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It may be hard to imagine now, but you'll need some help taking care of yourself later in life. The big question is: how do you pay for it?
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One way to prepare is to purchase long-term care insurance. Long-term care refers to many services not covered by regular health insurance. This includes assistance with daily activities such as bathing, dressing or getting into bed.
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A long-term care insurance policy can help cover the costs of care when you have a chronic medical condition, disability, or disability such as Alzheimer's disease. Most policies will compensate you for care provided at different locations, such as:
Considering long-term care costs is an important part of any long-term financial plan, especially in your 50s and beyond. Waiting until you need care to buy coverage is not an option. If you already have a debilitating condition, you may not qualify for long-term care insurance, and long-term care insurance carriers will not approve many applicants over age 75. Most people with long-term care insurance buy it in their mid-50s to mid-60s.
According to 2020 data from the Community Living Administration, part of the US Department of Health and Human Services, nearly 70% of people age 65 will need long-term care services or assistance. On average, women need care for an average of 3.7 years, while men need it for 2.2 years.
Regular health insurance does not cover long-term care. And Medicare isn't coming to the rescue either; It covers short-term nursing home or limited home health care if you need skilled nursing care or rehabilitation. It does not pay for custodial care, which includes supervision and assistance with daily tasks.
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If you don't have long-term care insurance, most states require you to pay for it. You can get help through Medicaid, the federal and state health insurance program for low-income people, but only after most of your savings are gone.
Beginning in 2025, Washington State will offer long-term care insurance to eligible residents funded by payroll taxes beginning in 2022. Washington workers can opt out of the program if they purchase a private long-term care insurance policy before November 1. 2021. Visit the WA CARES Fund website for more information.
1. Protection of savings. Long-term care costs can quickly drain a retirement nest egg. According to Genworth's 2020 Cost of Care Survey, the median cost of care for a semi-private nursing home room is $93,072 per year.
2. To give you more choice in care. The more money you can spend, the better quality care you can get. If you must rely on Medicaid, your choices are limited to nursing homes that receive payments from the government program. Medicaid does not pay for assisted living in most states.
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Buying long-term care insurance may not be affordable if you have low income and little savings. The National Association of Insurance Commissioners says some experts say you shouldn't spend more than 5% of your income on long-term care policies.
Since 2000, the number of insurance companies selling long-term care insurance has declined. According to 2020 data from the National Association of Insurance Commissioners, more than 100 insurers sold policies in 2004. Today it sells about a dozen policies.
Since the 2008 recession, low interest rates and the uncertain cost of future claim payments have led to mass exodus from the market. Low interest rates hurt because insurers depend on returns to make money investing their customers' premiums.
The market is changing. Genworth, one of the largest remaining carriers, suspended sales of individual long-term care insurance through agents and brokers in March 2019. The company sells policies to groups and refers customers through its own sales department.
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To purchase a long-term care insurance policy, you fill out an application and answer health questions. The insurer may ask to see medical records and interview you over the phone or in person.
Choose the amount of coverage you want. Policies usually limit the amount paid out per day and the amount paid out over your lifetime.
Under most long-term care policies, you're eligible for benefits when you can't do at least two of six "activities of daily living," called ADLs, on your own, or when you suffer from dementia or other cognitive impairment.
When you need care and want to file a claim, the insurance company will review the medical records from your doctor and may send a nurse to evaluate. Before approving a claim, the insurer must approve your plan of care.
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Under most policies, you must pay out-of-pocket for long-term care services for a specified period of time, such as 30, 60 or 90 days, before the insurer will reimburse you for any care. This is called "off time".
The policy starts paying after you become eligible for benefits and usually you take care of the payments for the period. Most policies pay up to a daily limit for care until you reach the lifetime maximum.
Some companies offer a shared care option for couples when both spouses purchase the policy. This allows you to split the total coverage amount so that you can draw on your partner's benefits if you reach your policy limit.
According to the 2020 Price Index, a healthy 55-year-old can expect to pay an average of $1,700 a year to buy new coverage for a long-term care policy with a base reserve of $164,000 from the American Association for Long-Term Care. Insurance. At age 85 these benefits are $386,500 at 3% annually. For the same policy, a 55-year-old woman can expect to pay an average of $2,675 per year. The average joint premium for a 55-year-old couple, each purchasing the same amount of coverage, is $3,050 per year.
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Warning: Prices may increase after you purchase a policy; Prices are not guaranteed to last your lifetime. Over the past few years, many policyholders have seen their premiums rise when insurance companies sought permission from state regulators to raise premiums. They were able to justify the rate increase because overall claim costs were higher than they thought. Regulators approved the rate hike because they want to ensure insurance companies have enough money to pay claims.
Long-term care insurance can have some tax benefits, especially as you age, if you itemize deductions. Federal and some state tax codes allow you to count part or all of long-term care insurance premiums as medical expenses, which are tax deductible if they meet certain thresholds. The limit on the amount of premium you can deduct increases with your age.
Only premiums for tax-qualified long-term care insurance policies are counted as medical expenses. Such policies must meet specific federal standards and be labeled tax-qualified. If you're not sure whether a policy is tax deductible, check with your insurance company.
You may be able to purchase a long-term care policy at work. Some employers offer the option to purchase coverage from their brokers for a group fee. Usually when you buy coverage this way, you'll have to answer a few health questions, but it may be easier to qualify than if you bought it.
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Get quotes from different companies for the same coverage to compare prices. This is true even if you are offered a contract at work; Despite group discounts, you can find better prices elsewhere.
The American Association for Long-Term Care Insurance recommends working with an experienced long-term care agent who can sell at least three carrier products.
Many states have "partnership" programs with long-term care companies to encourage people to plan for long-term care.
Here's how it works: Insurers agree to offer policies that meet certain quality standards, such as providing cost-of-living adjustments to benefits to protect against inflation. By purchasing a "partnership policy," you can protect more of your assets if you use all long-term care benefits and get help through Medicaid. Typically in most states, for example, a single person must have up to $2,000 in assets to qualify for Medicaid. If you have a participating long-term care plan, you may qualify for Medicaid sooner. In most states, for every dollar your long-term care insurance pays, you can keep a dollar you normally spend to qualify for Medicaid.
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To find out if your state has a long-term care partnership program, contact your state's insurance department.
When you do long-term financial planning, the potential cost of long-term care is one
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