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Effective January 1, 2009

Long-Term Care Insurance

Aetna Long-Term Care Insurance
Long-term care insurance through Aetna U.S. Healthcare is available to full-time salaried staff and faculty in agencies 207 and 246. Their spouses, parents, and parents-in-law can also enroll in the insurance plan. New employees not already eligible to file a claim are guaranteed acceptance into the plan provided they are actively at work and apply within 60 days of their hire date. All other enrollees will be required to complete a medical questionnaire and must be approved by Aetna. An individual employee, retiree or eligible family member's individual coverage will take effect at a time determined by Aetna after a completed application is received and processed. Participants in the program are responsible for all premiums.

To receive benefits, the participant must be unable to substantially perform two of six activities of daily living such as eating, dressing, toileting, continence, and getting in and out of bed, or the participant must have a severe cognitive impairment.

The program pays for actual expenses up to a specified daily limit at a specific reimbursement level. Daily benefit options range from $75 to $200. Benefit levels will vary according to whether the services are performed at a nursing home, assisted living facility, hospice facility (all 100 percent of the daily benefit amount), at home or in adult day care (both at 50 percent). There is a 90-day waiting period.

Should you have questions, need further information or an enrollment kit, contact Aetna to speak with a long-term care specialist toll-free at 1-877-894-2470. The Aetna web site at www.aetna.com/group/commonwealthva/ also has the same information contained in the enrollment kit.

This long-term care insurance plan is overseen by the state's Department of Human Resource Management.