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Why Long Term Care Insurance?

The cost of long-term care is staggering, currently averaging over $50,000 per year in America. The experts are predicting that by the year 2020 this cost will more than triple, and then quadruple by 2030.

What is misunderstood by most is that Medicare supplements, HMOs, or any other type of health insurance, do not cover the cost of long-term care. Medicare only pays for a very small portion of the cost of long-term care.

Medicaid, which is a government entitlement (welfare) program for the indigent, is jointly funded by federal, state and some local government agencies. Medicaid is primarily a nursing home benefit for the poor.

Long-term care is a TIME BOMB set to explode.

What is long-term care?

Long-term care is special assistance with the Activities of Daily Living.

Activities of Daily Living, commonly known as ADLs, include:

Bathing
Dressing
Continence
Eating
Toileting
Transferring

A cognitively impaired person may be able to perform all ADLs listed above and still have the need for long-term care assistance.

Many people think that long-term care is synonymous with nursing home care. In the past, this may have been true. However, it may surprise you to know that only 14% of long-term care is provided in a nursing home. The majority of long-term care is provided by:

Family members (which may include friends)
Adult Day Health Care Facilities
Assisted Living Facilities/ Comprehensive Personal Care Homes     (ALFs, CPCHs)
Residential Health Care Facilities (RHCFs)
Continuing Care Retirement Communities (CCRCs)
Alternate Family Care (AFC)
Home Health Care

Will you need long-term care?

According to a recent survey, most Americans believe that they do not need Long Term Care Insurance. Consider this:

Myth: Long-term care is only for the elderly.

Fact: This couldn’t be farther from the truth— 40% of Americans receiving long-term care are under age 65. An example of this is the plight of Superman-- it wasn’t kryptonite that brought him down. Christopher Reeve, at the age of 43, became one of the millions of working adults in this country between ages 18-64 needing long-term care.

Fact: A full third of people that suffer a stroke are under the age of 65 (American Heart Association).

Myth: You will never need Long Term Care Insurance.

A survey completed by the Gallup Organization shows that 76% of Americans believe they will never have the need for a nursing home, an assisted living program, home and community-based care, or any other type of LTC service (Public Attitudes on Long Term Care: "The EBRI Poll": A National Public Opinion Survey Conducted by The Gallup Organization, Inc. Released August 1993; 15).

Fact: Two out of five Americans will need nursing home care at some point in their lives (Kemper, Peter, and Christopher M. Murtaugh, "Lifetime Use of Nursing Home Care." New England Journal of Medicine 1991; 324 (9): 595).

Fact: One in five Americans over the age of 50 is at a high risk of needing long-term care services during the next 12 months (“Long-Term Care Awareness Survey”, Harvard School of Public Health/ Louis Harris & Associates, 1/2/96, p. 2).

Fact: Over 50% of people over age 65 will need some sort of long-term care. This is 1 out of 2 people who will need care, which includes not just nursing home care, but home health care as well.

Consider this:

Do you drive a car without car insurance?

Of course not, yet the odds of having an automobile accident are 1 in 240.

Do you own a home? You have homeowner’s insurance on your home, don't you? Again, yes of course you do. Yet the odds of a fire in the home are only 1 in 1,200.

The odds are 1 in 2 that you will need long-term care.

Families that plan for long-term care needs, such as home health care, adult day care and nursing home care and do not rely on public assistance programs will find themselves with more control and independence when they become one of the one out of two people who will need long-term care. Those who have planned properly will not find themselves surprised by the high costs of care.

 

How Much Does Long-Term Care Cost?

The cost of long-term care varies by location. On average, the total cost ranges from: $41,000 to $75,000 annually (Guide to Retirement Living-1999).

The costs of long-term care are expected to triple by the year 2020 and quadruple by the year 2030.


In June 2000, the Wall Street Journal reported that  70% of all people admitted to a nursing home return home within three months. The same article stated that 50% of all couples are impoverished within six months after one spouse is admitted. These are just the hard dollar costs. What about the indirect costs?

Indirect costs include...

Loss of dignity
Dependency on the government
Loss of control
Loss of personal freedom
Families are displaced/disrupted
Marital strain

Is Long Term Care Insurance the Solution?

Long Term Care insurance will...

Keep you from being a burden to your family
Protect your assets
Provide access to quality care that is not covered by Medicaid
Give you choices and independence
Keep you from being dependent on government welfare programs
Give you peace of mind
 

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