When am I eligible to receive benefits from my Long Term Care plan?
If you participate in The Municipal Pool Long Term Care Plan, once coverage is in effect, you are eligible for benefits if you are unable to perform at least two activities of daily living without assistance or substantial supervision, or if there is cognitive impairment such as Alzheimer's. There is a waiting period of 60 days for nursing home care and 15 days for community-based care and assisted living facilities. The waiting period for all qualified services begins on the first day that a covered service is provided and the days do not need to be consecutive days. Expenses for the services must be incurred.