Back in the day (a while ago), long term care insurance policies were viewed to be pretty limiting. You
may have heard that benefits would only cover care in a nursing home facility, or had to have very stringent triggering events before the benefits would kick in. These older policies were criticized by many people looking at the prospect of paying premiums for coverage they may never use.
As the aging population of baby boomers begins to consider their own potential long term care needs, it is important to point out that there are more options than ever before with regard to coverage. With the average annual cost of a private room in a nursing home as $74,806* , and the average nursing home stay as 2.5 years** , long term care insurance is worth considering. Here are a few myths about long term care insurance that need to be corrected:
Myth #1: You might be paying premiums for coverage you won’t need or use.
It is true that a percentage of Americans will never need long term care. But, the high cost associated with the potential care should be accounted for in your overall financial plan. In addition, there are many long term care products that are considered “non-traditional” or “hybrid” that offer a return of premium at any time if the care is not used or needed.
Myth #2: You will have to complete a physical exam and extensive underwriting to receive a policy. The underwriting process is different than when applying for life insurance. While sometimes a physical exam is required, the majority of the time, long term care underwriting involves a Phone Interview where the interviewer usually asks you questions about your health and family history, as well as testing your cognitive abilities (memory test).
Myth #3: LTC insurance won’t cover in-home or assisted living care
Most traditional and non-traditional policies now cover care in skilled nursing facilities (nursing homes & assisted living) as well as in-home care, hospice/respite care, and adult day care. Check with your advisor to confirm that these options are available in your policy.
Myth #4: LTC insurance won’t cover Alzheimer’s disease or patients with dementia
Some older policies excluded dementia and Alzheimer’s as triggering events for long term care coverage. With most new policies, this is no longer the case. Most policies require that you either have a severe cognitive impairment or are unable to perform two or more “activities of daily living” to receive benefits. Activities of Daily Living include: Bathing, Continence, Dressing, Eating, Toileting, & Transferring.
Myth #5: Coverage cannot be shared between husband & wife or domestic partners
Many insurance providers offer “shared care” options that cover both spouses or domestic partners and include premium discounts for choosing this option.
Myth #6: Options for coverage & premiums are not flexible.
When reviewing your long term care insurance needs, you have the option to select the dollar amount of monthly benefit to be received, the number of years to receive the benefit, as well as the elimination period (the amount of time that lapses between the date care is initially needed & the date benefits actually commence). In addition, you have the choice to include or exclude inflation protection features in your policy. By working with these variables, you and your advisor can design a policy that is affordable and appropriate for your situation.
The most important part of planning for the potential need for long term care, is to remember that times have changed, your options may be different than they were years ago, and long term care insurance is an excellent way to protect your hard-earned assets from being depleted.
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*According to Genworth 2007 Cost of Care Survey, March 2007
**National Nursing Home Survey, National Center for Health Statistics, U.S. Department of Health and Human Services, June 2002; while 2.5 years is the average length of stay for all nursing home residents, the study indicates that of the residents who remain in nursing homes for more than 3 months, 30% are there 3 months to 1 year; 37% for between 1 and 3 years, and 33% for 3 or more years.
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Rebecca began her career in the financial planning industry in 2002. She joined PSG in 2007 and currently holds the role of Client Advisor, working closely with one of the firm’s partners, Tim Kvech. Her role involves managing client inquiries and requests, as well as providing advice and guidance in the areas of retirement planning, asset management, insurance, and the implementation of an overall financial plan. In addition to providing exemplary client service, she also takes part in the firm’s coordination of innovative marketing and community outreach initiatives. Rebecca holds the FINRA Series 7, 63 & 65 registrations, along with the Life & Health insurance license. She graduated with honors from St. Mary’s College of Maryland, with a focus in English & Economics.










