Ask an Advisor: Our Long-Term Care Insurance Now Costs $500 Per Month. We're in Our Mid-70s and Have Paid $72k in Total. Should We Cancel Our Policies? (2024)

Brandon Renfro, CFP®

·4 min read

My wife and I bought long-term care policies 25 years ago when they were relatively cheap. Now, our premiums have increased for the third time to over $500 per month and will rise again in six years. I figure I’ve already paid about $72,000 in premiums. Now, in our late 70s, I’m trying to decide if I should accept the increases or cancel the policies. What do you think?

– Robert

Nobody likes paying higher premiums and it can be frustrating watching them increase. However, just like it was when you initially decided to purchase the policy, the issue at hand is still whether or not you need and can afford the coverage. (And if you need help planning for your long-term care or saving for future expenses, consider speaking with a financial advisor.)

Sunk Cost of Previous Premiums

Ask an Advisor: Our Long-Term Care Insurance Now Costs $500 Per Month. We're in Our Mid-70s and Have Paid $72k in Total. Should We Cancel Our Policies? (2)

Before we address the question directly, let’s talk about the $72,000 you've paid up to this point. I'm not sure if you're suggesting that you should keep going or stop because you've already spent that much, but it shouldn't affect your decision either way. Those prior premiums are sunk cost, and the insurance coverage they bought you is in the past. It's no different than the $10 you spent on yesterday’s lunch.

The Value of Insurance Going Forward

The real question is whether or not you still need the long-term care insurance, and if the coverage provided by your policy is worth $500+ per month.

I think there are two big concepts at play here that you should consider as you think about your decision: your age as well as your resources and goals.

Your Age

The first is your age and the likelihood of needing long-term care. It's a few years old, but this Morningstar article discusses some relevant long-term care statistics that I think illustrate what we all intuitively know. The odds of needing long-term care go up as we age. The data from 2018 shows the percentage of people who end up needing long-term care:

  • 8% of people between 65 and 74 years old

  • 17% of people between 75 and 84 years old

  • 42% of people 85+

So, unlike the premiums you've already paid, the days for which you're more likely to experience a long-term care need are in front of you. (A financial advisor can help you prepare for future expenses, like long-term care.)

Your Resources and Goals

Although it certainly speaks to it, the fact that you're more likely to require long-term care in the future doesn't necessarily mean you need long-term care insurance.

Depending on how your investments have performed and what you've spent over the course of your retirement (assuming you're retired, you may not be) your account could have grown sufficiently large that self-insuring makes sense. I don't know that of course, just pointing out that it's possible. If it hasn't, then your decision is a pretty easy one in my opinion. Provided you can continue to make the premium payments then it’s probably best that you do.

Even if you can reasonably self-insure, you’ll want to think about what you hope to do with your savings. Just because you can afford to self-insure also doesn't mean you have to or should. Long-term care insurance can help you avoid depleting all of your assets, which in turn provides some protection for any money you hope to leave to heirs. That alone may make it worth it to you depending on your financial goals. (And if you need help setting and planning for financial goals, like bequeathing assets to heirs, speak with a financial advisor.)

Bottom Line

I think there's a good chance it still makes sense to continue carrying your long-term care policy, but take what we discussed above as a starting point to evaluate your situation. See if the new premiums fit within your budget and help you accomplish your goals. Assuming they do, keeping your policy may be the best option.

Tips for Finding a Financial Advisor

  • Finding afinancial advisordoesn't have to be hard.SmartAsset's free toolmatches you with up to three vetted financial advisors who serve your area, and you can have free introductory calls with your advisor matches to decide which one you feel is right for you. If you're ready to find an advisor who can help you achieve your financial goals,get started now.

Brandon Renfro, CFP®, is a SmartAsset financial planning columnist and answers reader questions on personal finance and tax topics. Got a question you'd like answered? Email AskAnAdvisor@smartasset.com and your question may be answered in a future column.

Please note that Brandon is not a participant in the SmartAdvisor Match platform, and he has been compensated for this article.

Photo credit: ©iStock.com/whyframestudios

The post Ask an Advisor: Our Long-Term Care Insurance Now Costs $500 Per Month. We’re in Our Mid-70s and Have Paid $72k in Total. Should We Cancel Our Policies? appeared first on SmartReads by SmartAsset.

Ask an Advisor: Our Long-Term Care Insurance Now Costs $500 Per Month. We're in Our Mid-70s and Have Paid $72k in Total. Should We Cancel Our Policies? (2024)

FAQs

How can I reduce my long-term care premiums? ›

If you want to cut down on the cost of your long-term care insurance, these simple strategies can help:
  1. Start early. ...
  2. Consider a shorter benefit period. ...
  3. Adjust the daily benefit amount. ...
  4. Opt for an elimination period. ...
  5. Bundle your insurance policies. ...
  6. Seek out discounts. ...
  7. Compare quotes from multiple insurers.
Oct 10, 2023

What percentage of people who have long-term care insurance actually use it? ›

So, 35% will use their coverage and 65% will not. As you might assume, the decline is because during those first 90 days, some people will recover and some will die.

What is the length of time a long-term care insurance policy will pay benefits? ›

1. Duration of Benefits. Long-term care (LTC) policies are typically sold for 12 or more months of care. You can buy a policy that pays benefits for only 1 year or one that pays for 2, 3 or 5 years.

Should you buy long-term care insurance in your 30s? ›

The bottom line. If you are under age 50, it may not always make sense to buy long-term care insurance. You can compare prices and see what you might pay when you are ready, but if you buy coverage too early, you may end up paying premiums for much longer than you need to.

What is the biggest drawback of long-term care insurance? ›

The Cons of Long Term Care Insurance
  • Long term care insurance is expensive and premiums can go up. That's often a big, unpleasant surprise for many people. ...
  • You don't know how long you'll live. ...
  • You may have a plan you can't afford.

Do long-term care premiums increase with age? ›

The older you are when you purchase a long-term care insurance policy, the more expensive it tends to be. And, your gender and health also play a role in the equation. And so can other factors, like purchasing a policy with benefits that grow each year.

What is the argument against long-term care insurance? ›

The Arguments Against Long Term Care Insurance

LTCI is relatively expensive for retired people on a fixed income. Some argue that if you have more than $1 Million Dollars in assets, you don't need it. If you have less than $500,000 in assets, you can't afford it. That argument may be true.

Why don't more people purchase long-term care insurance policies? ›

The cost of care.

Most people who had been in a facility or had a loved one there in the last two years said that finding long-term care, and affording it, was difficult. Some families said that they were shocked by the high costs of nursing homes and aides when considering those options.

How long do most people need long-term care? ›

In summary, it is not uncommon for someone to receive care at home for several months or longer, followed by a two and a half year stay in an assisted living facility, with almost 60% then requiring a nursing home stay of somewhere between nine months and a little over two years.

Can a long-term care policy be cashed in? ›

If you decide you need the money for something else, you can typically receive a cash value that can be roughly equal to or less than the total premiums paid.

Are long-term care benefits deductible? ›

For an individual who itemizes income tax deductions, long-term care insurance premiums are included within your unreimbursed medical expenses and are tax deductible to the extent your total unreimbursed medical expenses exceed 7.5 % of your adjusted gross income (AGI).

What is a long-term care insurance contract? ›

Long-term care insurance is designed to cover a wide range of long-term care services. If you are unable to care for yourself because of a prolonged illness or disability, long-term care insurance may pay for the kind of services you need.

What is the best age to buy LTC insurance? ›

The simple fact is that health generally declines with age. That means you'll typically have a better chance of qualifying for long-term care insurance if you purchase a policy when you're in your 50s rather than your 60s or 70s. Don't wait until it's too late. Purchase long-term care insurance now.

What is the best age to buy long-term care insurance? ›

the best age to apply is in your mid-50s. . You can lock in your good health and today there are policies that allow you to buy some coverage now and add to it in future years.

What is the best age to buy a long-term life insurance policy? ›

You'll typically pay less for life insurance at age 25 than at age 40. Waiting until age 60 may mean an even bigger rate increase and limited policy options.

Can long-term care insurance premiums be deducted? ›

Long-term care insurance premiums are tax-deductible up to certain limits — which are based on your age. Here are the long-term care insurance deduction limits for the 2023 tax year (note: limits are based on your age on the last day of the tax year): 40 years old or younger: $480. 41 to 50 years old: $890.

At what age might a long-term care policy premium be too expensive? ›

Rates Only Get Higher

To get the same amount of coverage, someone who waits until age 65 to buy a policy could be charged premiums that are more than twice as high as those paid by an individual who bought their plan at 55. If the consumer is like most Americans, they won't file a claim until at least age 80.

What factors influence long-term care insurance premiums? ›

Factors affecting long-term care insurance costs
  • Age at enrollment. One of the most significant factors influencing the cost of long-term care insurance is the age at which you enroll. ...
  • Health status. ...
  • Coverage amount and length. ...
  • Inflation protection. ...
  • Elimination period. ...
  • Gender. ...
  • Location. ...
  • Insurance company and policy type.
Sep 25, 2023

How can William decrease the premium on his long-term care insurance policy? ›

Adding A "Deductible" Can Save 20% Each Year

Deductibles on long-term care insurance policies are typically referred to as the Elimination Period. This is the number of days you choose to pay fully until your benefits for qualifying care begin. The longer your Elimination Period, the lower your annual premium will be.

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