Long Term Care

West Virginia Long Term Care Insurance Costs & Quotes

West Virginia's 65 and over population currently makes up 16.2% of its total population according to the U.S. Census Bureau. This fast-growing age group poses danger to the state government's Medicaid funds since majority of its members are likely to turn to the said public health insurance program if or when the time comes that they would require long term care.

Back in 2010, West Virginia's total Medicaid spending for long term care services exceeded $1 billion and 46.6% of it can be attributed to nursing home expenses. Residents of West Virginia who have loved ones receiving care in nursing homes due to chronic diseases or cognitive impairment spend $88,308 a year for a private room or $83,950 for a private room. Meanwhile, the state's in-home care recipients are paying a home health aide $16 per hour, on average, to receive assistance with their activities of daily living such as bathing, dressing, eating, and transferring, among others.

Below are the present long term care costs in key cities of West Virginia according to Genworth Financial's 2012 Cost of Care Survey.

Region Homemaker Services Hourly Rate
Home Health Aide Hourly Rate
(Medicare Certified)
Assisted Living Facility Monthly Rate
(Private room)
Nursing Home Daily Rate
(Semi-private room)
Nursing Home Daily Rate
(Private room)
Charleston $15 $16 $3,900 $230 $241
Huntington-Ashland $15 $16 $2,950 $188 $199
Morgantown $17 $17 $3,038 $230 $243
Parkersburg - Marietta - Vienna $18 $18 $2,500 $196 $215
Wheeling $14 $15 $2,775 $180 $198
Rest of State $15 $16 $2,600 $248 $255

West Virginia Long Term Care Insurance Partnership Program

In hopes of reducing Medicaid's financial burden in the long term care area, West Virginia established the Long Term Care Insurance Partnership Program which is currently operational in other U.S. states.

The Partnership Program is a collaboration between the state and private insurance companies which aims to get residents of West Virginia to plan their long term care needs with long term care insurance, while protecting a portion of their assets that is higher than Medicaid's asset limit should they decide to enroll in the said public health insurance program to receive ongoing care that is no longer covered by their Partnership policies.

Partnership-qualified policies carry a special feature known as asset disregard. This means that policyholders who require continuous care after having exhausted their insurance benefits can protect every dollar of their assets that is equivalent to every dollar paid to them in benefits by their policies.

West Virginia Long Term Care Partnership Policy Requirements

Aside from the asset disregard feature, a long term care insurance policy in West Virginia will only be honored as a Partnership policy if it meets the following requirements:

  1. Policy was issued on or after July 1, 2010 for the West Virginia Long Term Care Partnership Program was established on the said date
  2. It should meet the consumer protection requirements stated in 1917(b)(5)(A) of the Social Security Act and comply with the regulations of the National Association of Insurance Commissioners
  3. 3Partnership-qualified policies are tax qualified as stated in section 7702B(b) of the Internal Revenue Code of 1986
  4. Must provide inflation protection based on the age of policyholder when policy was purchased

    • For a policyholder 60 years old or younger – compound annual inflation protection
    • 61 to 75 years old – provide some level of simple or compound inflation protection
    • 76 years old and older – policy may, but is not required to, provide inflation protection
  5. Issued Partnership-qualified policies should be accompanied by a Notice of Long Term Care Partnership status that states the benefits of a Partnership policy

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