Long-Term Care Insurance: You'll Probably Need It!

Author Elder Rage www.ElderRage.com
Host Coping With Caregiving Radio Show www.wsRadio.com/CopingWithCaregiving

Listen to an overview of one of Jacqueline’s seminars:
http://boss.streamos.com/wmedia/wsradio/elder/121705/segment4.asx

WELCOME BACK ALL MY CAREGIVERS—Tell us your story!
When I suddenly had to become a fulltime caregiver to my elderly parents, both with health problems and starting to develop dementia (namely Alzheimer's), I had never even heard of Long-Term Care Insurance. After we burned through their life savings and started chipping away at mine, I was advised to apply for financial assistance for them through the government's Medicaid system ("Medi-Cal" in California)--a program for those at the poverty level. It was such a long process with mounds of paperwork and numerous investigations, but finally my parents were approved.
 
I was so happy that monetary help would finally be on the way, until I found out that the financial assistance would only pay to place my parents in a nursing home, not even in assisted living, and with very little help to keep them in their own home.
 
Since their levels of care were so different (my mother needed all ADL's (Activities of Daily Living) done for her, there weren't any facilities that would allow my parents to be together. Instead, they'd be across the street from each other in different wings of the only nearby facility. After fifty-five years of marriage, they were adamant about staying together in their own home, in their own bed, where they could continue to cuddle and kiss--as they so frequently did. And, since my father could be so "challenging" with terrible temper tantrums when he'd get upset, with quite a long record of manipulative disruptive behaviors--none of the facilities wanted to deal with him anyway and were suddenly all booked up.
 
It was really hard to accomplish, but I committed to keeping my parents together in their own home and attending Adult Day Health Care five days a week. Then, with the help of two marvelous caregivers around the clock, after four more years of loving each other--they passed, just a few months apart. And even though caring for every aspect of my parents' last years was the hardest thing I have ever done in my entire life--I am proud to say I gave them the best end-of-life I possibly could.
 
Had I only known to insist that we buy Long-Term Care Insurance for them prior to their illnesses--their many years of in-home care could have been paid for and I could have saved myself so much heartache and misery, not to mention a small fortune. I encourage you to learn from my mistakes and look into LTC insurance long before you need it--for your loved ones as well as yourself. Like fire insurance, hopefully, you'll never have to use it. 
 
If your loved one is already severly disabled and LTCi is not an option, be sure to call your local Area Agency on Aging, Department of Aging and Alzheimer's Association, and ask if there are any financial programs, waivers or grants available in your area that you can apply for.
 
Three Ways to Pay for Long-Term Care
 
LTC insurance pays for care in the home, assisted living, board & care, and in nursing/dementia facilities. Medicare and regular health insurance does not pay for long-term care. The average cost for a person who needs long-term care is $40-$70,000 annually (depending on where you live and level of care needed), plus the cost to the caregiver who may have to leave their job. Three ways to pay for long-term care:
 
1.   Pay for in-home caregivers and assisted living/nursing homes out of pocket. This is expensive and can often deplete a family's entire life savings.
 
2.   Meet a very specific poverty level and qualify for government assistance through the Medicaid program. Be aware that options are quite limited, only paying for nursing homes that accept Medicaid.
 
3.   Buy Long-Term Care Insurance. This protects your family's assets from the rising costs of caring for someone who needs full time care. Your employer might even pay the tax-deductible premiums. Consider buying it at a younger age, when it is more affordable and accessible. It must be bought before a major chronic illness strikes.
 
Questions to Ask An Insurance Agent
 
·    Is the coverage comprehensive, covering all levels of care: in the home, assisted living, board & care, and nursing/dementia facilities?
 
·    What is the daily benefit?

·    Is there inflation protection/what kind?

·    What's the elimination period? Is it a lifetime benefit period or a limited time benefit policy?

·    Is there a spousal/partner discount?

·    Can you hire caregivers privately as well as from an agency?

·    Is the home care benefit based on a daily, weekly or monthly maximum, and if the benefit is not used can it be used in the future?

·    Is there a "cash benefit" option?

·    Can the premiums be paid with a "limited pay" plan, such as a 10-Pay program?

·     Does it cover home care coordination?

·    How many ADL's does it take to trigger a claim?

·    Is there a time limit for filing a claim?

·    Does it cover the cost of Adult Day Care & Adult Day Health Care, hospice and respite programs?

·    Is it a tax-qualified plan?

·    Is the company highly rated and have they ever raised premiums?

·    If you live in CA, CT, IN or NY, does the carrier offer a "Partnership Plan" allowing for retention of assets without spending down for Medicaid eligibility after the LTCi policy expires?

·    Can you see the company's published annual audit to check their track record for paying claims?

Tell us your story!

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