Exemptions to the Individual Mandate
There are some cases where there is no penalty to not having coverage.
You must choose an "elimination period", or a "waiting period". This determines when your policy begins paying benefits once you've qualified for benefits and have entered a nursing home or begin to use home services. During this elimination period, you will be responsible for paying all costs out-of-pocket.
In choosing an elimination period, keep in mind: the shorter the elimination period, the higher your premium. The longer you can wait for the benefits to begin, the lower your premium costs. You are responsible for all costs of long-term care during the elimination period.
If you must re-enter a nursing home facility within 6 months of your first stay, you won't have to repeat the elimination period. However, if you are re-admitted to a nursing home more than six months after your first stay, you must fulfill another elimination period before the policy will begin paying again.
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