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What are the Odds?
Long-Term Care Insurance: Pros and Cons
Medicare and Medicaid
Young and Old Alike
LTC Premiums Increase With Age
Caution: Steep Premiums Ahead

 

 

 

 

graphic of hospital bedIt may not be the most cheerful thought you’ll have all day, but it’s one of the most important: Statistics show that you or someone in your family will probably require some kind of long-term health care over your lifetime. But what does that mean, and how will it affect you?

The types of services that are defined as long-term care (LTC) range from a little assistance to a lot. Basically, long-term care is medical, personal, or social services for people who need help with daily living. That can include care at home or in a nursing facility, and can be provided by a friend, a family member, or a health care professional.

For example, you might need a family member to stop by a couple of times a week to tidy up and prepare your meals. Or you might need to live in a nursing facility where you can receive round-the-clock assistance.

As you develop your long-term financial plan, you may want to consider how well you’re prepared to pay for such costs.

 

 

 


graphic of peopleWHAT ARE THE ODDS?
1 in 3 men and 1 in 2 women will need long-term care at some point in their lives and in many cases, they may only need it for a few weeks. Sixty percent of the people who currently need long-term care are over age 65. Forty percent are between 18 and 64.

 

LONG-TERM CARE INSURANCE:
PROS AND CONS

Long-term care insurance is designed to cover the costs of homecare or a stay in a nursing facility.

Pros:

  • High chance of needing care

  • Protects your assets and your quality of living

  • Maintains your financial independence

  • Relieves the financial burden on your family

  • Gives you flexibility in choosing care

Cons:

  • No guarantee you’ll need benefits

  • Expensive, especially individual policies

  • Probable premium increases

  • Could be difficult to qualify for benefits under some policies

  • Benefits may not keep pace with inflation

 

You can buy either a reimbursement policy, which pays benefits as you submit claims for covered expenses, or a defined benefit plan, which pays up to a specific amount per day regardless of actual costs — though never more than the costs.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

graphic of medicare cardMEDICARE AND MEDICAID
Medicare is a government-sponsored insurance program that covers hospital and medical expenses for people over age 65, the disabled, and people suffering from permanent kidney failure. It covers a limited amount of home health care and hospice care, but not long-term care.

Medicaid is a state-run program that provides medical assistance for low-income people. Medicaid will cover the cost of a nursing home or adult daycare facility, but only after you can no longer pay on your own. The program will only pay for nursing homes that meet Medicaid standards, and many nursing facilities choose not to accept Medicaid patients, since privately funded patients pay more.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LTC PREMIUMS INCREASE WITH AGE
Long-term care insurance premiums go up dramatically after you pass your 50s. Here's a sample of monthly premiums graphcurrent monthly LTC insurance premiums.*

 

*For a $200 daily benefit, with automatic inflation protection, a 3-year maximum, and a 90-day waiting period. Includes home health care, waiver of premium, informal care, respite care, adult day care, and hospice care.

Source: Buck Consultants, 2002

 

 

 

graphic of caution signCAUTION: STEEP PREMIUMS AHEAD
The younger you are when you buy long-term care insurance, the lower your premiums. Most experts recommend you consider buying a policy in your 50s, since premiums go up considerably after age 65.

Keep in mind that insurance companies probably will raise premiums to keep up with soaring costs. But like most retired people, you may be living on a fixed income. That could make it difficult for you to pay for higher premiums right as you become more likely to need benefits.

So as you investigate long-term care insurance, consider whether your budget could accommodate premium hikes. One rule of thumb says you should spend no more than 7% of your income on this protection.

 

 
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