Long-Term Care (LTC) insurance policies often come with a lifetime maximum limit, which is the maximum amount of benefits that a policy will pay over the policyholder's lifetime. This means that once the lifetime limit is reached, the policy will no longer pay benefits.
Here are some key features of a lifetime maximum limit in LTC insurance:
• The lifetime maximum limit is a specific dollar amount agreed upon when purchasing the policy.
• The maximum limit may be based on a daily, weekly, or monthly benefit amount.
• Once the lifetime limit is reached, the policyholder is responsible for paying for their own long-term care expenses.
• Some policies may have a higher lifetime maximum limit for certain types of care, such as home care versus nursing home care.
• The cost of the policy may increase if the policyholder chooses a higher lifetime maximum limit.
• The lifetime maximum limit may also be referred to as the "maximum lifetime benefit" or "maximum benefit period."
For example, a person purchases an LTC insurance policy with a lifetime maximum limit of $500,000. The policy pays out a daily benefit of $200 for home care and $300 for nursing home care. If the policyholder requires home care and uses the policy for three years, the policy will pay out a total of $218,400 ($200 per day x 365 days per year x 3 years). If the policyholder then requires nursing home care and uses the policy for two years, the policy will pay out a total of $219,600 ($300 per day x 365 days per year x 2 years). At this point, the lifetime maximum limit of $500,000 has been reached, and the policy will no longer pay benefits. The policyholder will be responsible for paying for their own long-term care expenses.