Is Long-Term Care Insurance a Good Purchase? (2024)

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by Hunter Montgomery

Is Long-Term Care Insurance a Good Purchase? (1)You should be aware of the potential impact of assisted living costs when you are planning ahead for the future. About 70 percent of elders will need help with their activities of daily living, but some folks will be able to get the helping hands that they need from unpaid family members and friends.

This being stated, just over half of people that require living assistance will incur custodial care expenses. Medicare does not pay for long-term care, and nursing homes and in-home caregivers are quite expensive to say the least.

Long-Term Care (LTC) Insurance

When you hear about the Medicare gap and you consider the implications, you would naturally wonder if long-term care insurance is a thing. The answer is yes, but whether or not it is a good thing is a question that is open to debate.

The premiums are more expensive as you get older, but few people that are in their 30s or 40s are going to start thinking about potential long-term care costs. Even if you did act this far in advance, you may be paying for 40 or 50 years before you see any return on your investment.

According to the American Association for Long-Term Care Insurance, the average annual premium for $165,000 worth of coverage for a 65-year-old male is $1700. For women, the figure is $2700 because of the longer lifespans.

That may sound relatively affordable, but the premiums will rise by 4 percent to 6 percent each year on average. This is the rate of increase when you are in your 60s, and it will go up as you get older.

The average age of admittance is 79 for nursing home residents. When you put all the stats together, you can see that the steadily rising premiums can be stifling. In fact, about half of LTC insurance policies lapse before any benefits are paid.

Plus, there is the elimination period. You can pay your premiums for many years until you actually file a claim. When that time comes, they will not pay for your care immediately. You have to pay out-of-pocket during a waiting or elimination period that will typically be between 30 and 90 days.

Medicaid Planning

You can decide if long-term care insurance sounds like a good deal, but before you make your decision, you should consider a widely embraced alternative. Medicaid will cover long-term care, but you can’t qualify if you have more than $2000 in countable assets.

That sounds like a dealbreaker, but this is not necessarily the case. You can transfer assets into an irrevocable Medicaid trust with future eligibility in mind. The income will still be distributed to you as usual, and that is one major base covered.

The principal would be out of your reach after you fund the trust. However, if your retirement plan revolves around the income that you get from your savings, you would not want to touch it anyway. Those assets would not count if you were to apply for Medicaid.

Advance planning is key because of the five-year look back period. You are ineligible for five years after you divest yourself of direct personal possession of assets. For many people, this will not be a problem because the income will keep not be interrupted.

Home ownership is another consideration. You can qualify if you own a home, but Medicaid will try to put a lien on the property after your death. They would be unable to touch it if you convey the home into your irrevocable Medicaid trust, but your living arrangement would not be interrupted.

Schedule a Consultation Right Now!

Today is the day for action if you do not have a nursing home asset protection plan in place. You can schedule a consultation at our Bluffton, SC elder care planning office if you call us at 843-815-8580, and you can use our contact form to send us a message.

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Hunter Montgomery

Hunter Montgomery is the owner/managing attorney of the Montgomery Law Firm, LLC.He has been practicing estate planning law fsince 2002. Hunter is a member of the American Academy of Estate Planning Attorneys.

Hunter is a member of the South Carolina Bar Association, the Beaufort County Bar Association, and has served on charitable and advisory boards in the Bluffton/Hilton Head area.

Hunter graduated from Hilton Head High School. He then earned his Bachelor of Science Degree in Economics from Clemson University, in Clemson, South Carolina.

Hunter graduated Cum Laude from Regent University School of Law in Virginia Beach, Virginia, having earned a Juris Doctor Degree. He also wrote his doctorial thesis on Estate Planning Dynasty Trusts.

Hunter has called Beaufort County home for since 1984, where he lives with his wife and two children.In his spare time he dabbles in automobiles, reading history, hunting and fishing.

Latest posts by Hunter Montgomery (see all)

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Is Long-Term Care Insurance a Good Purchase? (4)

About Hunter Montgomery

Hunter Montgomery is the owner/managing attorney of the Montgomery Law Firm, LLC. He has been practicing estate planning law fsince 2002. Hunter is a member of the American Academy of Estate Planning Attorneys.

Hunter is a member of the South Carolina Bar Association, the Beaufort County Bar Association, and has served on charitable and advisory boards in the Bluffton/Hilton Head area.

Hunter graduated from Hilton Head High School. He then earned his Bachelor of Science Degree in Economics from Clemson University, in Clemson, South Carolina.

Hunter graduated Cum Laude from Regent University School of Law in Virginia Beach, Virginia, having earned a Juris Doctor Degree. He also wrote his doctorial thesis on Estate Planning Dynasty Trusts.

Hunter has called Beaufort County home for since 1984, where he lives with his wife and two children. In his spare time he dabbles in automobiles, reading history, hunting and fishing.

Is Long-Term Care Insurance a Good Purchase? (2024)

FAQs

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.

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.

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.

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

Your age doesn't just play a role in your access to long-term care insurance; it's also a factor in the premiums you pay. In general, you'll pay lower premiums if you enroll in a policy in your mid-50s than you would in your early to mid-60s.

What percentage of people with 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.

Who is the largest insurer of long-term care in the US? ›

In terms of the number of long-term care insurance policyholders, Genworth is the largest in the nation. In recent years, they sell few policies to new buyers. There is a lot of information available online regarding Genworth.

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

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 are 5 factors that you should consider when buying long-term care insurance? ›

Items to Consider Before Buying Long-Term Care Insurance
  • Duration of Benefits.
  • Benefit Triggers.
  • Waiting Periods.
  • Daily Benefit Amount.
  • Maximum Policy Benefits.
  • Inflation Protection.
  • Insurance Agents.

What percentage of retirees have long-term care insurance? ›

Who Has Private Long-Term Care Insurance? Among adults age 65 and older, 12.4 percent (or 4.8 million adults) had coverage. Only 3.0 percent of African Americans age 55 and older and 2.4 percent of Hispanics were covered by private long-term care insurance.

What type of care is typically not covered in a long-term care policy? ›

Long-term care insurance typically doesn't cover care provided by family members. It also usually doesn't cover medical care costs⁠—those are typically covered by private health insurance and/or Medicare.

Who most needs long-term care insurance protection? ›

Long-term care services are a common necessity among retirees, yet only about 11% of adult Americans have long-term care insurance, according to KFF. Only 14% of those who are most likely to need this care — people ages 65 and older — actually have this type of coverage.

What percentage of Americans over 65 have long-term care insurance? ›

Seventy percent of Americans over the age of 65 likely will need long-term care, yet only 10% of them are carrying long-term care coverage, according to the results of a recent survey by the Arctos Foundation and HCG Secure.

Do long-term care premiums increase as you age? ›

Premiums for long-term care insurance are based on your age when you apply. Costs increase on your birthday. The annual rate increases are generally 2-4 percent in your 50s but start to be 6 to 8 percent per-year in your 60s.

What is the disadvantage of a long-term plan? ›

The advantages of long-term planning include increased self-control and motivation, while the disadvantages include potential emotional distress and demotivation for those in poor goal standing.

What percentage of your income should you spend on long-term care insurance? ›

Income and Assets: You may choose to buy a long-term care policy to protect assets you have accumulated. On the other hand, a long-term care policy is not a good choice if you have few assets or a limited income. Some experts recommend you spend no more than five percent of your income on a long-term care policy.

Does Dave Ramsey recommend long-term disability? ›

How Long Should My Benefit Period Be? A benefit period is the amount of time you'll receive payouts once they begin. For long-term disability insurance, Dave Ramsey suggests a benefit period of at least 5 years and up to age 65 if you can cover that financially.

What is not included under long-term care insurance? ›

Long-term care insurance typically doesn't cover care provided by family members. It also usually doesn't cover medical care costs⁠—those are typically covered by private health insurance and/or Medicare.

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