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Request A Custom Quote

Premiums are based on: company rates, age, health and benefits.

We represent the major companies for long term care insurance with Partnership Asset Protection.

We show you quotes side-by-side so you can compare benefits and premiums.

We are not a "lead" company. We DO NOT share or sell your information.

Since 1983 we have been providing LTC insurance to clients in all 50 states.

We have the experience you need.


If a couple fill out both Quote A and B.

Quote A - name or initials:

Age


blank white spacerWeight:

Lbs.
Height:

(ft-in 5-8)
Gender:
(M, F)
Quote B - name or initials:

Age


blank white spacerWeight:

Lbs.
Height:

(ft-in 5-8)
Gender:
(M, F)

Marital Status

Does either take prescription medications? * Y N Enter medications in box below.
Must list medications & health history: *
(a) Quote A or B (b) Name of medication (c) What taken for (d) Current or past health issues; surgery, cancer, memory, stroke, narcotic use.
Any scheduled or recommended treatments, doctor visits or tests that are no yet completed?

Do you currently have a policy? Y N If you have policy click to read.

Have you received quotes or are you working with someone who sells insurance? Y N If yes click to read.

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quotes are state specific


blank white spacerE-mail: (required)


Phone: (required)



 

* Medication information helps pre-qualify for insurability, so we can provide accurate information about which companies and which products are available.

 

Long Term Care is a family affair.

The majority of caregivers are family members.