Those who buy long-term care coverage do so in the hopes that a policy now might come to their aid 10, 20 or 30 years down the road. But a growing concern is whether such long-term policies are structured in such a way that by the time they are needed, the policies are still delivering a solution the policyholder needs. Alternative plan of care clauses, for example, are intended to provide coverage for services that are not spelled out in the policy but my emerge in the future. (Much like how assisted living facilities did not exist when the holders of LTC policies bought them 30 years ago.) The problem is, alternative plan of care clauses are honored at insurers’ discretion, leaving many policyholders and potential clients wondering if their LTC policy will really deliver.