Name | Description |
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Plan Sponsor | The Virginia Retirement System (VRS) manages the long-term care program as part of the Virginia Sickness and Disability Program (VSDP). |
Plan Administrator | VRS has contracted with the Long Term Care Group, Inc. to administer benefits under the plan. For more information about your coverage or to apply for benefits, contact the Long Term Care Group, Inc. toll free at 1-800-761-4057, or P.O. Box 64011, St. Paul, Minnesota 55164-0011. |
Eligible Participants | You are covered under the VSDP long-term care plan if you participate in the Virginia Sickness and Disability Program (VSDP). |
Benefit Eligibility | You are eligible for benefits when a licensed health care practitioner certifies that you:
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Daily Benefit Maximum Amount | $96 per day. This is the maximum amount of coverage the plan will pay for covered services in any single day. |
Lifetime Maximum Amount | $70,080. The lifetime maximum amount is based on the maximum daily benefit amount of $96 multiplied by 730 days (two years): $96 x 730 days = $70,080. Your coverage ceases when your total benefit payouts reach $70,080, regardless of how long you receive benefits. |
Premiums | Free of charge as a VSDP participant. |
How Benefits are Paid | Your coverage pays a benefit equal to the lesser of:
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Waiting Period | Your benefits are payable 90 calendar days after the beginning of each incident certified by a licensed health care practitioner as eligible for VSDP long-term care benefits. |
Portability | If you leave your VSDP-covered position, you have the option to continue coverage in the VSDP Long-Term Care Program at group rates. You must elect to continue your coverage within 60 days of leaving VSDP-covered employment . Call the Long Term Care Group, Inc. toll free at 1-800-761-4057. You will be billed directly for the premiums. For more information, see If You Leave Your Position. |
Name | Description |
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Note: Your coverage pays the lesser of actual qualified expenses incurred per day or the allowable daily benefit amount. |
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Nursing Care Facility |
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Assisted Living Facility |
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Hospice Care Facility |
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Home Health Care |
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Adult Day Care Center |
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Hospice Care Agency |
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Alternate Plan Benefit |
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Transitional Care |
One-time cash payment equal to three times the maximum daily benefit amount ($288) to support your transition from independent living to long-term care. You may use this one-time payment in any way you wish. Note: This benefit does not reduce your lifetime maximum benefit. |
Informal Care Benefit |
Up to 25% of the maximum daily benefit amount ($24) for up to 50 days per calendar year to provide for personal care from a family member, neighbor or private caregiver you hire. Note: This benefit does not reduce your lifetime maximum benefit. |
Informal Caregiver Training |
One payment each time you are receiving benefits to provide for the training of your personal caregiver by a licensed health care practitioner. The payment is equal to the lesser of the actual amount of the cost of training or three times the maximum daily benefit amount ($288). Note: This benefit does not reduce your lifetime maximum benefit. |
Bed Reservation |
If you are in a covered facility, such as a nursing home, and you have to be hospitalized, the plan covers up to 100% of the maximum daily benefit amount ($96) for up to 21 days per calendar year. |
Respite Care |
Up to 50% of the maximum daily benefit amount ($48) for up to 21 days per calendar year to provide for a substitute in-home caregiver while your usual caregiver is on leave. Note: This benefit does not reduce your lifetime maximum benefit. |
Additional Plan Features
Name | Description |
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Care Advisory Services |
Helps identify long-term care services and programs available in your area that can best meet your care needs. Services provided by care advisors are voluntary. |
Future Purchase Inflation Protection |
Your coverage is automatically adjusted for inflation on a 5% compound basis of your daily benefit amount at least every five years. |
World-Wide Coverage |
If you incur charges for services equivalent to those covered under this plan outside the United States, its territories or Canada, you will be reimbursed for these charges. The amount of the reimbursement will equal the benefit amounts allowable under your plan for up to 365 days of services. |