Long

Michael C. Robinson Insurance

Long Term Care Quote

Just fill in the simple form below and a representative will contact you shortly with a personalized quote.

Long Term Care Options
Daily Benefit
How much the policy pays out per day for nursing care or home health care is the Daily Benefit.
Benefit Period
The length of time for which a policy will continue to pay the benefits associated with long-term care is the Benefit Period.
Elimination Period
With most policies, your benefits won't start the first day you go to a nursing home or start using home care. During an Elimination Period, the policy will not pay the cost of long-term care services.
Inflation Protection?
There is an option with most plans called an Auto Inflation Rider, available at an additional cost, which increases the benefits according to the rises in inflation. For Texas consumers, compound protection must be rejected before other forms are considered.
Nonforfeiture Benefits	No Yes
Nonforfeiture benefits in policies, available at an additional cost, provide that at least some benefits will be paid even if the buyer fails to keep up premium payments and the policy is cancelled for non-payment.
Preferred Payment Mode	Annual Semi-Annual Quarterly Monthly
The Payment Mode indicates whether you want to pay for the insurance once a year (annually), semi-annually, quarterly or monthly. When not paying annually there is usually an additional administration fee.

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Street Address
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Phone*
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Birth Date*
Gender*
Current height and weight?	ft in lbs
Tobacco?
Have You Been Hospitalized?	No Yes (Within Last 5 Years)
If yes, why?
Current medications and reason?
Other medical conditions?
Include Spouse (check box if you are interested in a joint quote with your spouse)

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Answering the questions on this page will not result in a determination of your eligibility for coverage.