Care when you need it most
Most health care policies cover medical care for a limited period and not for the long term.
Unlike most insurance plans in South Africa, long-term life insurance covers the expenses related to supplying facilities and care designed to help disabled people maintain their regular daily routines.
What is long-term care insurance in South Africa?
With characteristics similar to those of standard health policies or medical aid cover, this cover is not widely known even though it should be. In South Africa, it is a type of health insurance that has unique features such as long-term cover and not just short-term benefits.
What does a policy offer you?
These insurance policies reimburse the policyholder daily with a given amount to cover crucial services to help them with activities that may include bathing, eating as well clothing among other things.
Is long-term life insurance unique to South Africa?
Paying for the supply of facilities and services for long-term illness and disability is unique to South Africa, and a long-term life insurance scheme is still not offered by health insurance covers all over the world including some insurance companies domestically.
What question do I need to ask?
Before you apply for insurance, you need to ask yourself, “Do I want the cover to take care of me at home or nursing home? There are also three choices to consider such as assisted home living, home health aid, or nursing home cover.
Who is long-term care insurance for?
This policy is designed for individuals who become ill, disabled, or paralyzed temporarily or permanently. The paralysis may be caused by a particular medical condition and the individual may want to continue to lead a self-sufficient life like they used to previously.
Due to a lack of knowledge, this type of cover is confused for old-age life insurance and even regular medical aid. Most people think the policies are designed for people over the age of 60 years. In reality, many medical conditions could have a long-term negative effect on your health at any moment irrespective of your age.
The devastating result at the end of the day could be disability and helplessness. When such an occurrence takes place, you will need the nursing aspect of the long-term life insurance cover so that you do not entirely rely on others for your day-to-day activities.
What events could require long-term life insurance?
In the event of such an accident happening to you, you may need help from others to perform daily activities. However, if the condition is permanent, over a while you may become a burden to those offering help.
For self-assistance and flexibility during disability, you must review these diverse insurance plans that also offer a variety of healthcare services.
It has emerged that most medical aid policies sold by various insurance companies are designed to cover you only for a particular term of your life, thus providing limited care only, as already indicated above. Consequently, such policies are inherently difficult to understand and do not provide long-term cover which is in many instances necessary.
Why is insurance important?
You may still be enjoying a healthy and active lifestyle right now and feel that such cover is not relevant for you, but history has proved that a change in health cannot be predicted with absolute certainty. You can get to sleep a healthy man or woman tonight and wake up in a different health state and your fortune changed for the worse.
Future health risks should be taken into consideration at all times and taking out life insurance cover should be a priority. Most people reckon car and home content insurance are the only important covers to acquire, but they are wrong.
You can get sick and require care and without long-term care insurance, you may find yourself unable to provide for your daily needs.
Do I qualify for long-term care insurance?
You may not qualify for insurance if you are already sick or currently getting long-term care services because the majority of individual policies will ask for medical guarantees.
As a result, you won`t qualify for a guarantee and this subsequently means you do not qualify for long-term life insurance as well. Fortunately, certain group policies do not have medical underwriting. This is even more motivation to look around now while you are still in good health.
What does my insurance cover?
Most insurance policies on the market are all-inclusive. They include care and services in a variety of settings such as your home, with the option of skilled nursing care included.
Other small yet crucial aspects normally covered in a home setting are therapies such as occupational, speech, and rehabilitation and help with personal care.
Depending on the policy, homemaker services such as housekeeping and meal preparation are covered. Other settings covered include adult care centres, hospice care, respite care, residential care facilities, Alzheimer's special care facilities, and nursing homes among others.
The most important aspect not covered by most health insurance policies is paying for facilities meant to make the life of the disabled individual easier.
What is not included in my insurance policy?
All medical insurance, life insurance, and life assurance policies have items excluded from coverage and the same goes for long-term life insurance policies. Exclusions are regulated by the regulations and laws of different countries.
General long-term care policy exclusions:
- Care supplied by a next of kin.
- Care is provided outside South African borders, fortunately, most insurance companies are beginning to offer international benefits as well.
- Care that is consequent to attempted suicide or a deliberately self-caused injury.
- Treatment for alcohol abuse or drug misuse.
- There are other exclusions that a policy buyer will have to look out for when they purchase this insurance cover.
How much does it cost?
Typically the cost of life policy depends on many factors and these vary from one policy provider to the next.
Firstly, age is of enormous importance when you purchase a policy. If you are young, typically your premiums are lower compared to that of an older person. The logic is that as a young person you will pay your premium for a long period although a young person can also be disabled at a young age.
Secondly, the maximum amount that the policy will pay per day will affect the amount of your premium, if you may need a large lump sum paid out.
Thirdly, the number of days or years that the policy will compensate the policyholder, is crucial as well for the determination of the costs. In essence, if you decide you want to be covered for a few years, your premium won`t look like that of a person with similar circumstances but different terms.
If you add any discretionary benefits, particularly those that increase with price increases it will increase the cost of your insurance policy.
How can I get a Long term life insurance quote?
You can quickly and easily get a range of long-term care insurance quotes online to compare companies, inclusions, and exclusions as well as premium costs. Using a comparison website will help you narrow down your search and get covered fast.