Long term care insurance insight

Insights Into Long Term Care Insurance In The United States

Many people have never heard of long-term care insurance. In reality, there is a typical misconception that long term care is something that will be paid for by Medicare. That is a big mistake. Long term, or chronic, care on the nationwide scheme is called essentially “custodial” care when they refer to it, and it’s for those suffering the after-effects of a stroke, Alzheimer’s disease, or other disabling condition.

Long term care insurance is for when you become too frail to take care of yourself, and your health insurance doesn’t spend-out for this kind of treatment. As we said above, Medicare doesn’t either so who does? Well, that is truly easy. Unless you secure a long term care insurance plan you do! The consumer pays of pocket until their possessions are exhausted, at which time Medicaid (not Medicare) starts. This is moneyed only as a well-being program, and it seems like it. Those on Medicaid typically discover themselves in nursing houses and they have no option. These are mostly in truth, not a pleasant place to be. In contrast, those with a lot of wealth or with a good long term care policy could have the ability to remain at their own house with the aid of paid assistants or experience a comfortable assisted living in the same property.

Long term care insurance businesses are different from the typical insurance companies which provide medical insurance on your present wellness. This sort of an investment (known as an LTCI policy) in your future is significantly different from life insurance underwriting and even medical insurance underwriting. In the case of LTCI the benefits do not start until an undefined date in the future, so it is crucial for you that the business will still be around when you require them, years in the future. Likewise, these companies are not able to offer cover once you are close to requiring a payout. You should use and start paying well prior to there is any actual expectation that you might need the service. Due to the fact that of this, every single independent adviser, in this type of insurance that we know of, requires it’s customers to buy their long term care insurance cover from a company with only the strongest of monetary ratings. Keep it in your mind that your claim might quickly be twenty to 30 to 30 years from the date you secure the policy. It makes sense does it not?

Long-term care insurance is a risk-management product to help cushion the monetary blow of prolonged and pricey older care or custodial care, and that is because Medicare does not cover long-lasting custodial care expenses. Like other types of insurance, a lot of long-term care policies have caps, or maximum advantage amounts. That means virtually no policy will pay for the overall cost of your long-lasting care. However having this sort of insurance lowers the amount you’re responsible for paying, a big reason for this is that you are more likely to be able to leave more money for your partner, if you have one, to survive on in the meantime.

Paying for quality insurers to look after you, or a close relative who needs caring for, can be difficult, and might be much more difficult if you don’t have adequate funds.

Medicaid eligibility is based on your earnings and personal resources. When you require long term care you may be qualified for Medicaid coverage, even if you have actually not qualified for other Medicaid services in the past. Nevertheless, frequently you will have to spend a few of your personal resources on nursing home care, before ending up being qualified for Medicaid protection. There are certain policies concerning what is included as a possession, and exactly what is excluded when identifying Medicaid eligibility. You cannot lawfully hand out your assets to member of the family or non-family members to prevent using your possessions to spend for your nursing home care. If you hand out possessions within 5 years of the date you make an application for Medicaid (some rules could differ by state), you may undergo a charge and be ineligible to get Medicaid advantages.

When you obtain long term care insurance you pay a premium based on your age when you apply. In return your insurance company agrees to spend for services through house care, a helped living center or your costs at a retirement home, on your behalf. With personal choices what they are, is most likely that you will get custodial care in your home, with an aid coming to assist with everyday things like cooking and cleaning, and assisting with those activities of day-to-day living (or ADLs) which are eating, bathing, dressing, transferring, toileting, and continence.

LTCI is the only way to protect yourself from possibly the best monetary threat you will face in your retirement years, unless you are very rich. With Long Term Care Insurance, a lot of, if not all, expenses can be covered, depending on the policy. There are various long-term care strategies varying in price and affordability. A great way to find out whether you would be qualified for LTCI, and be told exactly what you would need to pay, is to schedule an in-home review with a long-lasting care professional who will help you choose if LTC planning is best for you.

Private insurance, through long term-care insurance presently plays only a small, however potentially essential role in funding the long-term care of the elderly in the United States. Some believe it can be a considerable element in a re-organized long-term care financing system. However, to this day, the demand for such insurance has been rather low.

There are a variety of independent rating companies that review the financial security of insurance business and appoint a score to the business. These ratings permit customers to compare directly the strength and claims paying ability of one insurer with another insurer. One is the AARP which is talked about somewhere else on this site.

When you start investigating this coverage, many individuals say that they discover that each concern appears to lead to more questions. Discovering answers can be tough.

When you start to examine what is available for you to pick from on the long term care insurance market, the trouble is that there are even more than 10,000 lasting care insurance representatives in the United States, each with internet access and the capability to influence scores and evaluations positively or detrimentally depending on who they work for, or support. There are Internet online forums that will upload member/ customer reviews, however, do beware of these. That is because there is a risk that the reviews you check out are in fact just made-up by agents criticizing their rivals and promoting their own items.

Questions and Answers

What’s the deal with long term care insurance?I’ve been hearing for years from “finance experts” like Clark Howard and Dave Ramsey and others that long term health insurance is really important.Now I read many articles (some written by the way by companies that sells annuities) that it’s maybe not a good idea after all.So who is right? I’m 55 years old and single and I’m getting one. I’ll have about 2 million dollars cash when I retire and about $300,000 in my house that’s payed off.I’ll sleep better knowing that I have a long term care plan in place with a good company just in case I’m one of those 60% that’s going to need long term care.I’m confused though??

Posted by Plain Jim
Dan Mole Long-term care insurance is a good idea for you.The companies that you mention probably wrote those articles to trick you into spending your money on annuities instead of long-term care insurance.It is not a good idea for the following four groups:1. If someone does not have very much money, it might make sense to spend it all on long term care (without insurance), so that they qualify for medicaid. Therefore, long-term care insurance is not really a good idea for them, because their financial goal is to get poor enough so that the government will help them. However, to do this, they have to spend everything until they are left with approximately $2000 or less, and you obviously don’t want to spend $1,998,000.2. If someone as rich as Bill Gates, they can afford to pay for long-term care, without using insurance, and still have plenty of money left. Therefore, getting long-term care insurance is not a good idea for them, because they have so much money that they don’t really need insurance.

3. If someone has decided that if they ever need long-term care, they will commit suicide, rather than receive the long-term care, then long-term care insurance is not a good idea for them, because they won’t use it.

4. If someone is about to commit suicide for other reasons, and won’t live long enough to receive the long-term care, then long-term care insurance is not a good idea for them, because they won’t use it.

Long Term Care Insurance?Please give me the pros and cons of obtaining long term care insurance. What is the criteria, and who should buy long term care insurance? Conversely, who should not, or who does not need such a policy? What does it cover and what are the variable costs. Also, does it help prevent you from going into a nursing home should that be indicated? Thank you!

Posted by mollie
Dan MoleLong term care insurance coverage is arguably the most important estate preservation tool a family can have. A quick look at a few basic facts regarding long term care coverage, will quickly illustrate the reason why:Approximately 70% of people who live to age 65, will require some type of living assistance in their lifetimeThe average amount of time required for assisted living care, is 904 days, almost two and a half yearsThe average cost of those 904 days, is just under $178,00040% of people pay out of their assets, for their assisted living and nursing home care

50 percent of all couples and 70 percent of single persons are impoverished within one year of entering a nursing home.

There are three basic options for paying for assisted living or long term nursing care: Medicaid, Private assets, or Long Term Care insurance coverage. For people with minimal assets, Medicaid pays for nursing home care. The actual numbers vary by state, but generally 50% to 65% of nursing home residents are funded by Medicaid. It is probably not coincidental that nursing homes funded primarily by Medicaid (which offers a very low reimbursement rate) generally offer a lower standard of care than privately funded nursing homes. It should be noted that Medicare does not pay for assisted living costs, and only for a limited amount of nursing home care, after a qualified hospitalization. 75% of assisted living costs (as opposed to nursing home costs) are paid by the family, out of pocket.

It takes quite a large estate to be able to fund nursing home and/or assisted living care, and still leave enough for a surviving spouse’s living costs and nursing home care. As the average retirement “nest egg” is slightly under $350,000, very few families can afford the cost of even one elderly parent receiving quality personal care, let alone two. It’s not uncommon for one spouse to become ill and need specialized care, absorbing most or all of the family assets, leaving the remaining spouse in poverty for the rest of their life.

Because of this, many people are recognizing the need for Long Term Care insurance coverage, both for estate preservation reasons and maintaining as high quality of life as possible, for the longest period of time. Long Term Care insurance policies, or LTC, are not standardized, so can be tailored for the specific needs of a family. This can include not only paying for nursing home care or assisted living facility charges, but can include coverage for an assistant to come to the home. The policy can be issued for a variety of coverage lengths, and reimburses based on a “daily rate” which can also be custom tailored.

The cost of Long Term Care insurance rises dramatically after the insured reaches the age of 65. Just like life insurance, the younger the insured is at the time they purchase the coverage, the less it costs. A policy purchased by someone at age 60, compared to 65, would cost less than half the price, health factors being equal. On the other hand, as more than 90% of people don’t require living assistance until after the age of 70, purchasing coverage at a very young age is not “cost effective”. For most people, it makes sense to buy coverage between the ages of 55 and 60 at the latest, and to purchase coverage for up to three years of nursing home coverage. Options are also available, for a “return of premium on death” type coverage, for an additional premium.

Yes, there are some people who will never use Long Term Care insurance – approximately 30%. Even so, the average long-term care insurance policy purchased by a 65-year-old and held until death pays out 82 cents for every dollar of premium paid – preserving the estate for a surviving spouse.

Because Long Term Care policies are not standardized, and there are such a wide variety of options available for coverage, it is not a good candidate for ‘do it yourself’ purchasing. It is important to understand which coverages each insured needs, and tailor it specifically towards their needs and family history. A local, independent, experienced agent is the best resource to compare policies, coverage, and endorsements, along with making recommendations to be sure the policy purchased is the appropriate policy for the individual situation.

What’s the difference between Long Term Health Insurance?What’s the difference between Long Term Health Insurance and Long Term Life Insurance? I want to make sure my parents are probably covered as they are now in their 50’s. The goal is to get them covered for in house nursing care instead of a nursing home.

Posted by BabyQuestions
Dan MoleLong term care insurance covers services such as skilled nursing home care; some policies also cover home health care, if it will prevent the insured person from a nursing home stay (which is WAY more expensive).Term Life Insurance covers a person for a set number of years, such as 5, 15, or 20. At the end of the term, there’s usually the option to renew the policy (without providing evidence of good health) for another term, but at the rate for the person’s new age. Typically, term policies can be renewed up to a maximum age — so if they live past the maximum age, they’re left with a policy they cannot renew. If this is an issue, you might want to consider a “Whole Life Policy,” provided you’ve confirmed the coverage won’t terminate or the face amount reduce after a certain age, like 99.

Canibus- Buckingham Palace w/ Lyrics


  1. […] What is the best long term care insurance? […]

  2. Thank you for your comments. When I researched this article, I was also interested to learn that there actually are some alternatives to Long that will be helpful to many people. That is actually a relief, since so many of us will end up needing this kind of care at some point in our life.

  3. This article is an eye opener. Thank you for helping us all get a better perspective on this issue.

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Terms and Conditions | Privacy Policy