Long-Term Care Planning

Long Term Care Insurance

Look at the following statistics. If they don’t scare you into taking a long, hard look at obtaining some kind of long-term care insurance (LTCI), nothing will.

On average, about 70% of people age 65 or older will need some form of long-term care during their lifetime Retirement Living A Place for Mom.

• The average cost of a private nursing home room in 2024 was approximately $350 a day or $127,750 annually Market Watch Care Scout.
• The average cost for assisted living facilities in 2024 was around $196 a day, or about $70,800 annually Retirement Community Living SFGATE.

However, in some states, the cost of nursing home care is much higher:

• Alaska ($1,187 per day) Unbiased Clara Home Care. New York ($401 per day) Pope Law Firm, PLLC.
• Connecticut ($533 a day) Consumer Affairs Assisted Living Magazine Market Watch Kiplinger.
• California ($405 per day) Clara Home Care and, Pennsylvania ($385 per day) Senior Resource A Place for Mom.

• According to a report from the U.S. Department of Health and Human Services (ASPE), long-term care insurance ownership by income for adults aged 55 and older is as follows:

  • Less than $20,000: only 3.3% have private LTC insurance

  • $20,000–$50,000: 8.8%

  • $50,001–$100,000: 13.8%

  • More than $100,000: 19.3%

Many middle-income seniors in the U.S. struggle to afford long-term care … The cost of home care or nursing facilities often forces families to either pay out-of-pocket or provide unpaid care themselves.

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Do you have LTCI? Based on the statistics, we know for most the answer is NO.

Should you have LTCI? Based on the statistics, we know the answer is YES! If the average cost of a nursing home stay is over $100,000 a year, how many years do you have to stay in that home before spending a good percentage, if not all, of your wealth?

Why don’t people purchase LTCI? There are really two reasons people do not buy LTCI. 1) Cost. It can be expensive. 2) Need. Many people have the “it won’t happen to me” attitude when it comes to the need for LTC expenses.

The sad truth is that the people who buy LTCI are people who have had a loved one or a friend who felt the devastating effects of LTC costs and didn’t have LTCI.

What does LTCI cover? It depends on the policy purchased. Some cover only nursing home care while others cover in-home care as well as a number of other expenses. The coverage will have a limit (usually a daily or monthly limit).

What triggers LTCI coverage to kick in? Typically, it’s when you can’t perform “2 of 6 ADLs.” ADL stands for activities of daily living: Bathing, Dressing, Toileting, Transferring, Continence, and Eating without help.

LTCI options

There are several different ways to obtain LTCI coverage. Depending on your situation, one may be better for you than another.

Traditional LTCI—this is the best but also the most expensive type of LTCI. You pay an annual premium of $2,500-$10,000+ a year (depending on your age); and if you incur LTC expenses, the policy will pay up to its daily limit. Traditional LTCI is like term life insurance. If you don’t use it, you do not get the premiums back.

Single Premium Life Insurance policies that have LTC benefits—most people are not aware of the fact that they can purchase a life insurance policy that has an LTC benefit. Why would you purchase this type of policy? Because if you have LTC costs, the policy will pay and if you ever need the money you paid in premiums, it’s accessible. That’s right. If you paid a $200,000 one-time premium for a policy and needed the money in years two, three, or whenever, you could ask the insurance company for a refund of your entire premium.

Additionally, some policies grow money in the policy similar to money market/certificate of deposits. This type of policy is a good fit for an older client who has money sitting in CDs and money market accounts because they think they may need the money someday and, therefore, do not want to allocate it to buying traditional LTCI.

To view/listen to a video presentation on SPL policies, please click on the image below.

Retirement Life™ (RL)—as you can read by clicking here, growing wealth through the use of RL can be a terrific idea for many. A nice byproduct of using a RL policy is that the policy comes with a FREE chronic illness rider. Essentially, if you can’t perform 2 of 6 ADLs, the insurance company will give you 2% of your death benefit early (tax-free). This type of coverage is not as good as a traditional LTCI policy; but if you are buying a policy to build wealth, why not buy one with a FREE chronic illness benefit?

Deducting the cost for LTCI

Most people do not know how to write off traditional LTCI premiums. While not everyone can do so, some can. If you would like to learn how to obtain a 100% deduction for LTCI premiums, please contact us.