Question

A long-term care policy may not deny a claim for losses incurred for a pre-existing condition more than how many months from the effective date of coverage?

A) 3 months

B) 6 months

C) 9 months

D) 12 months

Answer 1

A long-term care policy typically cannot deny a claim for a pre-existing condition if the loss is incurred more than 6 months from the policy's effective date. These policies have a look-back period that is regulated to ensure policyholders receive benefits after this waiting period.

Step-by-step explanation:

A long-term care policy may not deny a claim for losses incurred for a pre-existing condition more than 6 months from the effective date of coverage.

Long-term care insurance policies are designed to cover services not covered by traditional health insurance or Medicare. One common provision in these policies is a limitation on coverage for pre-existing conditions. Typically, these policies will have a waiting or "look-back" period during which losses from pre-existing conditions may not be covered.

By regulation, the maximum pre-existing condition exclusion period for long-term care policies is usually 6 months. This means if the policyholder has a condition prior to the start of the policy, they may need to wait for this period before receiving benefits for services related to that condition.