.17 $118.22 $1,418.64/yr 54.22 Include spouse if applicable. 16.25 3.08 6.50 38.17 $118.22 28.25 GTL Home Health Care 22

Calculating Rates From GTL Site Agent Portal Screen: Calculating Rates From GTL Site Agent Portal Screen: GTL Home Health Care 23

Calculating Rates From GTL Site Agent Portal Screen: Calculating Rates From GTL Site Agent Portal Screen: GTL Home Health Care 24

Calculating Rates From GTL Site Agent Portal Screen: Calculating Rates From GTL Site Agent Portal Screen: GTL Home Health Care 25

Calculating Rates From GTL Site Agent Portal Screen: Calculating Rates From GTL Site Agent Portal Screen: GTL Home Health Care 26

THANK YOU FOR ATTENDING! GoldenCare USA ~ 800-842-7799 www.goldencareagent.com GTL Home Health Care 27