Group Health Insurance
Health care reform
Health Savings Accounts (HSAs)
Individual Health Insurance
Long Term Care Insurance
Medicare related coverage
07-22-2008 by Colleen King
The topic of Long Term Care insurance can be a real tough discussion. We’re talking about something that deals with us aging, being unable to care for ourselves and it can be expensive! That’s uplifting.
I would have been able to put my head in the sand too if it had not been for a few things in my life, both professional and personal. I was an emergency nurse for many years, and even though an emergency department brings visions of car accidents, stabbings, shootings and drug overdoses (at least where I worked) the other thing you would see was families bringing in an elderly relative that they could no longer take care of at home.
These poor debilitated people didn’t need acute medical attention, but without getting too graphic, they were bedridden, no bowel or bladder control, couldn’t feed themselves, I’ll stop there. When people get to that point they need what’s called custodial care. Medicare doesn’t cover it, MediCal (California’s version of Medicaid) will, but only after you deplete the person’s assets. It can get ugly and destroy what they worked hard to save for all those years.
You don’t need to be elderly to need custodial or nursing home level of care, and that’s another reason that long term care insurance can be important at any age. Instead of just getting old, younger people have motor vehicle accidents that leave them a mess, the unusual illness at a younger age could leave you needing help, anything can happen at any age. Does that mean you need to get it at age 25 or 30? There’s a lot of debate about that in the industry. Get it at a younger age, your rates are lower, you are still insurable, those could be good reasons. It used to be that you would start looking into it in your late 60s/early 70s, but it gets more expensive and there’s a greater chance that someone can be uninsurable. 50s are good, even late 40s–that’s when I did mine.
Personally, I had tried to talk my mom into doing this for years–she lives in another state and I’m not licensed there, so it’s not like I was looking for a sale. I just knew the cost of care versus the cost of long term care insurance, her overall financial situation and it made sense. She said she’d get to it, blah, blah, but never did. My mom was and still is very active, so I can understand. We lost my dad when he was only 62, it could have been useful during his cancer care, but in 1991 things were different in insurance.
But she called me one morning, in tears, because her husband (she remarried a good guy) had a TIA, or mini stroke. Well that knocked him out of the running and that’s what I told her. THAT got her attention, and within a few months she bought long term care insurance from an agent she had a long standing relationship.
Back to the professional side, when I speak to clients and prospective clients, they tell me they don’t need it, their children will take care of them. Well, back to the old ER scenario. We’d see debilitated people in their 80s and 90s, and their poor kids were in their 60s or 70s. Even before then, the children could have their own health issues that would preclude them from doing the heavy physical care that is often needed.
SO, when you look at $2000-$3000 per year for this coverage, where you are buying a large ‘pool’ of money that can potentially grow over time, compare that to the $60,000-$80,000 per year that in home, assisted living or nursing home care can cost. All things to look at, so if you have an agent you trust, talk to them. If you don’t, and you’re in California, I’d appreciate the opportunity to talk to you. Be well!