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Virginia Long Term Care Insurance Information

As of a July 2015 census, there are 8,382,993 residents in Virginia, with 14.2% of the total comprised of elder individuals 65 years and above. Like other states, females slightly outnumber male residents at a figure of 50.8%.

Virginia is ranked 41st nationally by the Medicare 5 Star Quality rating system when It comes to providing nursing home care services. There are 32,088 beds available in 286 certified nursing homes all over the state, to cater to the needs of elder residents.

For health, Virginia is primarily known for having low incidence when it comes to infectious diseases, as reported by the America’s Health Rankings. However, a high prevalence of smokers was observed (19.5% of adult residents are smokers). Additionally, 28.5% of adults in the state are obese; 9.7% of adults have been diagnosed with diabetes.

Average Cost of Long Term Care Services in Virginia

Costs (2016) for LTC services in Virginia are as follows:

Home Health Aide (Daily Rate): $122

Nursing Home Care (Daily Rate, Semi-Private Room): $221

Nursing Home Care (Daily Rate, Private Room): $244

Assisted Living Facility (Monthly Rate, 1 Bedroom-Single Occupancy): $3,950

Virginia Long Term Care Partnership Program

Virginia has an approved state LTC partnership program. The program was approved by the U.S. Department of Health and Human Services last September 1, 2007. 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 Virginia, 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 (September 1, 2007).
  • State of Residence: The policy holder must be a resident in Virginia 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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