Aetna Lengthy-Time period Care Insurance coverage Your Safe Long term

Aetna longer term care insurance coverage – Aetna long-term care insurance coverage: a considerate funding for a comfy the next day to come. Consider ageing gracefully, understanding your well being wishes are sorted. This complete information delves into the quite a lot of aspects of Aetna’s long-term care plans, from the several types of protection to the method of enrollment. It is a a very powerful step against peace of thoughts, permitting you to concentrate on what really issues – residing your existence to the fullest.

We’re going to discover the advantages, prices, and protection main points, serving to you’re making an educated resolution. From professional nursing to assisted residing, we’re going to get to the bottom of the specifics of every plan, permitting you to ascertain how those plans can fortify you and your family members. We’re going to additionally spotlight how Aetna’s plans examine to different suppliers, supplying you with a transparent image of the most productive price to your cash.

Table of Contents

Evaluate of Aetna Lengthy-Time period Care Insurance coverage

Aetna Lengthy-Time period Care Insurance coverage Your Safe Long term

Aetna provides a spread of long-term care insurance coverage (LTC) plans designed to lend a hand folks get ready for possible long run care wishes. Those plans supply monetary help for products and services like nursing domestic care, assisted residing, or in-home care, making sure a security web when conventional assets are inadequate. Working out the quite a lot of choices to be had is a very powerful for making advised selections about your monetary safety.

Aetna LTC Insurance coverage Protection Choices

Aetna’s LTC plans supply a spectrum of protection choices, tailoring advantages to particular person wishes and budgets. Every plan provides other ranges of day-to-day advantages, premiums, and ready sessions. This permits folks to make a choice a plan that most closely fits their explicit cases and monetary capability.

  • Advantages: Aetna LTC plans normally duvet bills associated with professional nursing care, assisted residing, and residential healthcare. Advantages range relying at the selected plan and will come with a specified day-to-day quantity for care products and services. This day-to-day allowance guarantees monetary fortify at some stage in the care wanted. For instance, a plan would possibly supply $200 consistent with day for knowledgeable nursing facility care, enabling folks to control prices related to long-term care.

  • Premiums: Premiums for Aetna LTC plans differ in response to elements reminiscent of the selected protection quantity, day-to-day receive advantages, and ready length. Decrease premiums ceaselessly correlate with decrease protection quantities, whilst upper premiums normally supply better protection. It is very important to weigh the required protection towards the related top class prices. Elements like age and well being standing affect top class calculations.

Examples of Lined Lengthy-Time period Care Wishes

Aetna LTC plans ceaselessly duvet a spread of long-term care wishes, making sure monetary coverage in quite a lot of eventualities. Those plans can help folks dealing with quite a lot of demanding situations and make sure some extent of economic safety. Examples come with:

  • Nursing domestic care: Offering monetary help for bills associated with professional nursing care in a facility. This kind of care ceaselessly comes to specialised scientific consideration and is ceaselessly required for people with power stipulations or disabilities.
  • Assisted residing: Supporting bills for help with day-to-day actions in a residential surroundings. This contains lend a hand with non-public care, drugs control, and different day-to-day duties. That is appropriate for those who require fortify however don’t necessitate the extent of care equipped in a talented nursing facility.
  • In-home care: Providing monetary help for in-home care products and services, enabling folks to obtain care within the convenience of their very own flats. This selection is appropriate for many who favor or want to stay of their properties whilst receiving essential fortify.

Comparability of Aetna LTC Insurance coverage Plans

The next desk Artikels key options of quite a lot of Aetna LTC insurance coverage.

Plan Protection Quantity (USD) Day by day Get advantages (USD) Ready Length (Days) Top class (USD/Month)
Plan A $100,000 $200 90 $500
Plan B $150,000 $250 180 $700
Plan C $200,000 $300 365 $900

Observe: Premiums and protection quantities are illustrative examples and would possibly range in response to particular person cases.

Advantages and Protection Main points: Aetna Lengthy Time period Care Insurance coverage

Aetna’s long-term care insurance coverage provides complete protection for quite a lot of care wishes, making sure peace of thoughts all the way through difficult occasions. Working out the specifics of advantages, protection varieties, and exclusions is a very powerful for making an educated resolution. This thread Artikels the important thing main points.

Particular Advantages for Quite a lot of Lengthy-Time period Care Wishes

Aetna’s long-term care insurance coverage insurance policies supply monetary fortify for a spread of care products and services, from professional nursing to assisted residing and residential care. The particular advantages rely at the selected coverage and degree of protection. Insurance policies usually duvet the price of skilled care products and services that lend a hand care for an individual’s well being and well-being.

Sorts of Care Incorporated

Aetna insurance policies normally duvet professional nursing amenities, assisted residing amenities, and residential care products and services. Professional nursing amenities supply 24-hour scientific handle folks with advanced scientific wishes. Assisted residing amenities be offering fortify with day-to-day actions, like bathing and dressing. House care products and services supply help with day-to-day duties in a affected person’s domestic setting.

Coverage Exclusions and Obstacles of Protection

It will be important to pay attention to coverage exclusions and boundaries. Protection would possibly not observe to all forms of care or to all folks. Some examples of possible exclusions come with pre-existing stipulations, sure forms of power sicknesses, and care equipped via members of the family. Care outdoor of the required coverage phrases will not be lined. Assessment the coverage file moderately for detailed exclusions.

Other Ranges of Care Lined and Day by day Get advantages Quantities

The next desk illustrates the other ranges of care lined and the corresponding day-to-day receive advantages quantities. This desk is helping you already know the monetary fortify equipped for quite a lot of care wishes.

Form of Care Day by day Get advantages Eligibility Necessities
Professional Nursing Facility $250 Calls for a health care provider’s certification of want for knowledgeable nursing care.
Assisted Residing Facility $150 Calls for a health care provider’s certification of want for help with day-to-day actions.
House Care $100 Calls for a health care provider’s certification of want for domestic care products and services. Calls for a registered nurse to evaluate and plan care, and care will have to be equipped via authorized execs.

Observe: Day by day receive advantages quantities and eligibility necessities would possibly range relying at the explicit coverage selected. Assessment the coverage main points moderately to make sure alignment together with your wishes.

Top class Construction and Value Research

Working out the price of long-term care insurance coverage is a very powerful for making advised selections. Premiums don’t seem to be static; they are influenced via a number of elements, and it is important to know the way those elements affect your own plan price. This research supplies perception into the pricing construction and is helping you examine quite a lot of choices.

Elements Affecting Aetna LTC Premiums

A number of parts affect the premiums you pay for Aetna long-term care insurance coverage. Age is a significant component, as the chance of desiring long-term care will increase with advancing years. Well being standing performs a essential position; pre-existing stipulations or power sicknesses can affect the chance of desiring long-term care products and services, and due to this fact, the top class. The selected protection quantity, together with day-to-day receive advantages quantities and the period of care, additionally without delay impacts the top class price.

The particular advantages and lines incorporated in a plan additional have an effect on the full top class.

Protection Quantity and Top class Comparability

The desk under illustrates the prospective permutations in top class prices in response to other protection quantities. Remember those are illustrative examples, and precise prices will range in response to particular person cases.

Protection Quantity (Day by day Get advantages) Top class (Annual) Deductible (Annual)
$200 $1,500 $500
$250 $1,800 $750
$300 $2,200 $1,000
$350 $2,500 $1,250

Top class Calculation Method

Premiums are calculated the use of actuarial fashions that assess the chance related to offering long-term care. Those fashions believe elements such because the projected want for long-term care products and services in a given inhabitants, the projected prices of care, and the predicted period of care. Actuarial knowledge from quite a lot of assets is used to decide the chance of people desiring care, their age, well being standing, and selected protection choices.

Aetna makes use of this knowledge to calculate premiums that stability the monetary burden at the corporate with the worth and protection equipped to policyholders.

Premiums are ceaselessly adjusted periodically to replicate adjustments in actuarial knowledge and marketplace stipulations.

Moderate Value In keeping with Age and Well being Standing

The common price of Aetna LTC insurance coverage varies considerably in response to age and well being standing. More youthful, more healthy folks will usually pay decrease premiums in comparison to older folks with pre-existing stipulations. It is a very powerful to discuss with an insurance coverage guide to get a customized estimate in response to your explicit cases. For instance, a 65-year-old without a pre-existing stipulations would possibly be expecting a decrease top class than a 65-year-old with a historical past of power stipulations.

Enrollment and Software Procedure

Securing long-term care insurance coverage calls for a structured software procedure. Working out the stairs concerned and the essential documentation is a very powerful for a easy and environment friendly enjoy. This segment main points the appliance process for Aetna’s long-term care insurance coverage.

Software Steps

The appliance procedure for Aetna long-term care insurance coverage normally comes to a number of key steps. First, you can want to acquire the desired paperwork and data. Subsequent, you can entire the appliance shape correctly, offering all asked main points. In spite of everything, you can publish the appliance and anticipate the underwriting procedure.

Required Paperwork and Data

To expedite the appliance procedure, acquire the essential paperwork and data upfront. This will likely streamline the process and steer clear of delays.

File Sort Required Data Description
Private Data Complete identify, date of beginning, Social Safety quantity, cope with, touch data Elementary figuring out main points
Monetary Data Source of revenue statements, tax returns, belongings, and liabilities Main points of your monetary state of affairs.
Well being Data Scientific information, physician’s stories, and prescription data Related well being main points, together with diagnoses, remedies, and any pre-existing stipulations.
Beneficiary Data (if acceptable) Beneficiary’s identify, courting, and call data Required if you want to designate a beneficiary to your coverage.
Employment Data Present employment main points and paintings historical past Supplies context about your source of revenue and employment standing.

Software Time-frame

The processing time for Aetna long-term care insurance coverage programs normally levels from 4 to eight weeks. This time frame can range relying at the completeness of the appliance and the complexity of the underwriting procedure. Elements like the quantity of programs or any further inquiries might also affect the timeline.

Underwriting Procedure

Aetna’s underwriting procedure evaluates the appliance completely to evaluate the chance related to offering protection. Elements thought to be all the way through this procedure come with well being historical past, age, way of life, and different related main points. The purpose is to make sure the coverage aligns with the chance profile and actuarial projections of the insurance coverage supplier. Aetna will use this data to decide the eligibility and top class to your explicit state of affairs.

The underwriting procedure guarantees that the insurance coverage supplier can correctly assess the monetary implications of offering protection.

Claims Procedure and Repayment

Navigating long-term care claims can really feel overwhelming. Working out the method and required documentation previously can ease your thoughts. Aetna’s long-term care insurance coverage goals to make this procedure as easy as conceivable, making sure well timed repayment for lined products and services.Aetna’s declare procedure is designed to be environment friendly and clear. This segment main points the stairs keen on submitting a declare, the essential documentation, and the everyday time frame for processing.

Familiarizing your self with those procedures will permit you to hopefully pursue repayment to your long-term care wishes.

Declare Submitting Steps

The declare submitting procedure normally starts with amassing all required documentation. This complete documentation guarantees a easy and correct declare processing. As soon as the essential paperwork are compiled, you publish them to Aetna the use of the prescribed way, which would possibly contain a devoted on-line portal, a selected shape, or a delegated mail cope with.

Required Documentation Examples, Aetna longer term care insurance coverage

To verify your declare is processed correctly and promptly, explicit documentation is a very powerful. This contains scientific information, expenses for the care won, and every other related supporting paperwork. For instance, an in depth account of the care equipped and the cause of the desire for such care is very important. Documentation from healthcare suppliers, together with medical doctors’ notes, care facility information, and discharge summaries, is ceaselessly required.

Declare Processing Time-frame

Aetna strives to procedure claims inside a cheap time frame. Processing occasions can range relying at the complexity of the declare and the completeness of the submitted documentation. Actual-world reviews point out that, on reasonable, claims are processed inside 4-8 weeks from the date of submission. On the other hand, the precise time would possibly fluctuate in response to quite a lot of elements, such because the specifics of your case.

Declare Procedure Evaluate

Declare Sort Required Paperwork Declare Timeline
In-home care Doctor’s orders, care supplier’s invoices, day-to-day care logs, and supporting scientific documentation 4-6 weeks
Assisted residing facility Admission paperwork, facility expenses, doctor’s orders, and supporting scientific information 4-8 weeks
Nursing domestic Admission paperwork, nursing domestic expenses, doctor’s orders, and supporting scientific information 4-8 weeks
Hospice care Hospice care plan, doctor’s orders, hospice invoices, and supporting scientific information 4-6 weeks

Buyer Carrier and Reinforce

Navigating long-term care insurance coverage can also be advanced. Aetna understands this and gives quite a lot of avenues for fortify, making sure policyholders have transparent get admission to to help. This segment main points the channels to be had for customer support, grievance answer, and gaining access to coverage data.

Contacting Aetna Buyer Carrier

Aetna provides more than one tactics to connect to customer support representatives, catering to various wishes and personal tastes. This guarantees urged and environment friendly answer of inquiries and considerations.

  • Telephone: A devoted telephone line is to be had for direct interplay with customer support brokers. Callers can be expecting to obtain customized help with their inquiries. For instance, you’ll be able to name to inquire about protection main points, top class changes, or declare standing.
  • On-line Portal: Aetna’s web page options an internet portal with FAQs, ceaselessly requested questions, and a complete wisdom base. Those assets can ceaselessly get to the bottom of easy problems briefly. For instance, policyholders can ceaselessly in finding solutions to questions referring to protection limits, receive advantages schedules, and eligibility standards throughout the on-line portal.
  • E mail: Piece of email is a treasured software for inquiries and lawsuits. This channel lets in for detailed written conversation and possible follow-up. As an example, you’ll be able to use electronic mail to request explanation on a selected coverage provision or to publish a proper grievance.
  • Chat: A reside chat serve as is to be had on Aetna’s web page for fast fortify. This selection is perfect for resolving instant considerations and receiving urged comments. As an example, you’ll be able to use chat to test the standing of a declare or ask a query in regards to the coverage paperwork.

Addressing Issues and Court cases

Aetna prioritizes addressing buyer considerations and lawsuits successfully and successfully. This guarantees a favorable buyer enjoy and is helping care for agree with.

  • Grievance Procedure: A structured procedure exists for dealing with lawsuits, making sure truthful and clear answer. This comes to obviously explained steps and a devoted group to check and examine lawsuits. For instance, Aetna would possibly supply a selected on-line shape or a devoted electronic mail cope with for filing lawsuits. After submission, the method comes to a overview, investigation, and a reaction with a proposed resolution or rationalization.

Getting access to Coverage Paperwork and Data

Aetna strives to offer handy get admission to to coverage paperwork and necessary data on-line. This simplifies the control of long-term care insurance coverage.

  • On-line Account Get right of entry to: Policyholders can normally get admission to their coverage paperwork, together with the whole coverage wording, thru a safe on-line account. This offers simple get admission to to related data, reminiscent of top class main points, protection limits, and receive advantages schedules. As an example, you’ll be able to overview your coverage’s explicit phrases and prerequisites inside your on-line account.
  • File Downloads: Necessary paperwork, reminiscent of declare paperwork, abstract of advantages, and different related data, can also be downloaded from the web page. This allows policyholders to retain information simply and successfully. For instance, you’ll be able to obtain a duplicate of your protection abstract or your coverage’s detailed time table of advantages.

Coverage Comparisons with Competition

Navigating the long-term care insurance coverage marketplace can really feel overwhelming. Working out how Aetna’s insurance policies stack up towards competition is a very powerful for making an educated resolution. This comparability supplies a framework for comparing key options, prices, and advantages to search out the most productive have compatibility to your wishes.

Evaluating Aetna LTC Insurance policies to Competition

Aetna’s long-term care insurance coverage insurance policies are designed to offer protection for quite a lot of wishes, from assisted residing to professional nursing care. Direct comparisons with main competition are very important for comparing the relative price and appropriateness of various plans. A essential research is helping establish strengths and weaknesses of every coverage.

Key Characteristic Comparability

Comparing key options like protection quantities, premiums, and ready sessions is very important when evaluating long-term care insurance coverage insurance policies. This desk highlights essential variations throughout suppliers, helping within the decision-making procedure.

Supplier Protection Quantity (consistent with day) Per thirty days Top class (instance) Ready Length
Aetna $250-$500 consistent with day $100-$300 90 days – 1 12 months
UnitedHealthcare $200-$400 consistent with day $80-$250 90 days – 1 12 months
Humana $200-$450 consistent with day $90-$280 90 days – 1 12 months
Cigna $200-$400 consistent with day $75-$225 90 days – 1 12 months

Top class Construction and Value Research

Premiums range considerably in response to elements like age, well being standing, and desired protection degree. This desk demonstrates how top class prices can differ between other suppliers for identical protection.

Protection Degree Aetna Top class (instance) UnitedHealthcare Top class (instance) Humana Top class (instance) Cigna Top class (instance)
Elementary $150 $120 $140 $100
Usual $250 $200 $220 $180
Enhanced $400 $300 $350 $250

Figuring out the Absolute best Worth

To seek out the most productive price, moderately assessment the trade-offs between protection quantity, top class, and ready length. Imagine your individual cases and monetary state of affairs. Aetna, for example, would possibly be offering upper protection quantities for a relatively upper top class, which may well be advisable for people with considerable long-term care wishes.

Strengths and Weaknesses of Every Coverage

Working out the strengths and weaknesses of every supplier’s insurance policies is essential to selecting the best have compatibility. As an example, a coverage’s prime protection quantity could be an important benefit, however a long ready length generally is a downside.

Steadily Requested Questions (FAQ)

Navigating the sector of long-term care insurance coverage can really feel advanced. This FAQ segment tackles commonplace questions on Aetna’s plans, providing transparent and concise solutions that will help you perceive your choices.

Whether or not you are a potential purchaser, present policyholder, or just curious in regards to the specifics, those solutions goal to elucidate key facets of Aetna’s long-term care insurance coverage choices. From protection main points to claims processes, we now have compiled essentially the most ceaselessly requested questions to offer complete data.

Protection Main points and Exclusions

Aetna’s long-term care insurance coverage insurance policies normally duvet a spread of products and services, together with professional nursing care, assisted residing, and residential healthcare. Working out the specifics of what is incorporated and excluded is a very powerful. Protection quantities and advantages range via plan, so you must moderately overview the coverage main points. Exclusions would possibly come with pre-existing stipulations or explicit forms of care no longer aligned with the coverage’s scope.

  • Protection for Particular Prerequisites: Insurance policies could have explicit boundaries on masking stipulations, reminiscent of the ones associated with psychological well being, substance abuse, or power sicknesses. This data is a very powerful to working out the plan’s boundaries and implications.
  • Pre-Current Prerequisites: Some insurance policies would possibly exclude or restrict protection for pre-existing stipulations. This varies between plans and is a key facet to believe. Assessment coverage paperwork for exact main points and exclusions.
  • Sorts of Care Excluded: Care no longer explicitly lined within the coverage, like beauty procedures or regimen scientific checkups, is normally excluded. The coverage will element what forms of care it encompasses.

Top class Construction and Value Research

Working out the criteria influencing premiums is secret to meaking advised selections. Premiums are normally influenced via elements like age, well being standing, and the selected protection degree. An intensive research of top class buildings can help in opting for a plan that aligns together with your finances.

  • Age and Top class: Normally, premiums building up with age. The older you might be when buying a coverage, the upper the top class can be. It is prudent to believe this affect when comparing long-term care insurance coverage.
  • Well being Standing and Top class: Your well being historical past would possibly affect premiums. Elements like pre-existing stipulations would possibly have an effect on the associated fee. Imagine those elements when opting for a plan.
  • Protection Degree and Top class: Upper protection ranges normally result in upper premiums. The extent of care and the period of protection you search will affect your top class prices. Weigh some great benefits of better protection towards the associated fee implications.

Claims Procedure and Repayment

A well-defined claims procedure guarantees easy repayment. Aetna’s procedure for dealing with long-term care claims normally comes to filing documentation, offering essential approvals, and following Artikeld procedures.

  • Documentation Necessities: Particular documentation is also had to fortify claims, together with scientific information, doctor statements, and care facility stories. This facet is very important to the declare procedure.
  • Approval and Repayment Timeline: The timeline for processing claims and reimbursements can range in response to the coverage and the particular cases. Working out this timeline is necessary to managing expectancies.
  • Appeals Procedure: If a declare is denied, Aetna normally has an outlined appeals procedure. It’s important to grasp the procedures for interesting a denied declare.

Illustrative Eventualities and Case Research

Aetna Lengthy-Time period Care Insurance coverage is not only about numbers; it is about peace of thoughts. Working out the way it works in real-life eventualities is secret to meaking advised selections. This segment provides examples of ways protection can give protection to you and your family members.

State of affairs 1: The Surprising Stroke

A 65-year-old, energetic skilled, suffers a stroke that leaves them requiring around-the-clock care. The stroke necessitates help with day-to-day actions like bathing, dressing, and consuming. Aetna LTC insurance coverage can duvet those bills, making sure the person receives the essential fortify whilst permitting their circle of relatives to care for their very own lives. This coverage is helping the person care for their dignity and high quality of existence.

State of affairs 2: Innovative Neurological Situation

Consider a 72-year-old recognized with a revolutionary neurological situation. Because the illness advances, their independence diminishes, requiring expanding ranges of help with actions of day-to-day residing (ADLs). Aetna LTC insurance coverage can lend a hand set up those expanding wishes, offering monetary coverage for the caregiving products and services essential to care for a comfy and dignified existence. The insurance coverage can offset the emerging prices {of professional} care, domestic adjustments, and assistive gadgets.

State of affairs 3: Getting older in Position

An 80-year-old needs to stay in their very own domestic as they age. Because of declining well being, they require extra help with day-to-day duties. Aetna LTC insurance coverage can lend a hand duvet the price of in-home care products and services, making sure they are able to age with ease of their acquainted environment. This protection too can come with adjustments to the house, like ramps or snatch bars, to make it more secure and extra out there.

Case Find out about Instance: Mr. Johnson’s Scenario

Mr. Johnson, a retired engineer, is recognized with Alzheimer’s illness. His situation progresses, and he calls for help with day-to-day duties. With Aetna LTC insurance coverage, Mr. Johnson’s circle of relatives can get admission to a spread of care choices, from in-home aides to assisted residing amenities.

The coverage’s protection lets in Mr. Johnson to stay in a well-known setting whilst receiving the care he wishes. This illustrates how Aetna LTC insurance coverage can give monetary coverage and fortify all the way through a difficult length.

Protection Examples in Other Cases

  • Hospitalization: Aetna LTC insurance coverage can duvet the prices of long-term care amenities, together with professional nursing care, rehabilitation, and different similar products and services. This protection extends past the preliminary clinic keep, addressing the long-term care wishes bobbing up after discharge.
  • In-home Care: Aetna LTC insurance coverage can duvet the price of skilled caregivers to help with day-to-day residing actions, like bathing, dressing, and meal preparation. This protection lets in folks to stay of their properties whilst receiving the essential fortify.
  • Assisted Residing Amenities: The coverage can duvet the prices of living in assisted residing amenities, the place citizens obtain fortify with day-to-day actions and tracking. This guarantees folks obtain care and supervision whilst keeping up their independence to the level conceivable.

Standard Lengthy-Time period Care State of affairs and Coverage Reaction

A standard long-term care situation comes to a person requiring expanding help with day-to-day residing duties as they age. Aetna LTC insurance coverage can reply via masking a spread of care choices, together with in-home care, assisted residing, or nursing domestic care. The coverage supplies monetary coverage towards the numerous prices related to long-term care, making sure that folks can care for their dignity and high quality of existence.

Wrap-Up

Aetna long term care insurance

In conclusion, selecting the proper long-term care insurance coverage is a crucial resolution. This information supplies a complete assessment of Aetna’s choices, serving to you navigate the method and make a well-informed selection. Take into account, securing your long run comes to cautious attention of your wishes and monetary state of affairs. With Aetna’s long-term care insurance coverage, you’ll be able to leisure confident that you are ready for no matter existence throws your method.

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FAQ Segment

What are the everyday ready sessions for Aetna LTC insurance coverage?

Ready sessions can range relying at the explicit plan. You have to test the coverage main points for exact data.

How does Aetna decide the top class for long-term care insurance coverage?

Premiums are in response to elements like age, well being standing, and the required protection quantity. Aetna makes use of a posh components to calculate the top class, making sure truthful pricing for quite a lot of wishes.

Can I upload my partner or members of the family to the coverage?

Sure, usually, you’ll be able to upload further beneficiaries for your coverage. Particular necessities and prerequisites observe, so please overview the coverage main points for additional data.

What forms of claims are lined via Aetna LTC insurance coverage?

Aetna LTC insurance coverage normally covers professional nursing, assisted residing, and residential care. It is best to check the coverage specifics to make sure your explicit wishes are lined.

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