New Jersey Long-Term Care Insurance — FundingDependency.com

New Jersey regulates LTC insurance through DOBI

The New Jersey Department of Banking and Insurance, through its Division of Insurance, is the state agency identified in the state’s long-term-care insurance Partnership bulletins. DOBI’s consumer long-term-care guide also directs consumers to its Office of the Insurance Ombudsman for insurance questions and identifies DMAHS as the agency for Medicaid information (NJDOBI Bulletin 08-05; NJDOBI long-term-care consumer guide).

Private long-term-care insurance and Medicaid are not interchangeable. A private policy’s benefits, exclusions, inflation protection, waiting period, rate history, and claims practices come from the policy and insurer, while MLTSS eligibility remains governed by NJ FamilyCare’s clinical and financial rules (NJDOBI long-term-care consumer guide; New Jersey MLTSS overview).

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