Planning for Long Term Care should be part of everyone's financial
decision-making process. We all need to understand the problems of caring
for someone who cannot care for themselves. In addition to wondering who
would provide care for ourselves, we should all realize that our parents,
spouse, or even children may need care. Without planning, tough decisions
will have to be made on an emergency basis, and necessary funds may not
be readily available to provide the required care. In addition to worrying
about caring for others, the biggest responsibility we have is to plan
for our own care.
What
is Long Term Care?
Long Term Care is the inability to care for oneself because of
prolonged illness, disability, or the effects of old age. Long Term Care
is the assistance needed to perform daily living:
- Bathing
- Dressing
- Eating
- Transferring
- Toileting
- Continence
Where
are Long Term Care services received?
Long Term Care services may be received wherever you want, based on your
ability to pay:
- Nursing Home
- Assisted Living Facility
- Adult Day Care Center
- Hospice
- Extended care facility
- Respite Center Or
- Your own home
Who
provides Long Term Care Services?
Services may be provided by:
- Nurse( RN, LPN, LVN)
- Physical Therapist
- Respiratory Therapist
- Occupational Therapist
- Speech Therapist
- Dietitian
- Licensed Home Health Care Agency: providing home health aide services,
home hospice services or homemaker services (meal preparation, personal
laundry, light housekeeping, grocery shopping.
If funding is not available, any or all of the above services may need
to be provided by a family member or friend.
Most Long Term Care services received are custodial, which are defined
to be those services that help someone with daily living activities.
What
does all this cost?
The average cost of Long Term Care ranges from $36,000 to over $100,000
annually. Obviously, costs will vary from state to state and locale to
locale. For example, recent studies of the NY/NJ metropolitan area indicate
that current costs for both nursing home and home health care may be from
$200 to $350 daily. It is important that you become familiar with what
such costs might be in your geographic area.
Who
pays for Long Term Care?
Here is the reality:
- Out-of-Pocket: 32.5%
- Medicaid: 37.5%
- Medicare: 17.8%
- Private Health Insurance: 5.5%
- Other: 6.3%
Health Care Financing Administration Office of the Actuary:
Data from the Office of National Health Statistics, 1997
Will you need to use the funds you saved to provide a comfortable retirement
for you and your spouse? Will you need to liquidate assets accumulated
for your enjoyment and the enjoyment of your family to provide this kind
of care? Remember, you could be writing a check for $5,000 to $10,000
a month. Which assets in your portfolio will you sell first?
What
are my chances of needing some kind of Long Term Care?
The risk of needing Long Term Care is probably much greater than most
people realize. Recent studies report that of those people who are 65
or older today, 2 out of every 5 people will need nursing home care at
some time in their lives (1) and will be confined for care for an average
of 19 months (2).
- 1996 Guide to Long Term Care, HIAA
- "Avoiding Fraud When Buying Long Term Care Insurance: A guide
for consumers and their Families." The Personal Injury Law Page,
1996.
What
are your experiences with Long Term Care?
"This could never happen to me!"
The major obstacle to planning for Long Term Care is our unwillingness
to accept the fact that we may someday need help with the basic activities
of our daily lives.
People between the ages of 18 and 64 make up 40% of the people needing
Long Term Care.* Stroke, accident, illness, and even the normal effects
of aging may trigger the need for assistance. Most people carry adequate
amounts of insurance to protect their assets against natural disasters
such as fire, floods, and earthquake, hoping the need to submit a claim
never occurs. Protecting your assets from the draining effects of Long
Term Care costs is equally important.
*Life Insurance Selling, December 1995
Three
ways to pay…
There are only three ways to pay for Long Term Care:
- You may liquidate assets,
- You may qualify for Medicaid (after your assets have been depleted),
or
- You can cover the risk with Long Term Care Insurance.
Why
should you plan?
- To preserve your independence. Adequate insurance coverage can provide
you with the ability to choose from a variety of care services and facilities.
By having funds available when they are needed, there's no need to ask
friends or family members to care for you during convalescence.
- To protect your financial future. With adequate coverage, you will
not need to liquidate retirement savings and family assets.
TODAY YOU CAN CONTROL THE DIGNITY OF YOUR FUTURE AND THE LIFESTYLE YOU
WISH TO PRESERVE FOR YOURSELF AND YOUR FAMILY. PLANNING FOR LONG TERM
CARE CANNOT WAIT UNTIL YOU NEED THE COVERAGE. YOU DECIDE.
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