LTCI CLAIM FORMS
How Do I File a Claim?
If you have LTCI and need in home care services OR are in a Nursing Facility or Assisted Living Home, you must contact your insurance company to initiate your claim.
We have included the necessary forms and contact information for well known Long Term Care Insurance Companies below. Click on your insurance company and follow the links to initiate your claim or to speak with an agent about your coverage.
Allianz
Bankers Life
Calpers
No Forms Available
Conseco
Genworth Financial
John Hancock
Lincoln Financial Group
MetLife
No Claim Forms
Mutual of Omaha
New York Life
Northwestern Mutual
Penn Treaty
Prudential
File Claim
SHIP
TransAmerica
Thrivent
UNUM
Washington National
Who Pays
You can authorize Medical Facilities like Skilled Nursing Facilities, Convalescent Homes and Assisted Living Homes to bill your insurance directly.
Most home care agencies will bill the client directly on a monthly basis then submit all necessary forms to the insurance company. The client is then reimbursed by the insurance company.
Every insurance company will have certain requirements, forms and information that the Care Provider must submit correctly and on schedule or the client’s reimbursement will be delayed. This will include the Care Plan, Case Notes, Invoices and other documentation.