1. WHAT IS LONG TERM CARE? A wide range of services designed to manage limitations caused by a chronic condition and to minimize further deterioration of physical and mental health.

2. WHAT IS A FUNCTIONAL IMPAIRMENT

4. WHAT IS A COGNITIVE IMPAIRMENT

5. WHERE IS LONG TERM CARE PROVIDED?

6. HOME AND COMMUNITY- BASED SERVICES

7. HOME AND COMMUNITY- BASED SERVICES (cont’d)

8. Charge Per Visit Charge Per Hour Skilled Nursing Visit Registered Nurse LPN Home Health Aide Physical Therapy Occupational Therapy Speech Therapy $138 --- --- $64 --- $52 --- $29 $148 --- $149 --- $152 --- AVERAGE HOME HEALTH RATES IN CT (Note: See references in back pages for additional information).

9. Charge Per Day Charge Per Hour $90 --- --- $22 --- $19 --- $20 --- --- $6--- AVVERAGE COMMUNITY-BASED SERVICE RATES IN CT (Note: See references in back pages for additional information).

11. Average Daily Rate $400 $146,000 5.4% NURSING FACILITY RATES IN CONNECTICUT Average Annual Rate Average Annual Inflation Rate (1988 – 2014) (Note: See references in back pages for additional information).

14. WHO PAYS FOR LONG TERM CARE? Out-of-Pocket 21.6% Private Insurance 11.6% Medicaid 62.3% Other Gov. Programs 4.6% Note: Out of pocket expenditures include payments made by patients and families. Source: National Spending for Long-Term Services and Supports (LTSS), 2011; National Health Policy Forum at George Washington University; February 1, 2013.

17. WHY LONG-TERM CARE INSURANCE?

20. HOW ASSET PROTECTION WORKS

23. RECIPROCITY COMPACT

24. RECIPROCITY COMPACT (cont’d)

25. References (cont’d): Slide #8, Average Home Health Rates in Connecticut

26. References (cont’d): Slide #9, Average Community-Based Service Rates

27. References (cont’d): Slide #11, Nursing Facility Rates in Connecticut

28. References (cont’d): Slide # 23 and #24--Must Reside in CT (or any reciprocal state)

29. References (cont’d): Slide #23 and #24, (cont’d) Must Reside in CT or any reciprocal state