Long-Term Care Insurance

Who uses Long-Term Care services?

 

A growing number of young people as well as working-age adults are becoming disabled as a result of accident or illness. The overwhelming need for such care however is still for people over age 65.

More than 12 million Americans need assistance with everyday activities. Of these, approximately seven million are elderly, five million are working age adults and 400,000 are children.


--
GAO/HEHS –95-109 Long-Term Care Issues

Why Buy Long-Term Care?*

 

  • To avoid depending on others for care; to preserve independence and to enhance choice.
  • To protect assets
  • To protect Standard of Living
  • To gain easy access, guaranteed affordable services and greater flexibility in selecting the type and location of the care they receive.
  • To know there will not be a burden on their family or friends for help.
  • To preserve a chosen lifestyle
  • To gain piece of mind

*Research Alert Yearbook, 1998.

How much Long-Term Care Insurance do I need?

 

    Long-Term Care includes a wide range of medical, personal and supportive services. These services can be provided at home, in an assisted care facility or in a nursing home for an extended period of time.


    There is no single plan that is right for everyone. What may be right for you may not be right for your next door neighbor. Each plan needs to be tailored to fit your needs so that you will be able to maintain your standard of living for as long as you have planned.


    Some things that you can look at to determine your needs are:

  • the cost of local nursing homes;
  • how much can you afford to pay out of your income;
  • the amount of social security, investments and other assets that you have available;
  • how much can you afford to pay out-of-pocket, should the need arise.

    You should evaluate your needs based on your finances to determine the correct plan for your personal needs. The goal is to get enough coverage so you don't have to deplete your assets if you need care.

Source: "Kiplinger's Personal Finance Magazine", May 1997.

Ten Reasons Why You Need Long-Term Care Insurance*

 

  1. The government isn’t going to pay for all of your long term health care needs.
  2. $100 per day = $36,500 per year. That’s just room and board. In many states, it’s really a half-day’s room and board.
  3. A Harvard University study showed 69% of single people and 34% of married couples would exhaust their assets after 13 weeks in a nursing home. 13 weeks = 91 days.
  4. At age 65, a woman has a two out of three chance of spending time in a nursing home. A man has a one out of three chance. In the case of men, mortality catches up with morbidity!
  5. Medicaid kicks in only after a person’s assets and dignity are gone.
  6. Children would like to help, but children often have children of their own.
  7. Health rarely improves with age.
  8. You won’t be able to buy it when you need to use it.
  9. Americans have access to the best health care in the world, if they can pay for it.
  10. If you want to choose where you go instead of having to go where they take you, you will need to have either a big estate or adequate insurance coverage.

* Source: "A Shopper’s Guide to Long Term Care", The National Association of Insurance Commissioners

The Number One Reason For Buying Long Term Care Insurance:

CHOICES.  When you go into a facility, you have no idea how long you will be confined. After several weeks or months you begin to get a better idea of the type of care that you need and the services that your desire. You may not like the facility or the services or the staff or the food - that's normal.

Let's face it - no one wants to be in a strange place, let alone a nursing facility. With a policy in place, you are not "locked in" to a situation. You have the choice to move to any licensed facility that you choose, for whatever reason. Maybe the most convenient facility or your first choice did not have a room when you were admitted - you can move when they have an opening.

The point is, you have not made any long range financial commitments to a facility when you let your insurance pay them from month to month. This also gives the facility an incentive to keep you happy. As a private pay client, you are not someone who is over a barrel with no choices and there by default with no options.

 

Are you too young to think about Long-Term Care?

 

    In a recent study about long-term care, most of the baby boomers (individuals born between 1946 and 1964) flunked a ten-question true or false quiz. 73% incorrectly said Medicare is the primary funding source for most older people’s long-term care costs. Only 44% knew that most long-term care is provided by family and friends. *


    On average, two baby boomers turn 50 every 15 seconds. As this demographic of 75.8 million people ages, more attention will be paid to the issues and needs of the elderly, heightening the awareness of long-term care. **


    The multiple financial priorities of providing for retirement, raising a family, the cost of higher education, health care, etc.. will reinforce the need for long-term care as families realize the costs they face. Few people will be able to afford to pay out-of-pocket for long-term care.


* National Council on Aging/John Hancock Mutual Life Insurance Company
**
U.S. Department of Commerce, Bureau of Census

 

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