Long Term Care

Long Term Care  

Overview

The GSK Long-Term Care Benefit Program

Newly hired GSK employees and their spouse/domestic partner may be eligible to apply with ‘simplified underwriting’ if you meet the eligibility criteria below:


You are eligible for simplified underwriting if you are a:

GSK employee,

  • Age 18-64, and you
  • Submit your application within 90 days of your GSK hire date

Spouse/Domestic Partner,

  • Age 18-49,
  • Work at least 20 hours per week as a W-2 employee, and you
  • Submit your application within 90 days of your spouse’s GSK hire date

Employees and spouses/domestic partners who do not meet the eligibility criteria for simplified underwriting may apply at any time with full medical underwriting.

 

*Long-term Care Insurance rates will vary by state, and coverage is not available in all states. Contact ACSIA toll free at 1-844-209-8695 for more information.


Americans are living longer—and that is the upside. The downside is anyone is more likely to need help with ordinary daily living tasks at some point. How many of us will be able to afford it?

 

Long-Term Care Reality Check
Which one of these statements best describes you:

  1. “I don’t worry about long-term care because I am too young to even think of needing it.”
  2. “If I or my spouse need long-term care, our workplace medical insurance or disability insurance will pay for it.”
  3. “If I or my spouse needs long-term care, Medicare or Medicaid will pay for it.”
  4. “Since I have saved and invested enough over the years, I can easily afford to pay for long-term care.”


If you make an incorrect assumption about your need for long-term care—or your ability to pay for it—you could be fooling yourself and live to regret it. Know the truth about four of the most common misconceptions about long-term care:

  • Long-term care is not just for older people. You can become disabled or seriously ill at any age. About 10 million people of all ages need help with basic tasks of daily life. SOURCE: Georgetown University Long-Term Care Financing Project
  • Medical and disability benefits simply do not cover long-term care. Your medical benefits are designed to pay for short-term conditions you are likely to recover from. Your disability insurance replaces income. This typically ends when employment ends. SOURCE: Sally Herigstad, “No Long-Term-Care insurance? Uh-Oh"
  • Medicare and Medicaid limit what they cover. Medicare pays for home health care under certain conditions, as it must be skilled nursing or rehabilitation services following a hospital stay. To qualify for Medicaid’s poverty-line income level, you would have to surrender most of your assets.
    SOURCE: Kaiser Family Foundation, “Health Care and the 2004 Elections: Long Term Care"
  • Assisted-living care costs have mostly outpaced investment gains. The annual cost of a private nursing home room ranges from about $55,000 to $256,000, with an average of $92,000. Considering that the average nursing home stay is 2.4 years, you could need to have saved as much as $221,000.
    SOURCE: Genworth Financial, “Genworth 2013 Cost of Care Survey


This is why an increasing number of experts agree that some form of long-term care funds is as essential to a well-thought-out family financial plan as a will.


For more information or to apply for coverage, please contact an ACSIA Enrollment Specialist at 1-844-209-8695 or fill out an online form with ACSIA to have an Enrollment Specialist contact you.

 

Already enrolled? Refer to your individual policy for information. If you have questions, call 1-844-209-8695 to speak with an ACSIA specialist.

 

Please note: If you’re a current participant in the Prudential Long-Term Care plan, your coverage will not be affected by this new offer. Refer to your policy for information and contact Prudential at 1-800-732-0416 if you have any questions.

Tell Me More

About Individual Long-Term Care Insurance

Individual Long-Term Care Insurance gives you the freedom to control your own future and make your own decisions. It pays for the help necessary to assist you with day-to-day living, whether it’s in a care facility or in your own home.

KEY FEATURES

  • Paid-for Care
  • Choose Your Benefits
  • Coverage for Life
  • Inflation Protection
  • Return of Premium


The important thing to remember is that with Long-Term Care Insurance, you get to make the decisions. You can feel confident that you will not have to settle for something less than what suits your unique needs.

With long-term care costs expected to surpass $150,000 a year, you could be saving tens of thousands of dollars with this protection.

 

Care Support Online available at no cost to you. Even if you do not apply for Long-Term Care Insurance, all GSK employees and eligible family members will have access to Care Support Online providing a wide range of assessment tools to assist you in understanding your situation and determining possible best next steps.

 

  • Free care advocacy to those in caregiving crisis
  • Free care resources to those seeking caregiving and planning information and
  • Free care planning to those preparing for their future care needs

 

Full list of available tools can be found here Care Support Network

 

For assistance, please call or email ACSIA:
Phone # 844-209-8695

caresupportrequest@acsiapartners.com

Contact Us

 Address
Mercer Voluntary Benefits
12421 Meredith Drive
Urbandale, IA 50398
 Phone
1-844-209-8695
 Hours
 M-F 11a-7p ET
 Email
employerbenefitinquiries.service@mercer.com

FAQ's

Answers about the plan, including eligibility, options, enrollment, customer service and more.

  • What is Long-Term Care?

    Long-term care is a variety of services for people unable to care for themselves. It could be assistance in the home with day-to-day activities or special attention in a nursing home. There are a number of different settings in which long-term care services can be received.

  • Doesn't Medicare cover long-term care?

    Long-term care expenses generally are not paid for by Medicare or Medicare supplement insurance. Medicare will cover the cost of some skilled care in approved nursing homes or in your home but only in certain conditions. Medicare's skilled nursing facility (SNF) benefit does not cover general nursing home care. The SNF benefit is a post-hospital-benefit, which only covers a relatively intensive level of skilled care furnished during a brief stay in a hospital.

  • What is the average cost of a nursing home stay?

    The cost of a one-year stay in a nursing home ranges from $55,000 to $256,000, depending on geographic location and the type of care received.

    SOURCE: Genworth Financial, “Genworth 2013 Cost of Care Survey”

  • I have healthcare and disability income coverage. Isn't that enough to cover long-term care services if and when I need them?

    Private healthcare plans have very limited coverage for long-term care services. And disability income coverage is really meant to replace lost wages when you are unable to work. Disability income benefits are designed to cover your normal living expenses, like food and housing; it would not be enough to pay for someone to care for you.

  • What about Medicaid and long-term care?

    Medicaid does provide benefits for long-term care, but it is only available to persons who meet the Medicaid guidelines for poverty in your state. Be aware that under Medicaid, care choices are limited because not all long-term care providers accept Medicaid payments.

  • Why do nursing homes offer different levels of care?

    Different levels of care are offered by nursing homes because some people need round-the-clock care while others only need help with personal care. Types of nursing homes include skilled facilities that offer the highest degree of care with skilled professionals available 24 hours a day. Intermediate facilities offer less than skilled care but more than custodial care. Custodial nursing home care is for those who do not need the continuous attention of trained medical professionals.

Mercer's Role and Compensation

Details of Mercer disclosure of the compensation.