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They say you should always be nice to your kids because one day they’ll choose your nursing home. Okay, it’s an old joke, but there’s some truth in it! However, one way to keep more decision-making power in your hands is to have long-term care insurance. We’ll explain today on MoneyWise.
COST OF LONG TERM CARE
If you don’t have long-term care insurance or a huge pile of money, you’ll be limited to nursing facilities that accept Medicaid. Most of them do, but they’re not necessarily the best.
Now, you’re probably thinking, But long term care insurance is so expensive. And it does seem that way until you look at assisted living care costs: on average about $275 a day. That’s more than $8,000 a month!
Premiums vary widely. They depend on your age, health status, and the area where you live. According to the American Association for Long Term Care Insurance, the average policy will cost around $2,500 a year for a couple at age 55. That figure jumps almost $1,000 a year if the same couple purchases a policy at age 60.
And it only goes up from there, so that age range, 55 to 60, is probably the best time to purchase a long term care policy.
WHAT DOES LONG-TERM CARE INSURANCE COVER?
Long-term care insurance covers your expenses if an illness, disability or impairment prevents you from performing everyday activities, including bathing, dressing, eating, and walking. If you can’t do those things on your own, you can’t earn a livable salary or care for yourself. And the older you are, the more expensive long term care insurance becomes.
Here’s what long-term care insurance isn’t: It’s NOT health insurance.
It won’t cover the treatment of an illness to improve your health. It just pays for the care needed to maintain the quality and routine of your daily life. So long-term care insurance is a supplement, designed to cover what health insurance, Medicare or Medicaid might not cover. It doesn’t replace health insurance.
But that doesn’t mean you’re not getting a lot of bang for your buck. Long-term care insurance covers a long list of important services, starting with adult day care facilities. These are activity centers for seniors that provide a certain amount of supervision with a minimal level of care. They might have social workers and medical personnel on staff.
It will also pay for home care services that help with things like cooking, cleaning and bathing. It also covers assisted living facilities for people who need help with daily activities but don’t require nursing.
Respite care is also covered. This provides family caregivers with intermittent breaks so they can maintain their own lives. It might include home-based care, adult day care, and short term institutional care.
Then, of course, there’s nursing home care that provides help with everyday functions and medical care. A long-term care policy may also cover stays in specialized nursing homes that provide care for diseases like Alzheimer’s.
But no matter what kind of care you might need, insurers know it’s cheaper to pay for it if you’re able to stay in your own home. So policies will cover home modification costs for things like remodeling bathrooms for wheelchair accessibility.
And of course, long term care insurance will typically pay for hospice care when a policyholder is nearing the end of life.
WHO SHOULD BUY IT?
Should everyone get long-term care insurance? It’s not for everyone, but it does make sense for most people eventually.
Generally, If you’ve accumulated enough wealth to pay for long term care without seriously depleting those assets, you don’t need it. But you’re in a very small group. And if you have very little in assets, you probably can’t afford it.
If you’re in the middle, where the vast majority of us are, then you do need it. Without long term care insurance, you could easily burn through your life savings if you ever need an extended stay in one type of facility or another.
But some of you may be thinking, I don’t need long term care insurance because Medicaid will cover that care for free if I go into a nursing home. Ah, not exactly. Medicaid is designed to cover long term care for low-income people only, and that means you’ll have to use up most of your assets paying for care before Medicaid kicks in. So, not really free at all.
Then, of course, some people try to hide their assets and still qualify for Medicaid. But this is dishonest and Christians shouldn’t do it. Proverbs 3:27 reads, Do not withhold good from those to whom it is due, when it is in your power to do it.
Well, I hope all of this has convinced you to start thinking seriously about getting long term care insurance especially at age 55 and beyond.
LISTENER QUESTIONS
On today’s program, Rob also answers listener questions:
●Does it make sense to move up your timeline for buying a home with rental prices significantly elevated?
●Are pre-paid funeral arrangements worthwhile?
●How do you make beneficiary and end-of-life decisions if one of your adult children is making poor lifestyle choices?
●When does it make sense to refinance your mortgage?
Remember, you can call in to ask your questions most days at (800) 525-7000 or email them [email protected]. Also, visit our website atMoneyWise.orgwhere you can connect with a MoneyWise Coach, join the MoneyWise Community, and even download the free MoneyWise app.
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