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Colorado Long Term Care Insurance Information

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Colorado has a population of 5,456,574 residents (2015 census). Male citizens outnumber females (49.7% for female residents). Persons age 65 years and above make up 13.0% of the total population.

The state has 217 certified nursing homes. There is a total of 20,541 available beds to cater to senior residents. Colorado ranks 16th nationally, in terms of skilled nursing homes ratings.

According to the America’s Health Rankings, Colorado has a large disparity in health status by educational level. Obesity and arthritis is also prevalent in the state, with 15.5% adults diagnosed with the latter condition. However, cardiovascular deaths did decrease during the past 10 years, 268.6 to 196.2 per 100,000 individuals.

Average Cost of Long Term Care Services in Colorado

Annual costs (2016) for LTC services in Colorado are as follows:

Home Health Aide (Daily Rate): $150

Nursing Home Care (Daily Rate, Semi-Private Room): $228

Nursing Home Care (Daily Rate, Private Room): $267

Assisted Living Facility (Monthly Rate, 1 Bedroom-Single Occupancy): $4,063

Colorado Long Term Care Partnership Program

Colorado has an approved state LTC partnership program. The program was approved by the U.S. Department of Health and Human Services last January 1, 2008. The state will honor partnership from other DRA (Deficit Reduction Act) partnership states.

What is a Long Term Care Partnership Program?

The partnership program is designed to encourage people to purchase long-term care insurance by providing a plan that will allow Medicaid to disregard some or all assets for Medicaid eligibility and estate recovery purposes. Through partnership plans, people will receive asset protection whenever policy benefits are exhausted and will need continued benefits through Medicaid.

Partnership qualified insurance policies allow their holders a much easier time of applying for Medicaid when their current policy benefits have run out. Instead of needing to reach below the asset threshold set by the federal health care program, policy owners can protect an amount of assets equal to their total benefits – allowing them to continue receiving care without the risk of losing their assets to Medicaid estate recovery procedures.

For insurance policies to be certified as Partnership policies in Colorado, the Deficit Reduction Act of 2005 has set a number of requirements that must be met:

  • Issue Date: The policy must be issued after the effective date of the Partnership Program in the state (January 1, 2008).
  • State of Residence: The policy holder must be a resident in Colorado at the time the coverage became effective.
  • Inflation Protection: All Partnership policies must include inflation protection. Policies issued to individuals under age 61 must provide compound annual inflation protection. Policies sold to individuals who have attained age 61 but not yet attained age 76 must include some level of inflation protection. Inflation protection may be offered, but is not required to individuals who have attained age 76.
  • Qualified under Federal Tax Law: All Partnership policies must adhere to the definition of a Long Term Care Insurance policy in section 7702B (b) of the Internal Revenue Code of 1986.
  • Consumer Protection: The policy must adhere to the requirements defined in section 1917(b)(1)(C)(iii)(III) of the Social Security Act (42 U.S.C. section 1396p(b)(1)(C)(iii)(III).

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