Good advice from Kaiser Health News: Hold off on genetic testing until AFTER you buy LTC insurance (or life or disability). You must disclose the existence of the testing and any known results on an application and results can be used to deny or limit coverage.
Looking forward, LTC insurance is more secure and reliable than ever.
CLICK HERE to read my new article on why LTC insurance remains a valuable insurance product with a future that should be much more stable than in the past.
Here is a link to an excellent article from Forbes.com that provides valuable, even critical, context to any discussion of long-term care planning and funding your plan with LTC insurance.
In many ways a recent Wall Street Journal article simply re-packages old news in a new emotional wrapper since LTC insurance rate increases have been under way across the industry for more than 10 years. It also gets a couple of very important things wrong - including the fact that there are many options for dealing with a rate increase other than just walking away from the coverage.
"The WSJ piece essentially falls into the 'bad news sells' category of reporting ... Its “Woe is me!” theme actually pushes people away from doing quality long-term care planning. Instead of lamenting past missteps, the article could have emphasized some of the new techniques for building effective and sustainable solutions to the budding long-term care crisis."
"Aging in place" is an oft-quoted ideal for seniors of all ages and stages. But it takes a lot of personal, professional, and community resources to do so. The Villages movement seeks to expand the idea by helping people "age in community".
NPR looked at the "village" movement for seniors last month in a four part series. Villages are groups of seniors living in the community who come together to offer support and companionship to each other as they "age in place".
For an annual fee, Villages provide volunteers and vetted professional services like handymen, as well as sponsoring events, arranging assistance for members, and other services suited to each unique "village".
CLICK HERE to read - or listen to the stories!
“Long-term care, for most people, is a home care problem,” said Bill Comfort, who owns Comfort Long Term Care, a brokerage based in St. Louis and Durham, N.C."
Check out this excellent article on using Partnership LTC insurance to design meaningful and affordable LTC insurance coverage - especially for care at home. CLICK HERE to read the full article.
This is a fun ... and serious read about the importance of planning ahead for extended care (long-term care) needs! The five points:
Here is the link to the full article:
And remember, a little chocolate always helps!
A huge mistake that many people make when considering LTC insurance is "over-quoting".
Most people do not need to buy coverage for 100% of the cost of the highest-possible cost of care (skilled nursing home), and even shorter benefit periods (3-4 years) will cover the vast majority of care needs. It's kind of like thinking, "If I can't afford a Mercedes, then I'll just wait for the bus." It shouldn't be a zero-sum, all-or-nothing decision - that's a HUGE mistake. A Malibu with cloth seats and a 4-cylinder is great transportation ...
$3000 a month of LTC insurance benefits will pay for five hours of home care seven days a week, or 10 hours every-other day. It will cover more than 1/2 of a good Assisted Living Facility in most of the country, and provides a 33% "discount" to a $9000/month bill in a nursing home.
LTC insurance claims data show that 60%+ of claims start at home. Guess what, about 60% of claims also END at home. Only about 20% of LTC insurance claims end in a nursing home.
The average LTC insurance claim is less than four years, even less than three years for men. Cover that first before you worry about Alzheimer's care for 6+ years. If you only buy a 3-year policy (couples can "share" up to a total of 6 years for the price of 3 each), and if you do get Alzheimer's, you will still have much more private-pay flexibility than having nothing.
We need to stop worrying about the cost of care in a facility where most of us are NOT likely to end up (especially with reasonable - and affordable - planning). We do need to worry about where we will get an extra $3000-$4000 a month to pay for part-time home care so our spouse can have a life, get a good night's sleep, stay healthy, etc., and so our adult kids can be care managers not caregivers. Home care comes first. Always. And this is also where families are personally and financially most at risk when someone they love needs care.
Solve the part-time home care problem first.
Another story that confuses "independent living" with long-term care
This was an interesting article about alternative retirement living up until the author started comparing it to assisted living and nursing homes. (Link to full CNBC article at the end of this post.)
The only reasonable land-based analogy here is "independent living". Even mentioning assisted living, or worse nursing homes, is completely ridiculous. While a cruise ship is staffed for "medical care" that means, acute, temporary medical conditions, not long-term, custodial care. NO cruise ship will provide help for you to physically get out bed, bathe, dress, etc., the types of basic care services provided in assisted living. And NO cruise ship wants a long-term passenger with safety issues related to Alzheimer's or dementia. And if you're so poor off to be in a skilled nursing home, you probably can't even get on the ship.
Here is a quote from today's CNBC article:
A study published in the Journal of the American Geriatrics Society found that when considered over a 20-year span, "cruises were comparably priced to assisted living centers and offered a better quality of life, "though land-based assisted living can vary greatly by facility, location and needs."
And here's a quote from the source article linked in the quote above (published in 2004!), that itself is quoting an article (from 2004!) in a medical journal:
"Elderly people often choose assisted living facilities, nursing homes, 24 hours a day home caregivers, or family support. Living on a cruise ship might be a better choice, says Lee Lindquist, instructor of medicine at Northwestern University's Feinberg School of Medicine in Chicago, and a geriatrician at Northwestern Memorial Hospital."
Dr. Lindquist should lose her (his?) license, hospital privileges, and teaching post. While there are indeed people with canes, walkers, and wheelchairs on cruise ships, NONE of them are living there. And who is it helping them bathe and dress and use the toilet on board? Right, spouses or other family. If someone needs the degree of care provided in assisted living, they cannot "live" on a cruise ship. MAYBE they could take a vacation, but the ship's staff sure as heck is not going to provide any direct care services.
BTW, getting "long-term care" in a Holiday Inn is just as ridiculous.
Follow this link to the full article on-line:
Another article on the high cost of health care in retirement, and again, these numbers all exclude the cost of long-term care.
The Motley Fool does a good job of examining a couple of different studies on what we should expect to pay out of pocket for health care in retirement, and how even with estimates exceeding $240,000 over a 20-year retirement we may still be UNDER-estimating the cost.
MOST of the costs are monthly premiums for Medicare Part B and Medicare Supplement insurance, plus an average of Medicare deductibles and co-payments.
None of the studies cited include the cost of long-term care services.
The Fool's advice:
This is a well-done article that lays out facts and ways to approach the planning issues without relying on scare tactics.
Read the full article on-line by clicking HERE.
It's not about the car keys ... it's about the money.
New research suggests that aging parents have a "toxic combination" of low, or diminished, financial literacy but a high degree of confidence.
"In short, the more disconnected the seniors became from reality, the more they believed they could do a grand job making decisions about their money and investments."
for older posts