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Can I Use Long Term Care
Insurance?
Many people have purchased long term care insurance (LTCI) polices in recent years. Most people think they need to be admitted to a nursing home to use their policy's coverage. However, many LTCI policies provide coverage for home care if an insured client needs hands on help with bathing, dressing, walking, or other kinds of personal care assistance.
At Berkshire Home Care, we have experienced home care professionals that can assist you to understand your coverage and possibly help you obtain the care you need to remain in your own home for the short term or forever!

Come home with us...
Lee Regional VNA
and
Stay home with us...
Berkshire Home Care







REQUEST FORMS


An asterisk * indicates a required field.
*Date of Start of Care
*Name
*Diagnosis
*Allergies
*Date of Birth
*Doctor
*Level of Function
*Special Instructions
*Special Diet
*Equipment Used
*Service Requested
Home Health Aide  
Homemaker/Companion  
Registered Nurse/Licensed Practical Nurse  
Rehabilitation Therapist  
Social Worker  
*Needs
Shower/Bathing  
Assistance with Dressing  
Assistance with Ambulation  
Cane  
Walker  
Wheelchair  
Assistance with Meals  
Assistance with Self-Administered Medications  
Light Housekeeping  
Laundry as Needed  
Companionship  
Respite Care  
Shopping/Errands  
Person to contact regarding home care referral
*Name
*Relationship
*Address
*City
*State
   *Zip 
*Email Address
*Phone: Daytime
*Evening
Cell
Long Term Care Insurance
Yes   No  
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