Long Term Care Insurance

    Long Term Care Insurance helps you protect what you have built throughout your life. In some states, nursing home care costs well over $100,000 per year.  Be prepared.  At Balanced Financial Solutions, we understand that you don't want doctors and nursing homes taking away what you've earned over the years.  Fill out the form below, and one of our specialists will contact you with a personalized solution.

 

STEP 1

When do you want your policy effective by?
Who is this quote for?
Your first name
Last name
Street address
City
State
Zip code
Email
Email (retype)
Daytime phone ( ) -  Ext.
Evening phone ( ) -  Ext.
Date of birth (example: 06/15/1975) / /
Male or Female? Male     Female

STEP 2

Does this person currently have long term care insurance? Yes   No
If YES, who is this person currently insured with?
Height Feet     Inches 
Weight
Desired benefit period
Desired maximum daily benefit
Desired deductible (waiting) period before receiving benefits?
Does this person want an inflationary rider? Yes   No   Don't Know
When did this person last use any tobacco products?
Include spouse or second parent in quote?  Spouse      Second Parent      No

STEP 3

Date of birth (example: 06/15/1975) / /
Male or Female? Male     Female
Height Feet    Inches 
Weight
When did this person last use any tobacco products?
Want future money saving offers from us?
How would you like to be contacted?