When conducting the countless estate planning reviews over my 42 year career I ask each client to share with me their estate planning goals. At the top of almost everyone’s list is the affirmation: “We don’t ever want a long term medical condition to eat away our estate.”
Based on numerous national studies this fear is real and one that keeps us awake at night.
Consider these alarming statistics:
As is evident by these statistics, the unfortunate reality is that someday the vast majority of us are going to have to tap into money from some source to pay for our long term medical expenses. The question we must ask ourselves is: Where is the money going to come from to take care of us? From our savings, investments, children, Uncle Sam or from a third party source? No matter, there is one thing for certain, unless we prepare ahead of time it will be ripped away from our family’s inheritance.
My family will take care of me.
Time, distance and both spouses working have made it more difficult for many families to provide all the care needed. Even if family members can find the time to provide care giving, it can often take its toll on the care giver. If you were suddenly in need of Long Term Care, imagine the physical, emotional and financial burden it could cause your family. Long Term Care Insurance can help preserve your independence without burdening others.
The government’s health care will take care of me.
Medicare, conventional health insurance, and HMOs generally cover only skilled care. Most long term care is not skilled care, and only covers the first 100 days of skilled care in a nursing home. Disability income insurance does not cover Long Term Care services, and Medicaid has strict limitations which require you become impoverished in order to qualify.
I’ll just pay it myself.
The national average for one year’s stay in a private nursing home is over $90,000. Assisted living costs more than $40,000 and in-home care is over $30,000. Keep in mind these are just the averages. Factor in inflation and taxation to liquidate your assets to pay for the exorbitant Long Term Care costs and it won’t take long to burn through a life’s savings.
It won’t happen to me, besides I’m too young.
If you are a female age 65 or older you have an 80% chance of needing Long Term Care at some point in your life. Males have a 60% chance. But its not just for those 65 and older. In fact, 40% of insurance services recipients are under the age of 65.
I can’t afford long term care insurance and it’s a use it or lose it proposition.
You can transfer assets such as: brokerage accounts, CDs, annuities, IRAs and cash into Long Term Care leveraged assets which can provide multiple times their value in Long Term Care protection. These Long Term Care leveraged assets will continue to grow in value and remain in the plus column of your balance sheet. What you don’t end up needing yourself can be left behind to your loved ones or charities of your choice.
The next Asset Based Care option is known as The LTC Annuity Strategy and it comprises two financial products rolled into one. First, it is a fixed annuity that pays a current interest rate up to 3.25% every year. Second, it includes a Long Term Care policy that provides a remarkable benefit that expands up to three times your deposit should you be in a position where you cannot perform 2 of the 6 ADL’s or become cognitively impaired.
Long Term Care Insurance seems to be a logical solution and yet as I pointed out earlier, only 5% of adults have coverage. Why only so few? The answers make sense:
By Leslie Scism, Wall Street Journal - June 9, 2018
Last year, after finishing with college tuition for their three children, Jessica Galligan Goldsmith and her husband, James, treated themselves to something she had long wanted: long-term-care insurance.
It hasn't been cheap. The couple, both lawyers in their mid-50s, will shell out more than $320,000 between them over a decade. For that, they will be able to tap into benefits topping $1 million apiece by the time they are in their 80s, the age when many Americans suffer from dementia or other illnesses that require full-time care.
The Pension Protection Act was signed into law in August 2006 containing more than 900 pages of changes and refinements to regulations regarding defined benefit plans, defined contribution plans, individual retirement accounts and other issues related to retirement planning.
Hidden in the seemingly senseless banter are two secret treasures that few Americans know about.
One of the most recent heated political topics over the past few years has been Obama Care. The idea: No one should be without medical insurance. A little known section that was tucked away in Obama’s original health care law was the Community Living Assistance Services and Supports provision (CLASS). The idea: Uncle Sam would provide financial assistance to people who become functionally disabled and require long-term services and support if they pay monthly premiums into a government created LTC plan that would provide a stipend of $50 a day or more to help pay for LTC services.