By Stephanie Bruno

As much as we might like to, it’s hard to plan for every single issue or contingency that could pop up. We don’t know what the markets will do, we can only guess at how long we will live, and tax policy seems to change regularly. So, we save our money and make the best decisions we can based on the information we have. 

But there is one particular question you should have a concrete answer for, even if you don’t know exactly how the future will look: Who will take care of you when you can’t take care of yourself? 

This issue became very personal for me these past few weeks as my step-mother had emergency surgery and unexpectedly passed away.  As sad as this was, my sisters and I were left scrambling with helping my 90 year-old dad not just through his grief, but with support in his day-to-day living. In discussions with many of you, I know you are facing similar challenges with your own parents. My vow is that our girls will not have to worry about this for Steve and I. 

More than half of people turning 65 will need some form of long-term care during their lifetimes, so it’s critical to have a plan to pay for these costs. (1) Unfortunately, many Americans have a glaring blind spot in the form of long-term care planning, with only 1 in 5 adults making the effort to finance their future long-term care expenses. (2)

When you are healthy and thriving, it’s easy to focus solely on building your savings to provide for your basic retirement expenses and forget about the potential need for long-term care as you age. But no matter what your health looks like today, creating a long-term care plan now will empower you to research your options and choose strategies that are the best fit for you. And we are not just talking about insurance, but what your plan for care is. Your children, as much as they love you, have their own lives and jobs and you likely don’t want them taking care of your more personal needs. 

What Will I Pay for Long-Term Care?

Long-term care costs are so high that they could potentially wipe out a bulk of your retirement funds. On average nationally, it costs $275 per day or $8,365 per month for a private room in a nursing home. (3) To make matters worse, because of their longer life expectancy, women pay significantly more than men for long-term care. The average amount of time women require long-term care for is 3.7 years (or around 44 months), adding up to $368,060 in expenses in today’s costs for that private room. (4) For men, who need long-term care for an average of 2.2 years (or around 26 months), that equals $217,490. 

And costs are only projected to increase. In the past five years, long-term care expenses have risen by about 3%, with a big jump in prices from 2016-2017. (5) By 2028, the average cost is expected to increase to $5,376 per month for assisted living, (6) compared to $4,000 today. (7) These costs can vary based on the level of care and amenities needed, as well as the size of the room and the location, so your first step in making your long-term care plan is to decide what type of care you prefer. 

What Type of Care Do You Prefer?

If you have a family history or early signs of Alzheimer’s or dementia or if you suffer from a chronic disease that will require ongoing care or daily assistance, look into facilities that offer the care you’ll need, and share your thoughts with your family. Would you prefer to live in a nursing home or would you like nurses and assistants to come to your residence? Do you want a religious community of care? There are several preferences to take into consideration when considering your long-term care plan. 

Having the option to make these choices yourself lends much-needed autonomy to your long-term care plan. If you wait until you need it, you may not be in good enough health to make the decision or the size of your savings might determine the care you receive. Whether you’re worried about potential health concerns or want to protect your hard-earned wealth, it’s important to understand the long-term care insurance options available to you and whether or not a policy makes sense for your lifestyle and needs. 

Your Long-Term Care Plan

Long-term care coverage isn’t cheap, but it pales in comparison to long-term care costs. Here are some options to consider when creating your long-term care strategy. 

1. Traditional Long-Term Care Insurance

With traditional long-term care insurance, you pay a premium in exchange for the ability to receive benefits if they are needed. If you need long-term care at some point, the policy provides you with money to pay for it. However, if you never need long-term care, then you receive no benefits. It’s a “use it or lose it” policy.

Just like any insurance policy, you will have some coverage choices to make.

Customized Coverage

You can choose the level of insurance you want and select the daily benefit amount for care in a nursing home. You can also add home-care coverage if that is a priority for you. In order to choose the right coverage amounts, you need to know what the cost of long-term care looks like in your state. For example, a private room at a nursing home in Maryland will cost an average of $9,718 a month, and hiring a home health aide could set you back over $64,000 for the year.

Length Of Coverage

You must also decide on the length of time you want the benefits to be paid. Common options are one, two, three, or five years, or for your lifetime. Logically, the longer the benefit period, the higher the premiums you will need to pay. 

Benefit Stipulations

Your policy will also indicate “benefit triggers,” or conditions which must exist to receive benefits from the insurance company. A tax-qualified plan only pays benefits once you are unable to perform two of six activities of daily living without substantial assistance for at least 90 days, or have a cognitive impairment like Alzheimer’s. Non-tax-qualified plans may have less restrictive benefit triggers.

Inflation And Premiums

If you want, you can have your benefits increase with inflation to match future care costs. It is also important to note that premiums can increase as they are not usually set in stone.

2. Life Insurance with a Long-Term Care Rider

With a traditional long-term care policy, people sometimes feel that if they buy it and don’t use it, they would have wasted their money. Because of this, several hybrid products have emerged. One very popular solution is a life insurance policy with a long-term care rider. This strategy is enticing because if long-term care is needed, the funds are available through your policy’s death benefit. If you don’t spend the total benefit available, your beneficiaries will receive the balance upon your death, thus no wasted money. 

If you need life insurance, getting your long-term care coverage as a rider may be a good option. This way, someone will be benefiting from the premiums you are paying, whether it is you or your heirs.

3. Annuity with a Long-Term Care Rider

If you don’t need life insurance, another combination product may be better suited to your situation. If you purchase a variable annuity, you may have the alternative of adding a long-term care rider onto the contract. Since 2010, the IRS allows for the long-term care portion to be used tax-free. (8)

After purchasing the annuity, you would select the amount of long-term care coverage you want, often two to three times the face value of the annuity, as well as the length of time you want coverage. Finally, you have to decide if you want inflation protection. 

This option makes money available to you if you need long-term care. Otherwise, you can cash out the annuity when it matures (in which case you would lose your long-term care coverage) or let it accumulate and ultimately pass on the assets to your heirs. 

Obtaining long-term care coverage through an annuity can be appealing because it is generally less expensive than stand-alone insurance and you can receive coverage without medical underwriting. Annuities tend to be less common than the other choices, though, because of the current low-interest rates and the large up-front investment.

4. Save On Your Own

Consider starting a savings plan specifically for future healthcare needs. One option is to create a separate, high-yield savings account and contribute a specific amount every month, building a contingency fund for whatever healthcare expenses come your way. If you end up not needing long-term care, the money is still yours and can be used for your living costs, unexpected expenses, or an inheritance for your heirs. 

Be Prepared

Regardless of where you are in life and the financial obstacles you face, the important thing is that you start planning for this aspect of retirement. Thinking about the need for long-term care can be deeply unsettling and confusing. At Sea to Peak Financial Advisors, we want to help you plan for retirement and experience life to its fullest now and in the future. If you have questions about your long-term care options and want to make sure you have the coverage you need, schedule a 15-minute phone call or email us at info@seatopeakadvisors.com. For those of you who are clients, we will be reviewing this information with you this quarter.

About Stephanie

Stephanie Bruno is the founder of Sea to Peak Financial Advisors, an independent, fee-only financial advisory firm helping executives bring meaning to their money. Stephanie earned a bachelor’s degree in finance from the University of New Orleans and a bachelor’s degree in English from Ohio State University and holds the Certified Financial Planner® (CFP®), Chartered Life Underwriter® (CLU), Accredited Investment Fiduciary® (AIF), Certified Private Wealth Advisor® (CPWA®), and Retirement Manager AdvisorSM (RMA®) designations. She splits her time between Denver and Seattle, where her husband, Steve, serves as the head of Westside School. Outside of the office, Stephanie honors her mom by serving as board chair of the Women’s Foundation of Colorado. Stephanie and Steve have two smart and accomplished daughters, Emma and Leah, who are currently college students, as well as three lovable dogs. To learn more about Stephanie, connect with her on LinkedIn.

Stephanie Bruno is an Investment Advisor Representative of Dynamic Wealth Advisors dba Sea To Peak Financial Advisors. All advisory services offered through Dynamic Wealth Advisors.

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(1) https://www.morningstar.com/articles/879494/75-mustknow-statistics-about-longterm-care-2018-ed

(2) https://www.advisortoday.com/2017/10/26/ltc/

(3) https://www.genworth.com/aging-and-you/finances/cost-of-care.html

(4) https://longtermcare.acl.gov/the-basics/how-much-care-will-you-need.html

(5) https://www.genworth.com/dam/Americas/US/PDFs/Consumer/corporate/cost-of-care/131168_081417.pdf

(6) https://www.fool.com/investing/general/2017/06/10/your-2017-guide-to-long-term-care-and-long-term-ca.aspx

(7) https://www.genworth.com/aging-and-you/finances/cost-of-care.html

(8) https://longtermcareinsurancepartner.com/blog/using-annuities-to-pay-for-long-term-care

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