Tag Archives: Assisted Living

Surprising Long Term Care Insurance Statistic

Surprising Long Term Care Insurance Statistic

In a recent report from the American Association for Long Term Care insurance, it states that in 2011 $6.6 billion (6,600,000,000.00) were paid out in claims to 200,000 people.

If all the claims were equal (which we know were not) that would be $33,000.00 per person on claim.

Now not everyone goes on to long term care claim (just like not everyone has a car accident), but if you do go into a facility whether nursing home or assisted living, or you need someone to come to the house, how do you plan on paying that?  Let’s use the number of $33,000 per year (some are higher some will be lower), what will that do to your savings account, your retirement, do your kids have enough to pay for it?

I know it’s a lot of questions, but something that you should at least think about. You should contact me for a quote specific for your situation.

Also did you know when it comes to purchasing long term care insurance that you can write off a portion of it?  I have copied this directly from the IRS website.

Qualified long-term care premiums up to the amounts shown below.
Age 40 or under – $340.00
Age 41 to 50 – $640.00
Age 51 to 60 – $1,270.00
Age 61 to 70 – $3,390.00
Age 71 or over – $4,240.00

Again Contact me with questions.

Medicare and Long Term Care

Medicare and Long-Term Care

Quick…how are you going to pay the costs of nursing home, assisted living, or home care should you or a family member ever need one of them?

Medicare, right? Actually, that answer is almost always wrong. And, even if Medicare pays, it only pays part of the cost and only for a short while. Worst of all, it only pays for skilled nursing care following a three day/three night hospital stay. Think about how few people actually spend three full days in the hospital any more-it’s more likely to be three days and two nights, and then Medicare does not pay for follow-on nursing home (or similar) care, regardless of the illness or injury.

Very few people who need long-term or follow-on care need skilled nursing care-they need custodial care. If skilled care is needed, it is not usually needed for very long, and not many people meet the 72-hour hospital stay requirement anyway. Think about it-if you have a serious illness or injury (for example a hip fracture or bypass operation), you may be in the hospital for several days or weeks, but when you are released you rarely need skilled nursing care. You are far more likely to need help dressing or getting to appointments or cooking your meals, and may not be able to care for yourself and end up in a long-term care facility. But, the care you need is easily given by semi-skilled or unskilled workers-not RNs or other medical staff.

Assuming you need skilled nursing care, Medicare actually does pay for 20 days at 100% and days 21-100 at $128.00/day (more or less, depending on your state). That is nowhere near the average cost of a day in a nursing home or similar facility. Depending on whose statistics you use, a day in a long-term care facility costs $110-$300 or more.

Of course, you could buy a Medicare supplement plan, but that plan only supplements the benefits provided under Medicare. Since Medicare does not cover custodial or unskilled care, a Medicare supplement policy is not likely to be of much help.

So, what can you do? There are a few options.

First, many people will need long-term care, but many more won’t. If your family history doesn’t include stays in long-term care facilities, maybe you don’t need to do anything. But, if your medical condition is not as good as that of other family members, you might be the exception. So, gambling isn’t always a good idea.

If you have a pension, a house, and few other assets, Medicaid may well cover your expenses. It is a good idea to find out before the need arises. Keep in mind not all care facilities accept Medicaid, and those that do may put you in a separate area. And, you are very likely to have a roommate (and it is not likely to be your spouse!).

If you have substantial assets and are prepared to spend them if needed, just make sure you have checked out the various care facilities so your family knows where you want to go.

Finally, if you have significant assets above any pension payments, consider purchasing a long-term care insurance policy. It could be the best investment you ever make. And, in some states the premium may even be tax-deductible.

Each state has somewhat different coverages. It is useful to visit the www.medicare.gov site for complete, state-specific information.

Contact Brian Gruss 509-927-9200 about your options with Medcare and Long Term Care Insurance.