Aetna longer term care insurance coverage – Aetna long-term care insurance coverage: a considerate funding for a at ease the following day. Consider growing old gracefully, figuring out your well being wishes are looked after. This complete information delves into the more than a few sides of Aetna’s long-term care plans, from the several types of protection to the method of enrollment. It is a the most important step against peace of thoughts, permitting you to concentrate on what in reality issues – residing your existence to the fullest.
We’re going to discover the advantages, prices, and protection main points, serving to you are making an educated resolution. From professional nursing to assisted residing, we’re going to get to the bottom of the specifics of each and every plan, permitting you to examine how those plans can improve you and your family members. We’re going to additionally spotlight how Aetna’s plans evaluate to different suppliers, supplying you with a transparent image of the most productive worth in your cash.
Evaluation of Aetna Lengthy-Time period Care Insurance coverage

Aetna provides a variety of long-term care insurance coverage (LTC) plans designed to lend a hand folks get ready for doable long term care wishes. Those plans supply monetary help for services and products like nursing domestic care, assisted residing, or in-home care, making sure a security internet when conventional sources are inadequate. Working out the more than a few choices to be had is the most important for making advised choices about your monetary safety.
Aetna LTC Insurance coverage Protection Choices
Aetna’s LTC plans supply a spectrum of protection choices, tailoring advantages to person wishes and budgets. Each and every plan provides other ranges of day-to-day advantages, premiums, and ready sessions. This permits folks to choose a plan that most closely fits their particular instances and fiscal capability.
- Advantages: Aetna LTC plans usually duvet bills associated with professional nursing care, assisted residing, and residential healthcare. Advantages range relying at the selected plan and will come with a specified day-to-day quantity for care services and products. This day-to-day allowance guarantees monetary improve during the care wanted. For instance, a plan may supply $200 in keeping with day for experienced nursing facility care, enabling folks to regulate prices related to long-term care.
- Premiums: Premiums for Aetna LTC plans vary in line with components similar to the selected protection quantity, day-to-day receive advantages, and ready duration. Decrease premiums regularly correlate with decrease protection quantities, whilst upper premiums usually supply higher protection. It is very important to weigh the required protection towards the related top class prices. Elements like age and well being standing affect top class calculations.
Examples of Coated Lengthy-Time period Care Wishes
Aetna LTC plans regularly duvet a variety of long-term care wishes, making sure monetary coverage in more than a few eventualities. Those plans can help folks going through more than a few demanding situations and make sure some extent of monetary safety. Examples come with:
- Nursing domestic care: Offering monetary help for bills associated with professional nursing care in a facility. This sort of care regularly comes to specialised scientific consideration and is often required for people with persistent stipulations or disabilities.
- Assisted residing: Supporting bills for help with day-to-day actions in a residential surroundings. This contains lend a hand with non-public care, drugs control, and different day-to-day duties. That is appropriate for many who require improve however don’t necessitate the extent of care supplied in a talented nursing facility.
- In-home care: Providing monetary help for in-home care services and products, enabling folks to obtain care within the convenience of their very own apartments. This selection is appropriate for many who favor or wish to stay of their houses whilst receiving essential improve.
Comparability of Aetna LTC Insurance coverage Plans
The next desk Artikels key options of more than a few Aetna LTC insurance coverage.
Plan | Protection Quantity (USD) | Day-to-day Receive advantages (USD) | Ready Length (Days) | Top rate (USD/Month) |
---|---|---|---|---|
Plan A | $100,000 | $200 | 90 | $500 |
Plan B | $150,000 | $250 | 180 | $700 |
Plan C | $200,000 | $300 | 365 | $900 |
Word: Premiums and protection quantities are illustrative examples and might range in line with person instances.
Advantages and Protection Main points: Aetna Lengthy Time period Care Insurance coverage
Aetna’s long-term care insurance coverage provides complete protection for more than a few care wishes, making sure peace of thoughts all the way through difficult instances. Working out the specifics of advantages, protection sorts, and exclusions is the most important for making an educated resolution. This thread Artikels the important thing main points.
Particular Advantages for Quite a lot of Lengthy-Time period Care Wishes
Aetna’s long-term care insurance coverage insurance policies supply monetary improve for a variety of care services and products, from professional nursing to assisted residing and residential care. The precise advantages rely at the selected coverage and degree of protection. Insurance policies in most cases duvet the price of skilled care services and products that lend a hand handle an individual’s well being and well-being.
Kinds of Care Integrated
Aetna insurance policies usually duvet professional nursing amenities, assisted residing amenities, and residential care services and products. Professional nursing amenities supply 24-hour scientific deal with folks with complicated scientific wishes. Assisted residing amenities be offering improve with day-to-day actions, like bathing and dressing. House care services and products supply help with day-to-day duties in a affected person’s domestic atmosphere.
Coverage Exclusions and Barriers of Protection
It is necessary to concentrate on coverage exclusions and barriers. Protection won’t follow to all sorts of care or to all folks. Some examples of doable exclusions come with pre-existing stipulations, sure sorts of persistent sicknesses, and care supplied by way of members of the family. Care outdoor of the desired coverage phrases will not be lined. Evaluation the coverage record moderately for detailed exclusions.
Other Ranges of Care Coated and Day-to-day Receive advantages Quantities
The next desk illustrates the other ranges of care lined and the corresponding day-to-day receive advantages quantities. This desk is helping you already know the monetary improve supplied for more than a few care wishes.
Form of Care | Day-to-day Receive advantages | Eligibility Necessities |
---|---|---|
Professional Nursing Facility | $250 | Calls for a health care provider’s certification of want for experienced nursing care. |
Assisted Dwelling Facility | $150 | Calls for a health care provider’s certification of want for help with day-to-day actions. |
House Care | $100 | Calls for a health care provider’s certification of want for domestic care services and products. Calls for a registered nurse to evaluate and plan care, and care will have to be supplied by way of approved pros. |
Word: Day-to-day receive advantages quantities and eligibility necessities might range relying at the particular coverage selected. Evaluation the coverage main points moderately to verify alignment along with your wishes.
Top rate Construction and Value Research
Working out the price of long-term care insurance coverage is the most important for making advised choices. Premiums are not static; they are influenced by way of a number of components, and it is important to know the way those components have an effect on your personal plan price. This research supplies perception into the pricing construction and is helping you evaluate more than a few choices.
Elements Affecting Aetna LTC Premiums
A number of components affect the premiums you pay for Aetna long-term care insurance coverage. Age is a major factor, as the chance of desiring long-term care will increase with advancing years. Well being standing performs a important position; pre-existing stipulations or persistent sicknesses can have an effect on the chance of desiring long-term care services and products, and subsequently, the top class. The selected protection quantity, together with day-to-day receive advantages quantities and the period of care, additionally without delay impacts the top class price.
The precise advantages and lines integrated in a plan additional have an effect on the entire top class.
Protection Quantity and Top rate Comparability
The desk under illustrates the possible permutations in top class prices in line with other protection quantities. Have in mind those are illustrative examples, and exact prices will range in line with person instances.
Protection Quantity (Day-to-day Receive advantages) | Top rate (Annual) | Deductible (Annual) |
---|---|---|
$200 | $1,500 | $500 |
$250 | $1,800 | $750 |
$300 | $2,200 | $1,000 |
$350 | $2,500 | $1,250 |
Top rate Calculation Method
Premiums are calculated the use of actuarial fashions that assess the chance related to offering long-term care. Those fashions believe components such because the projected want for long-term care services and products in a given inhabitants, the projected prices of care, and the predicted period of care. Actuarial knowledge from more than a few assets is used to decide the chance of people desiring care, their age, well being standing, and selected protection choices.
Aetna makes use of this information to calculate premiums that steadiness the monetary burden at the corporate with the worth and protection supplied to policyholders.
Premiums are regularly adjusted periodically to replicate adjustments in actuarial knowledge and marketplace stipulations.
Reasonable Value In accordance with Age and Well being Standing
The common price of Aetna LTC insurance coverage varies considerably in line with age and well being standing. More youthful, more fit folks will in most cases pay decrease premiums in comparison to older folks with pre-existing stipulations. It is the most important to talk over with an insurance coverage guide to get a customized estimate in line with your particular instances. For instance, a 65-year-old with out a pre-existing stipulations may be expecting a decrease top class than a 65-year-old with a historical past of persistent stipulations.
Enrollment and Software Procedure
Securing long-term care insurance coverage calls for a structured utility procedure. Working out the stairs concerned and the essential documentation is the most important for a easy and environment friendly revel in. This phase main points the applying process for Aetna’s long-term care insurance coverage.
Software Steps
The applying procedure for Aetna long-term care insurance coverage usually comes to a number of key steps. First, you’ll be able to wish to accumulate the desired paperwork and knowledge. Subsequent, you’ll be able to entire the applying shape as it should be, offering all asked main points. In the end, you’ll be able to publish the applying and look ahead to the underwriting procedure.
Required Paperwork and Knowledge
To expedite the applying procedure, accumulate the essential paperwork and knowledge prematurely. This will likely streamline the process and steer clear of delays.
Record Sort | Required Knowledge | Description |
---|---|---|
Non-public Knowledge | Complete identify, date of start, Social Safety quantity, deal with, touch knowledge | Fundamental figuring out main points |
Monetary Knowledge | Source of revenue statements, tax returns, property, and liabilities | Main points of your monetary scenario. |
Well being Knowledge | Scientific data, physician’s stories, and prescription knowledge | Related well being main points, together with diagnoses, remedies, and any pre-existing stipulations. |
Beneficiary Knowledge (if appropriate) | Beneficiary’s identify, dating, and call knowledge | Required if you want to designate a beneficiary in your coverage. |
Employment Knowledge | Present employment main points and paintings historical past | Supplies context about your source of revenue and employment standing. |
Software Time-frame
The processing time for Aetna long-term care insurance coverage packages usually levels from 4 to eight weeks. This time-frame can range relying at the completeness of the applying and the complexity of the underwriting procedure. Elements like the quantity of packages or any further inquiries may additionally affect the timeline.
Underwriting Procedure
Aetna’s underwriting procedure evaluates the applying totally to evaluate the chance related to offering protection. Elements regarded as all the way through this procedure come with well being historical past, age, way of life, and different related main points. The purpose is to verify the coverage aligns with the chance profile and actuarial projections of the insurance coverage supplier. Aetna will use this data to decide the eligibility and top class in your particular scenario.
The underwriting procedure guarantees that the insurance coverage supplier can as it should be assess the monetary implications of offering protection.
Claims Procedure and Repayment
Navigating long-term care claims can really feel overwhelming. Working out the method and required documentation previously can ease your thoughts. Aetna’s long-term care insurance coverage objectives to make this procedure as easy as conceivable, making sure well timed compensation for lined services and products.Aetna’s declare procedure is designed to be environment friendly and clear. This phase main points the stairs desirous about submitting a declare, the essential documentation, and the standard time-frame for processing.
Familiarizing your self with those procedures will allow you to hopefully pursue compensation in your long-term care wishes.
Declare Submitting Steps
The declare submitting procedure usually starts with collecting all required documentation. This complete documentation guarantees a easy and correct declare processing. As soon as the essential paperwork are compiled, you publish them to Aetna the use of the prescribed means, which might contain a devoted on-line portal, a particular shape, or a chosen mail deal with.
Required Documentation Examples, Aetna longer term care insurance coverage
To verify your declare is processed as it should be and promptly, particular documentation is the most important. This contains scientific data, expenses for the care won, and another related supporting paperwork. For instance, an in depth account of the care supplied and the cause of the desire for such care is very important. Documentation from healthcare suppliers, together with medical doctors’ notes, care facility data, and discharge summaries, is often required.
Declare Processing Time-frame
Aetna strives to procedure claims inside a cheap time-frame. Processing instances can range relying at the complexity of the declare and the completeness of the submitted documentation. Actual-world stories point out that, on moderate, claims are processed inside 4-8 weeks from the date of submission. Then again, the precise time might range in line with more than a few components, such because the specifics of your case.
Declare Procedure Evaluation
Declare Sort | Required Paperwork | Declare Timeline |
---|---|---|
In-home care | Doctor’s orders, care supplier’s invoices, day-to-day care logs, and supporting scientific documentation | 4-6 weeks |
Assisted residing facility | Admission paperwork, facility expenses, doctor’s orders, and supporting scientific data | 4-8 weeks |
Nursing domestic | Admission paperwork, nursing domestic expenses, doctor’s orders, and supporting scientific data | 4-8 weeks |
Hospice care | Hospice care plan, doctor’s orders, hospice invoices, and supporting scientific data | 4-6 weeks |
Buyer Provider and Improve
Navigating long-term care insurance coverage will also be complicated. Aetna understands this and offers more than a few avenues for improve, making sure policyholders have transparent get right of entry to to help. This phase main points the channels to be had for customer support, criticism solution, and gaining access to coverage knowledge.
Contacting Aetna Buyer Provider
Aetna provides a couple of tactics to hook up with customer support representatives, catering to numerous wishes and personal tastes. This guarantees urged and environment friendly solution of inquiries and considerations.
- Telephone: A devoted telephone line is to be had for direct interplay with customer support brokers. Callers can be expecting to obtain customized help with their inquiries. For instance, you’ll be able to name to inquire about protection main points, top class changes, or declare standing.
- On-line Portal: Aetna’s web page options a web-based portal with FAQs, often requested questions, and a complete wisdom base. Those sources can regularly unravel easy problems briefly. For instance, policyholders can regularly to find solutions to questions referring to protection limits, receive advantages schedules, and eligibility standards throughout the on-line portal.
- Electronic mail: Electronic message is a treasured instrument for inquiries and court cases. This channel lets in for detailed written communique and doable follow-up. For example, you’ll be able to use e-mail to request explanation on a particular coverage provision or to publish a proper criticism.
- Chat: A reside chat serve as is to be had on Aetna’s web page for fast improve. This selection is perfect for resolving instant considerations and receiving urged comments. For example, you’ll be able to use chat to test the standing of a declare or ask a query concerning the coverage paperwork.
Addressing Considerations and Lawsuits
Aetna prioritizes addressing buyer considerations and court cases successfully and successfully. This guarantees a favorable buyer revel in and is helping handle agree with.
- Criticism Procedure: A structured procedure exists for dealing with court cases, making sure honest and clear solution. This comes to obviously explained steps and a devoted group to check and examine court cases. For instance, Aetna might supply a particular on-line shape or a devoted e-mail deal with for filing court cases. After submission, the method comes to a overview, investigation, and a reaction with a proposed answer or clarification.
Having access to Coverage Paperwork and Knowledge
Aetna strives to supply handy get right of entry to to coverage paperwork and essential knowledge on-line. This simplifies the control of long-term care insurance coverage.
- On-line Account Get right of entry to: Policyholders can usually get right of entry to their coverage paperwork, together with the total coverage wording, via a safe on-line account. This gives simple get right of entry to to related knowledge, similar to top class main points, protection limits, and receive advantages schedules. For example, you’ll be able to overview your coverage’s particular phrases and prerequisites inside your on-line account.
- Record Downloads: Essential paperwork, similar to declare bureaucracy, abstract of advantages, and different related knowledge, will also be downloaded from the web page. This permits policyholders to retain data simply and successfully. For instance, you’ll be able to obtain a replica of your protection abstract or your coverage’s detailed time table of advantages.
Coverage Comparisons with Competition
Navigating the long-term care insurance coverage marketplace can really feel overwhelming. Working out how Aetna’s insurance policies stack up towards competition is the most important for making an educated resolution. This comparability supplies a framework for comparing key options, prices, and advantages to seek out the most productive have compatibility in your wishes.
Evaluating Aetna LTC Insurance policies to Competition
Aetna’s long-term care insurance coverage insurance policies are designed to supply protection for more than a few wishes, from assisted residing to professional nursing care. Direct comparisons with primary competition are crucial for comparing the relative worth and appropriateness of various plans. A important research is helping determine strengths and weaknesses of each and every coverage.
Key Function Comparability
Comparing key options like protection quantities, premiums, and ready sessions is very important when evaluating long-term care insurance coverage insurance policies. This desk highlights important variations throughout suppliers, assisting within the decision-making procedure.
Supplier | Protection Quantity (in keeping with day) | Per thirty days Top rate (instance) | Ready Length |
---|---|---|---|
Aetna | $250-$500 in keeping with day | $100-$300 | 90 days – 1 12 months |
UnitedHealthcare | $200-$400 in keeping with day | $80-$250 | 90 days – 1 12 months |
Humana | $200-$450 in keeping with day | $90-$280 | 90 days – 1 12 months |
Cigna | $200-$400 in keeping with day | $75-$225 | 90 days – 1 12 months |
Top rate Construction and Value Research
Premiums range considerably in line with components like age, well being standing, and desired protection degree. This desk demonstrates how top class prices can vary between other suppliers for identical protection.
Protection Stage | Aetna Top rate (instance) | UnitedHealthcare Top rate (instance) | Humana Top rate (instance) | Cigna Top rate (instance) |
---|---|---|---|---|
Fundamental | $150 | $120 | $140 | $100 |
Usual | $250 | $200 | $220 | $180 |
Enhanced | $400 | $300 | $350 | $250 |
Figuring out the Easiest Worth
To search out the most productive worth, moderately evaluation the trade-offs between protection quantity, top class, and ready duration. Believe your own instances and fiscal scenario. Aetna, for example, may be offering upper protection quantities for a moderately upper top class, which might be really useful for people with really extensive long-term care wishes.
Strengths and Weaknesses of Each and every Coverage
Working out the strengths and weaknesses of each and every supplier’s insurance policies is vital to choosing the proper have compatibility. For example, a coverage’s top protection quantity may well be a vital benefit, however a long ready duration can be a drawback.
Incessantly Requested Questions (FAQ)
Navigating the sector of long-term care insurance coverage can really feel complicated. This FAQ phase tackles commonplace questions on Aetna’s plans, providing transparent and concise solutions that will help you perceive your choices.
Whether or not you are a potential purchaser, present policyholder, or just curious concerning the specifics, those solutions purpose to elucidate key facets of Aetna’s long-term care insurance coverage choices. From protection main points to claims processes, we have now compiled probably the most often requested questions to supply complete knowledge.
Protection Main points and Exclusions
Aetna’s long-term care insurance coverage insurance policies usually duvet a variety of services and products, together with professional nursing care, assisted residing, and residential healthcare. Working out the specifics of what is integrated and excluded is the most important. Protection quantities and advantages range by way of plan, so you have to moderately overview the coverage main points. Exclusions may come with pre-existing stipulations or particular sorts of care no longer aligned with the coverage’s scope.
- Protection for Particular Stipulations: Insurance policies can have particular barriers on protecting stipulations, similar to the ones associated with psychological well being, substance abuse, or persistent sicknesses. This knowledge is the most important to figuring out the plan’s barriers and implications.
- Pre-Present Stipulations: Some insurance policies might exclude or restrict protection for pre-existing stipulations. This varies between plans and is a key side to believe. Evaluation coverage paperwork for exact main points and exclusions.
- Kinds of Care Excluded: Care no longer explicitly lined within the coverage, like beauty procedures or regimen scientific checkups, is usually excluded. The coverage will element what sorts of care it encompasses.
Top rate Construction and Value Research
Working out the criteria influencing premiums is secret to meaking advised choices. Premiums are usually influenced by way of components like age, well being standing, and the selected protection degree. An intensive research of top class constructions can help in opting for a plan that aligns along with your funds.
- Age and Top rate: Typically, premiums build up with age. The older you might be when buying a coverage, the upper the top class shall be. It is prudent to believe this have an effect on when comparing long-term care insurance coverage.
- Well being Standing and Top rate: Your well being historical past might affect premiums. Elements like pre-existing stipulations might have an effect on the price. Believe those components when opting for a plan.
- Protection Stage and Top rate: Upper protection ranges usually result in upper premiums. The extent of care and the period of protection you search will affect your top class prices. Weigh some great benefits of higher protection towards the price implications.
Claims Procedure and Repayment
A well-defined claims procedure guarantees easy compensation. Aetna’s procedure for dealing with long-term care claims usually comes to filing documentation, offering essential approvals, and following Artikeld procedures.
- Documentation Necessities: Particular documentation is also had to improve claims, together with scientific data, doctor statements, and care facility stories. This side is very important to the declare procedure.
- Approval and Repayment Timeline: The timeline for processing claims and reimbursements can range in line with the coverage and the particular instances. Working out this timeline is essential to managing expectancies.
- Appeals Procedure: If a declare is denied, Aetna usually has an outlined appeals procedure. It’s important to grasp the procedures for interesting a denied declare.
Illustrative Eventualities and Case Research
Aetna Lengthy-Time period Care Insurance coverage is not only about numbers; it is about peace of thoughts. Working out the way it works in real-life eventualities is secret to meaking advised choices. This phase provides examples of the way protection can give protection to you and your family members.
State of affairs 1: The Surprising Stroke
A 65-year-old, lively skilled, suffers a stroke that leaves them requiring around-the-clock care. The stroke necessitates help with day-to-day actions like bathing, dressing, and consuming. Aetna LTC insurance coverage can duvet those bills, making sure the person receives the essential improve whilst permitting their circle of relatives to handle their very own lives. This coverage is helping the person handle their dignity and high quality of existence.
State of affairs 2: Innovative Neurological Situation
Consider a 72-year-old identified with a modern neurological situation. Because the illness advances, their independence diminishes, requiring expanding ranges of help with actions of day-to-day residing (ADLs). Aetna LTC insurance coverage can lend a hand set up those expanding wishes, offering monetary coverage for the caregiving services and products essential to handle a at ease and dignified existence. The insurance coverage can offset the emerging prices {of professional} care, domestic changes, and assistive gadgets.
State of affairs 3: Growing old in Position
An 80-year-old needs to stay in their very own domestic as they age. Because of declining well being, they require extra help with day-to-day duties. Aetna LTC insurance coverage can lend a hand duvet the price of in-home care services and products, making sure they may be able to age with ease of their acquainted environment. This protection too can come with changes to the house, like ramps or take hold of bars, to make it more secure and extra available.
Case Learn about Instance: Mr. Johnson’s State of affairs
Mr. Johnson, a retired engineer, is identified with Alzheimer’s illness. His situation progresses, and he calls for help with day-to-day duties. With Aetna LTC insurance coverage, Mr. Johnson’s circle of relatives can get right of entry to a variety of care choices, from in-home aides to assisted residing amenities.
The coverage’s protection lets in Mr. Johnson to stay in a well-known atmosphere whilst receiving the care he wishes. This illustrates how Aetna LTC insurance coverage can give monetary coverage and improve all the way through a difficult duration.
Protection Examples in Other Cases
- Hospitalization: Aetna LTC insurance coverage can duvet the prices of long-term care amenities, together with professional nursing care, rehabilitation, and different similar services and products. This protection extends past the preliminary health facility keep, addressing the long-term care wishes bobbing up after discharge.
- In-home Care: Aetna LTC insurance coverage can duvet the price of skilled caregivers to help with day-to-day residing actions, like bathing, dressing, and meal preparation. This protection lets in folks to stay of their houses whilst receiving the essential improve.
- Assisted Dwelling Amenities: The coverage can duvet the prices of dwelling in assisted residing amenities, the place citizens obtain improve with day-to-day actions and tracking. This guarantees folks obtain care and supervision whilst keeping up their independence to the level conceivable.
Conventional Lengthy-Time period Care State of affairs and Coverage Reaction
A regular long-term care situation comes to a person requiring expanding help with day-to-day residing duties as they age. Aetna LTC insurance coverage can reply by way of protecting a variety of care choices, together with in-home care, assisted residing, or nursing domestic care. The coverage supplies monetary coverage towards the numerous prices related to long-term care, making sure that folks can handle their dignity and high quality of existence.
Wrap-Up

In conclusion, choosing the proper long-term care insurance coverage is an important resolution. This information supplies a complete review of Aetna’s choices, serving to you navigate the method and make a well-informed selection. Consider, securing your long term comes to cautious attention of your wishes and fiscal scenario. With Aetna’s long-term care insurance coverage, you’ll be able to relaxation confident that you are ready for no matter existence throws your manner.
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FAQ Segment
What are the standard ready sessions for Aetna LTC insurance coverage?
Ready sessions can range relying at the particular plan. It’s a must to test the coverage main points for exact knowledge.
How does Aetna decide the top class for long-term care insurance coverage?
Premiums are in line with components like age, well being standing, and the required protection quantity. Aetna makes use of a fancy formulation to calculate the top class, making sure honest pricing for more than a few wishes.
Can I upload my partner or members of the family to the coverage?
Sure, most often, you’ll be able to upload further beneficiaries on your coverage. Particular necessities and prerequisites follow, so please overview the coverage main points for additional knowledge.
What sorts of claims are lined by way of Aetna LTC insurance coverage?
Aetna LTC insurance coverage usually covers professional nursing, assisted residing, and residential care. It is best to check the coverage specifics to verify your explicit wishes are lined.