Why Won’t The Carrier Talk to Me?

ad1fa5040b1dbf1167ca0aeb9e45337bWe got a call in the other day from a woman who was quite angry that the long term care insurance carrier would not talk to her about her mother’s long term care insurance policy.  We know it is frustrating…but in this the long term care insurance carrier’s hands are tied because of HIPAA laws and other privacy issues about medical records and finances.

This is why we beat the drum around here until folks are nearly deaf that they should have a Durable Power of Attorney written and duly notarized.  If you are over 18, you need to have SOMEONE designated as the person who can speak on your behalf and make decisions on your behalf if you are incapacitated.

Look at it this way, the minimum fine for a breach of privacy on the federal HIPAA law is $200,000….per offense.  And it can go as high as 1.5 million if it appears egregious or purposeful.  So if you were in the shoes of a doctor’s office or the long term care insurance carrier, what would your standard operating procedure be – knowing that you face such a stiff fine if you breach?

Go see a local attorney and just make sure you have your ducks in a row on this.  If you can fax in a copy of the Durable Power of Attorney (DPOA), the carrier and doctor will answer every question you have.

If you need help for filing a long term care insurance claim give us a call.

Leave a Reply