

Current Enrollees Main Page
Billing / Payment Information
Updating Personal Information
Changing Plan Coverage
Benefits for Qualified Relatives
Benefit Booklet Online
Canceling Your Coverage
Frequently Asked Questions
|
1. You Initiate a Claim by Calling LTCP at 1-800-582-3337
- You may be eligible for benefits if you are unable to perform at least 2 activities of
daily living or "ADLs" (i.e. bathing, dressing, eating,
transferring, toileting and continence) for an
expected period of at least 90 days due to loss of
functional capacity, or you require substantial
supervision due to your severe cognitive
impairment.
IMPORTANT: Benefits can begin (after the Waiting Period that you chose) as long as the covered services
are part of a written Plan of Care established for you by a licensed
health care practitioner or our care coordinator and approved by us.
To initiate a claim, you or any representative
(including a physician or caregiver) may call us.*
When you or your representative call(s), please have the following available:
- Your social security number.
- The names and telephone numbers of your
physician and other health care providers.
- Medical insurance information including
insurer’s name and telephone number, if
applicable.
We will assign a personal Care Coordinator to help
you with the claims process. You will be able to
contact him or her directly. He or she will stay with
your case throughout the course of your claim.
Your Care Coordinator will ask questions about
your health history, assistance needs, family support
and related information.
Your Care Coordinator will provide a detailed
explanation of FLTCIP benefits, the claim process
and related information.
* Note: Although your representative can initiate a claim on
your behalf, we cannot provide him or her with any
information about you or your insurance benefits without
your verbal or written approval or legal documentation
such as a power of attorney.
|
|