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How to Purchase Long Term Care Insurance in 2023 (UPDATED)

How to Purchase Long-Term Care Insurance in 2023 (UPDATED)

Last Updated on June 6th, 2023 by The Hanna Agency Editorial Staff
The Headline. 7 out of 10 people will need long-term care at some point in our lives, and Medicare isn't going to cover the costs. That's why LTC Insurance is kind of a no-brainer.

If you're here, then you're considering purchasing something called "long term care insurance." (Amazing!)

Long-Term Care Insurance does precisely what it sounds like. It is insurance you purchase to cover the costs of long term care services as you age.

Why would someone need this? Well, chances are most of us will need help at some point in our lives. In fact, those turning 65 today have an almost 70% chance of needing some type of long-term care services as they age, and 20% will need it for longer than five years.

Pretty compelling stuff, huh?

Without long term care insurance, who will care for you?

This is the central question you need to ask yourself. Relying on family is an appealing option. You have their love and trust, and it’s comforting to know they would care for you and ensure your well-being.

But what many don’t consider is the difference between a companion and a caregiver. Having family to assist you is great, but relying on them day in and day out for your personal care can take a toll on their physical and emotional health. This is especially true when the caregiver is a spouse or partner also facing their own aging health issues. Plus, many caregivers suffer long-term work and financial consequences from providing care. Nearly six in 10 caregivers report some type of work impact like time off or change to their employment because of caregiving responsibilities.

In addition, half of caregivers experience a financial strain, and some are jeopardizing their long-term savings, which could result in substantial financial consequences.

So ask yourself this: "Is this what I want for my loved ones? Years of financial strain, on my behalf?"


What kind of care does long-term care insurance cover?

Long-term care insurance typically covers both in-home care and care received at a specialized facility like an adult day care, an assisted living facility, a nursing home or a memory loss unit.

Long-term care insurance steps in if you develop a health condition that requires you to receive care and supervision. This could mean home health care, nursing home care or personal or adult day care. Many people mistakenly believe that Medicare or Medicaid would cover their care expenses, but this is often not the case. Without long-term care insurance in place, you may burn through your life savings or have no choice but to rely on a family member for care. Long-term care insurance is worth it because it protects your assets, spares your family from financial and emotional stress, and puts you in control of your health decisions.

The U.S. Department of Health and Human Services reports that 69% of people will use long-term care services at some point.
The U.S. Department of Health and Human Services reports that 69% of people will use long-term care services at some point.
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What much long-term care insurance do I need?

There are many variables that go into deciding how much long-term care insurance you need. They include your budget, you and your family’s health history, your financial situation and the cost of care where you reside. Also, because almost all long-term care insurance policies are bundled with life insurance coverage (or an annuity), you will also want to consider that coverage level as well. A licensed insurance agent can help you consider your options and make the best choice.

One thing to think about is how much a home health aide costs. According to Genworth, the median cost of a home health aide in 2021 was nearly $62,000 per year. And according to a PwC study, the average person who needs long-term care will spend $172,000—imagine what the cost will be in the future with inflation.

While the cost of long-term care varies by facility and by where you live, it’s safe to say the cost is considerable. Long-term care costs range from $19,240 per year for adult day care to $105,850 per year for a private room in a nursing home.

This kind of expense can quickly deplete your nest egg, which is why long-term care insurance is such an important coverage to consider.

What much will long-term care cost?

Many people are surprised to learn that long-term care coverage costs less than they imagined. You may even be able to deduct the cost of long-term care insurance premiums from your state and federal taxes.

In reality, the average premium is about $2,500 annually.

Sure, that’s not a trivial amount, but compared to the cost of care… there is serious value in coverage.

Trick #1. Another strategy is to buy a more modest policy at a younger age and then allow automatic inflation coverage to grow its benefit. As an example, a healthy, 50-year-old single male can buy LTCI with an $80 per day/3-year benefit with 5% compound inflation coverage for about $150 per month. At age 86 (when he may need long-term care, for example), the benefit will have grown to $463 per day and a total benefit maximum of more than $500,000. That’s the power of compound inflation. Ask an agent about how this works.
What are my options for long-term care insurance?

There are three main types of long-term care insurance:

  • traditional long-term care insurance
  • hybrid long-term care insurance
  • life insurance with a long-term care rider

Each type of coverage has different pros and cons worth considering.

Okay, so when do I need to buy long-term care insurance?

Today, most long-term care insurance policies come bundled with life insurance coverage.

Because both long-term care insurance rates and life insurance rates generally increase with age, it’s best to start shopping for a hybrid life insurance and long-term care policy when you’re in your 40s or 50s. That said, you can still buy a policy if you’re in your 60s or older⁠—just know that you’ll probably pay more than someone who’s younger.

In one example, a 50-year-old couple who purchases a long-term care insurance policy with a $200,000 benefit for each spouse growing at 3% annually would pay a combined annual level premium of $3,573. If they waited until age 60, their annual premium would instead be $4,606. Not to mention that by age 85, the 50-year-old purchasers would have a much higher benefit level because their policy would have grown for 10 additional years at 3%!

So, the answer is this: buy today. Not tomorrow. Today.


Where can I buy long term care insurance?
There are three main options when it comes to getting a long-term care insurance quote and buying coverage. They include working with a licensed insurance professional, buying coverage through an employer-sponsored plan and buying coverage through an association or membership group like a trade association or alumni group. There are pros and cons to each of these three options..
Trick #2. When saving for retirement, the most popular vehicles are tax-qualified plans like a 401(k). Most employees pick a percentage of their salary, like 6%, to contribute to a 401(k) plan. In the same way, someone could decide that a certain percentage of their income, say 2%, will be spent on long-term care insurance. For example, someone earning $100K per year can look at how much coverage a $2,000 annual premium will get them. This can help you plan for the long run.
Is long term care insurance something that needs to be managed?
Because almost all long-term care policies are now hybrid policies that also include life insurance coverage, you will want to review your policy whenever you experience a major life change like a marriage, divorce or death in the family. It’s also a good idea to review your coverage once a year with a licensed insurance agent. This is especially true if your long-term care coverage includes a compound inflation rider or a purchase option.
When does a long-term care insurance policy start to pay for the long term care?
You first need to meet the elimination period before your long-term care insurance policy starts to pay for care. The elimination period can be thought of as a deductible measured in time instead of money. A typical elimination period for a long-term care insurance policy is 90 days. Once that is met, you typically need to experience either severe cognitive impairment or be unable to perform two activities of daily living such as dressing or feeding yourself.
How do I make a long-term care insurance claim?
Before you file a long-term care insurance claim, it’s a good idea to review your policy to make sure you met the elimination period and the conditions that qualify you for benefits. If everything checks out, you should contact the insurer and request a claim packet. It will contain paperwork that both you and your attending physician will need to fill out. Once the insurer reviews the paperwork, they will typically set up a phone interview with you (or your legal representative if you’re cognitively impaired). The insurer will then review all the information from the paperwork and the interview to determine if you qualify for long-term care benefits.
Trick #3. As people age, their need for life insurance may decrease while their need for long-term care insurance increases. Many don’t realize that they can take existing permanent life insurance plans with cash value and purchase combination life insurance/LTCI plans using that cash value on a tax-favored basis. This could either reduce or eliminate the need for additional premiums. A qualified agent can help guide you through how to do this.
Questions?

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Now that you've armed yourself with information, we invite you to discuss your unique financial journey with one of our agents.
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There's no better way to move forward with purchasing long-term care insurance than to reach out to a qualified professional. The Hanna Agency has one endeavor, and that is to educate people about their choices. We are not trying to sell you insurance. However, we are able to, under certain circumstances, to do so, if that is what you want.

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DISCLAIMER: The content is developed from sources believed to be providing accurate information. The information in this material is not intended as tax or legal advice. Please consult legal or tax professionals for specific information regarding your individual situation. Some of this material was developed and produced by the Hanna Agency (and Life Happens) to provide information on a topic that may be of interest. The Hanna Agency is not affiliated with the named representative, broker - dealer, state - or SEC - registered investment advisory firm. The opinions expressed and material provided are for general information, and should not be considered a solicitation for the purchase or sale of any security.