Invoices may be submitted to:

Long Term Care Partners, LLC
P.O. Box 797
Greenland, NH 03840-0797

Email: claimsinfo@ltcpartners.com

Fax: 1-866-513-2674

Need more help? Get answers to frequently asked questions about claims.

 

Submitting Invoices

Submitting Invoices

The reimbursement process for expenses paid by you for long term care services depends on where you receive care and who provides that care. Note: If you have a service day waiting period, you must also submit invoices to satisfy your waiting period before you can be reimbursed for services.

To help you be reimbursed as quickly and accurately as possible, below are the requirements for submitting invoices for each type of provider.

Informal caregiver

If you use an informal caregiver, you must submit the following documentation:

  • Informal Caregiver Invoice
  • proof of payment:
    • canceled personal, business, substitute, or cashier's checks; eStatements; money orders; online bill pay; or payroll payments
    • must be paid after services are rendered
    • payments made by cash or checks made out to cash are not reimbursable

Formal caregiver

If you use a formal caregiver whose services are arranged and supervised by a home care agency or receive care at an adult day care center, you must submit an itemized invoice that includes the following:

  • the complete name, address, and phone number of the agency or adult day care center
  • the individual dates of service
  • the total hours per day
  • the total charged per day
  • a description of services provided
  • the total amount charged per invoice

Facility

If you use an assisted living facility, a nursing home, or a hospice facility, you must submit an itemized invoice that includes the following:

  • the complete name, address, and phone number of the facility
  • the individual dates of service
  • a description of services provided
  • the total charged per type of service
  • the total amount charged per invoice

Please submit your request for reimbursement by one method only. Duplicate submissions of the same invoice will delay claims processing.


Happy older couple.

Claims Forms

Important forms and instructions are available to download online to assist you in the reimbursement of approved care expenses. These include the Informal Caregiver Invoice to document services provided by an informal caregiver at home, the Assignment of Benefits Form to request that payments for benefits be made directly to certain providers, and the Authorization of Claims Payments via Electronic Funds Transfer forms for claimants and providers.

Go to downloadable forms.