Long-Term Care Insurance

To learn how to apply for long-term care insurance, please contact us:

• Call 1-866-262-7920
• Find an Insurance Advisor
• Find an Insurance Branch
• Send Us an Email

Your spouse and/or parents would need to complete and sign their own application(s). Consider having a discussion with your spouse and parents about the importance of long-term care insurance and whether it's right for them.

Yes, you may cancel your coverage at any time. Please call 1-800-461-1413 to speak with a customer service representative, who will provide you with details on how to cancel your coverage.

You may apply for long-term care insurance if you:

• Are between the ages of 30 and 80 (for Facility Care Plan) or 30 and 75 (for Facility and Home Care Plan), and
• Are a Canadian citizen or permanent resident/landed immigrant who has been in Canada for more than 12 months, and
• Have not been diagnosed with, or have been treated for certain medical conditions

Possibly, yes. Depending on your age and other factors, you may need to complete a telephone or face-to-face interview and provide certain documentation from your physician.

RBC Insurance reserves the right to order additional requirements on any application when deemed necessary.

Yes, he or she may apply for coverage under his or her own policy.

Provincial health insurance plans don’t have the resources to pay the full cost of long-term care, even in subsidized facilities. What's more, they offer NO coverage for private facility care, and pay only a limited amount for care at home. The expenses for private nursing, cooking, cleaning, shopping, etc. will be largely your responsibility.

• How much does your province pay toward long-term care?

The Home Care benefit reimburses the costs you incur for medically necessary services in your home or another private residence, as recommended by a physician and provided by a licensed nurse, an authorized employee of a home care agency, or a private caregiver. RBC Insurance defines “private caregiver” as a non-family member whom you hire to provide care services for you. This could be a friend, neighbour or someone else you trust. Some of the expenses covered under home care include:

• Nursing services and therapists (occupational, speech or physical)
• Assistance with exercise, self-administered medications or home management services
• Respite care, adult day care

The Facility Care benefit pays the daily amount you’ve purchased when health or personal care services are required on a long-term basis in a long-term care facility, as recommended by a physician.

You must purchase Facility Care coverage in order to purchase Home Care coverage. You may, however, purchase Facility Care coverage by itself.

No. All policies must contain Facility Care coverage.

Yes.

No. Under this plan, home care can only be administered by a licensed vocational nurse, a licensed practical nurse, an authorized employee of a home care agency, or a private caregiver. RBC Insurance defines “private caregiver” as a non-family member whom you hire to provide care services for you. This could be a friend, neighbour or someone else you trust.

No. Benefits for facility care and home care cannot be paid at the same time. If you are collecting home care benefits and then need facility care, home care benefits would cease and benefits would become payable under the facility care portion of your policy. A new elimination period may need to be satisfied for your facility care benefits to become payable.

Your qualification for benefits depends on the following:

1. You must meet the plan requirements for eligibility, including having the policy in force and satisfying the elimination period.
   AND
2. A physician must provide certification that you require extended care in a facility or at home because of either:
   • Inability to perform two or more specified activities of daily living  as defined in the policy
     OR
   • Cognitive impairment, which involves memory loss or difficulties with problem-solving due to illnesses such as Alzheimer or Parkinson disease.

Conditions caused by the following are excluded* (the following is a summary of exclusions only):

• Self-inflicted injury
• War
• Alcoholism or chemical dependency
• Nervous or mental disorders without organic cause
• Engagement in illegal activities

*The information above is intended as a summary only. Your policy will contain complete details on terms and conditions, including benefits and exclusions.

 

Also known as the waiting period, the elimination period is the number of calendar days that must pass under care before the benefits are payable. There are two options for the elimination period: either 0 or 90 days for Facility Care, and either 60 or 90 days for Home Care.

The elimination period starts the day you begin living in a long-term care facility or begin receiving home care services. The elimination period does not include any time spent on a waiting list for services or placement in a facility.

Yes, conditions caused by the following are excluded* (the following is a summary of exclusions only):

• Self-inflicted injury
• War
• Alcoholism or chemical dependency
• Nervous or mental disorders without organic cause
• Engagement in illegal activities

*The information above is intended as a summary only. Your policy will contain complete details on terms and conditions, including benefits and exclusions.

Yes.

You will pay premiums for 20 years or until you reach age 65, whichever period is longer.

Note: The limited premium payment period does not apply to the Future Purchase Option Benefit, for which premiums are payable until the full option amount is exercised.

Your premium is guaranteed not to increase for the first 5 years of the policy, from time of issue. After 5 years, RBC Insurance guarantees that you can renew the policy annually. However, we reserve the right to increase the renewal premium up to a lifetime maximum of 50% of the original annual premium, excluding the policy fee.

In addition, you do not have to pay additional premiums after your policy is paid up, nor will RBC Insurance make any premium adjustments. You are still eligible for benefits until the maximum benefit period you selected has expired.

No. A Waiver of Premium benefit is included in the policy and it takes effect as soon as benefit payments begin. Any premiums paid during the elimination period are refunded back to you.

No. For example: if the plan was for a 20-year premium payment period and the plan has been paid for the entire 20 years, no additional premiums will be required and no premium adjustments can be made, but you are still eligible for benefits until the maximum benefit period you selected has expired.

If you die 5 years or later after purchasing a long-term care insurance policy, we will reimburse to your beneficiary all premiums paid for the Facility Care benefit (including the policy fee and the Return of Premium Rider), if we have never paid Facility Care benefits to you. You can receive Home Care benefits and still be eligible for the Return of Premium benefit.

Our goal is to make the claims process as easy as possible. Just call 1-877-519-9501. An RBC Insurance^® representative will send you a simple claims form and guide you through the claims process.