How to Determine the Right Amount of Long-Term Care Insurance

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About Del Fujinaka

CWS, CEPA
Del is a Safe Money Retirement Specialist and Cash Flow Strategist dedicated to helping small businesses and family estates navigate complex retirement decisions. As individuals retire earlier and live longer, retirement income and protection from losses are major areas of concern for maturing Hawaii and California Residents. Del is different… He has combined his three decades of financial experience and business ownership to create an individual approach to retirement planning and wealth management, which conventional advisors never consider. Del Fujinaka is committed to unbiased financial education, which is critical to your understanding. You DO NOT have to expose your retirement to unnecessary taxes or market risks. You DO NOT have to be afraid of depleting your savings. You DO NOT have to watch long term care expenses devour your wealth.

Planning for the future involves being prepared for unforeseen events, and insurance plays a vital role in ensuring financial stability. While most individuals are aware of the necessity for auto, health, home, and life insurance, the significance of long-term care insurance (LTC) is growing as people live longer lives. This article explores the specifics of long-term care insurance and guides you on how to determine the appropriate coverage to meet your needs.

What is Long-Term Care Insurance?

Long-term care insurance is created to help cover the costs associated with services that support individuals in performing daily activities, such as bathing, dressing, and eating when they are no longer able to manage these tasks on their own. As life expectancy rises, the probability of needing long-term care also grows. Although family members often step in to provide care, there are situations where professional services, such as home health aides, assisted living facilities, and nursing homes, become essential. It’s important to note that these services are not covered by Medicare and may be very expensive.

For example, in 2021, the median annual cost for assisted living was $54,000, while a semi-private room in a skilled nursing facility cost about $94,900. These figures underscore the importance of having a financial plan to address long-term care needs.

Types of Long-Term Care Insurance

Long-term care insurance policies may vary widely, but they generally cover the cost of care up to a defined lifetime maximum or for a specific number of years. Key features to understand include:

  • Benefit Amount and Duration: Policies usually specify a daily benefit amount and a maximum benefit period (e.g., three to five years). Some policies offer a lifetime maximum, providing coverage as long as needed.
  • Elimination Period: This is the waiting period before benefits begin, typically ranging from 30 to 180 days, during which you must cover the costs yourself.
  • Inflation Protection: This optional feature adjusts your benefits to keep pace with inflation, ensuring your coverage remains adequate as care costs rise over time.
  • Types of Care Covered: Policies may cover care provided at home, in an adult day care center, an assisted living facility, or a nursing home. Understanding what is covered and under what conditions is essential.

Cost of Long-Term Care Insurance

Long-term care insurance premiums may be substantial and often increase over time. However, purchasing a policy earlier in life may lead to lower premiums. The American Association for Long-Term Care Insurance suggests buying coverage in your mid-50s when rates are generally more affordable.

Hybrid Policies

One drawback of traditional LTC policies is their use-it-or-lose-it nature; if you don’t make a claim, you receive no benefit. Hybrid policies, which combine long-term care benefits with life insurance or an annuity, address this issue. These policies ensure that your premiums provide a return, either through long-term care benefits or a death benefit.

For instance, an accelerated death benefit rider reimburses some long-term care costs from the death benefit. Similarly, critical or chronic illness riders pay out a lump sum for covered illnesses. While these hybrid policies are more expensive, they offer consistent premiums and protection against future increases.

Determining Your Coverage Needs

Several factors influence the amount of LTC coverage you might need:

  • Financial Situation: Evaluate your assets, income, and savings. Determine how much you might afford to pay out-of-pocket for care before insurance kicks in.
  • Family Health History: Consider your family’s health history, which may offer insights into potential future care needs. A history of chronic illnesses might necessitate more comprehensive coverage.
  • Personal Preferences: Decide where you would prefer to receive care—in your home or a facility. Home care may be less expensive but may not be feasible for everyone.
  • Inflation Protection: Given the rising costs of care, policies with inflation protection are advisable to ensure your benefits remain sufficient over time.

Balancing Cost and Coverage

Managing the cost of long-term care insurance involves balancing premiums with potential future needs. Here are some strategies:

  • Compare Policies: Shop around to compare different policies and providers. Look for discounts tied to memberships or loyalty programs.
  • Bundle Insurance: Some insurers offer discounts if you bundle long-term care insurance with other types of policies, such as life or health insurance.
  • Flexible Payment Options: Paying premiums annually instead of monthly can reduce overall costs.
  • Consult a Financial Advisor: Working with a financial advisor may help you run a cost-benefit analysis to determine the optimal level of coverage for your needs.

Long-term care insurance is an essential part of a complete financial strategy, offering both peace of mind and financial security against the significant expenses associated with long-term care. By exploring your options and thoroughly assessing your requirements, you may choose a policy that strikes the perfect balance between adequate coverage and cost-effectiveness.

Secure your peace of mind and protect your financial future today. Consult with a financial advisor to evaluate your long-term care insurance needs and find a policy that offers the right balance of coverage and affordability. 

Many people have learned about the power of using the Safe Money approach to reduce volatility. Our Safe Money Guide is in its 20th edition and is available for free.  

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About Del Fujinaka

Del is a Safe Money Retirement Specialist and Cash Flow Strategist dedicated to helping small businesses and family estates navigate complex retirement decisions. As individuals retire earlier and live longer, retirement income and protection from losses are major areas of concern for maturing Hawaii and California Residents. Del is different… He has combined his three decades of financial experience and business ownership to create an individual approach to retirement planning and wealth management, which conventional advisors never consider. Del Fujinaka is committed to unbiased financial education, which is critical to your understanding. You DO NOT have to expose your retirement to unnecessary taxes or market risks. You DO NOT have to be afraid of depleting your savings. You DO NOT have to watch long term care expenses devour your wealth.

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