Navigating Long-Term Care Insurance Claims

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Navigating Long-Term Care Insurance Claims

Credit Hours:

1.00

Specialty Area:

None

Credit Type:

General

Original Air Date:

February 25, 2025

Credit Eligible In:

California

You may be able to self apply for credits in states not listed. BHBA provides CLE accreditation as described above. Email for accreditation information in your state.

Attorneys and their clients face many challenges in connection with claims for long-term care insurance. The benefits of the insurance are critical to preserve assets, ensure access to quality care, and reduce burdens on families. However, maximizing access to benefits and effectively managing the claims process can be challenging.

Our speaker, Anne McGuire, RN, CCM, is the founder of Healthcare Pathfinder, LLC, a health and long-term care advice, advocacy and management firm. Anne has a passion for helping individuals, families, and employees find, understand, manage and advocate for their long-term care insurance benefits and care needs. She is a Registered Nurse and Certified Case Manager with over 40+ years of experience in the healthcare industry. As an expert health and long-term care insurance consultant, Anne will share practical advice for attorneys, focusing on:

– The key benefits of long-term care insurance
– Proper claims management to ensure timely and accurate benefit access
– Insights into common challenges with insurance companies and effective strategies to overcome them

This presentation is invaluable for attorneys advocating for their clients who require long-term care insurance benefits.

Anne McGuire, RN, CCM

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Founder Healthcare Pathfinder, LLC

Anne’s professional career began as a volunteer EMT for Post 53-Darien Emergency Medical Services at 14 years old. She went on to earn a Bachelor of Science Degree with a major in nursing. After college, she joined Yale New Haven Hospital, in New Haven, CT as a surgical trauma nurse and then the Branford, CT Visiting Nurses Agency, where she was a case manager and a clinical supervisor. Towards the end of her six years at the agency, Managed Care Insurance companies started to have a major impact on healthcare in New England. This led Anne to become a Utilization Review Nurse and a Certified Case Manager for Tufts Health Plans in Massachusetts. At Tufts, she worked with physician groups to help them manage their patients’ care prior to and during hospitalizations, at rehabilitation centers or Skilled Nursing facilities, and in the home care setting. In this role, it became clear that support patients throughout their continuum of care resulted in improved quality of care and less stress for patients and their families. It highlighted the complexity of our healthcare system and how important it is for people to have a professional help them to understand their insurance and advocate for the care and the coverage they deserve.

When Anne moved back to Darien, she worked for a Healthcare Advice and Advocacy business, the Director of Consulting. In this position, she provided a range of services: insurance coverage analysis, enrollments, claims management, dispute resolution, benefit maximization, and care management advice and advocacy. She found these client relationships to be extremely rewarding as her service truly made a difference in peoples’ lives. Anne founded decided to start Healthcare Pathfinder when clients, friends, neighbors, and professional acquaintances started referring clients directly to her.