Insurance Tip #2: You may not need long-term care insurance
Filed under: Insurance
This post is part of a series where personal finance expert Dan Solin provides 10 insurance tips no one else will tell you. See all 10, plus one bonus tip!
Don't get me wrong. Many people do need long-term care insurance.
According to Debra C. Newman, the owner of an insurance agency that specializes in long-term care policies, 68% of Americans over age 65 will require some form of long-term care. The cost of this care can range from $3,000 to $9,000 per month. On average, care may be required for up to five years, with an average nursing facility stay of 2.4 years.
A common misconception about long-term care is that it is only required by senior citizens. Not true. According to one report, almost 40% of long-term care recipients were of working age.
But before you grab the phone to call your insurance agent, consider whether you really need this insurance.
Long-term care provides assistance with daily tasks for those who need some help in order to remain independent. The primary benefit of long-term care is that it may permit you to receive care in your home, so be sure your policy covers home care and not just nursing home care.
Before buying long-term care coverage, consider the possibility that your care may be covered by Medicare or Medicare Supplement insurance. Medicare does not cover "custodial care" (assistance with daily living tasks) either at home or in a nursing facility. However, if you meet certain conditions, Medicare may cover
"medically necessary" care in a nursing home or at home.
If you have limited assets, your needs may be covered by the Medicaid program in your state.
If you have significant assets, consider whether it might make more sense to self-insure.
If you decide to purchase long-term care coverage, seek out a specialist in placing these policies. Among the many variables to be considered are the track record of the insurance company to its policyholders in all its lines of business, the benefit amount, whether the insurance covers home care, the waiting period before benefits will commence, the length of time benefits will be paid and whether or not the benefits are inflation protected.
Also, be sure that your long-term care policy is "federally qualified," so that the benefits you receive will be income tax free.
Finally, be aware that some agents frighten clients with the high cost of long-term care. However, often the clients cannot afford the premiums necessary to cover these costs. It order to rescue the sale, the agent compromises on length of benefits or other items. As a consequence, the client does not obtain protection against catastrophic costs.
See 10 more insurance tips from Dan.
Dan Solin is the author of The Smartest Investment Book You'll Ever Read (Perigee Books, 2006) and The Smartest 401(k) Book You'll Ever Read (Perigee Books, 2008).



Reader Comments (Page 1 of 1)
9-08-2008 @ 3:56PM
Middle Class America said...
AARP MEMBERS, FUNDING OBAMA THROUGH THEIR NEW YORK LIFE INSURANCE.............................AARP MEMBERS!......................NEW YORK LIFE is the Life Insurance Company which AARP uses. NEW YORK LIFE PRESIDENT.........SY STERNBERG ROUTINELY MEETS WITH CORRUPT DEMOCRAT POLITICIANS IN MONTANA. THESE CORRUPT BSTERDS ARE GOV. SCHWEITZER, SEN'S TESTER AND BAUCUS. THE PORK FUNDED COMPANY MSE which is located in the town of BUTTE, MT has been funded with TAXPAYER DOLLARS. (google: Pork MSE Butte Montana) Officials with MSE have all become NEW YORK LIFE AGENTS..............MSE WAS FOUND GUILTY BY THE U.S. FED'S OF "MONEY LAUNDERING" AND FUNNELING THAT MONEY TO "DEMOCRATS" IN MONTANA IN 2001....STERNBERG OF NEW YORK LIFE IS NOW FUNNELING MONEY THROUGH THESE "MSE" "NEW YORK LIFE INSURANCE AGENTS," TO OBAMA!
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9-07-2008 @ 7:39AM
John said...
My wife and I couldn't stand the "ifs" around when Medicare would pay. We looked around for long-term care insurance, expecting it to be too expensive for us. We found a site that had a lot of information at http://www.disabilityinsuranceadvisor.com and called an agent who took us through the options and provided quotes from several different providers. We ended up with a policy that pay $130/day but increases annually with inflation. After watching my grandmother's assets be drained to pay for facility care due to Alzheimer's, we knew we had to at least try to protect our assets.
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9-08-2008 @ 7:43PM
Ltcexpert said...
The website of the U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation has posted several reports on private long-term care insurance. http://aspe.hhs.gov/_/index.cfm These reports include short "executive summaries" and may be of use to individuals seeking to research the topic prior to deciding whether to purchase private long-term care insurance and to those who advise others on ltc insurance purchase.
As the first commenter says, it is important to understand the limits on Medicare coverage. There is very little overlap between Medicare/Medi-gap coverage and private long-term care insurance coverage (or private out-of-pocket costs) for care in a nursing home, assisted living facility or at home. See http://www.medicare.gov/ for an explanation of the Medicare coverage requirements and coverage limits for skilled nursing facility and home health benefits.
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10-16-2008 @ 4:10PM
Kathy said...
This article here (http://www.1healthinsurance.net/articles/long%20term%20care%20insurance%20is%20an%20option.pdf) gives information on why analysts believe long term care might be a good investment during financially turbulent times
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