Letter from the Executive Director re: LTC Insurance
Long
Term Care Insurance: An Introduction
"The average person does not fear death. The greatest fear is of the
dependence
and disability that may occur in old age."
~author
unknown
A large percentage of us will spend time in a nursing home. Many more of us will require home care services on an extended basis. Average costs for care across the U.S. is $40,000 per year. The cost of nursing home care in New York State exceeds $60,000 ($75,000 in the metropolitan area). It can cost even more for 24-hour care at home.
"...But I thought Medicare would pay for
it...."
Medicare and Medicare supplement
(Medigap) insurance are beneficial in protecting against the costs of acute
medical care. Rehabilitative care and acute skilled medical problems are
covered, usually for a period of 100 days in a nursing (SNF) or rehabilitation
facility. However, most nursing home residents require custodial long term
care which is covered only by private funds, LTC insurance and Medicaid.
Federal poverty guidelines for income and assets must be met to qualify for Medicaid. Assets must be
"spent down" to receive medicaid
assistance.
What Is Long Term Care?
Long Term Care is a diverse system of services designed for people with
chronic health conditions or cognitive disabilities who are no longer able to
care for themselves independently. Such
services may be provided at home, in a nursing home or by any number of other
service options.
Long Term Care (LTC) Insurance is a
form of insurance available through private insurance companies as a means for
individuals to protect themselves against the high costs of long term
care.
The need for long term care arises when chronic physical or cognitive
conditions affect a person's ability to remain independent in everyday life
activities. These activities of daily living (ADLs) include:
Bathing, Dressing, Eating, Transferring, Toileting and Continence.
Most LTC policies are triggered when you need
assistance with at least two ADLs.
|
LTC Insurance
typically covers:
Skilled Nursing Care Custodial Care Home Health Care Adult Day Care Respite Care Continuing Care |
The business of choosing a LTC insurance plan can be confusing at best. There are a number of LTC policies on the market today. Each has a distinguishing feature that sets it apart. Competition between companies makes policies improve simultaneously.
How Do I Shop for Long Term Care Insurance?
While every Long Term Care Insurance product has a 30 day
"Free Look" period when you can change your mind and get a full
refund, it is best to make a wise decision regarding one of the most important
investments you will ever make. This basic tool will guide you in making
your own decisions regarding which policy may be best for you. It is
always a good idea to meet with a professional who is objective and understands your
needs and priorities to assist you in making this decision.
Basic Checklist for Long Term Care Insurance: Questions to Ask
(Highlighted items will impact the total cost
of your LTC policy)
What services are covered?