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Which is better: A Group LTCi policy or an Individually-purchased LTCi policy?

A healthy, married couple can usually get better benefits by purchasing a long-term care policy on their own, rather than buying a group long-term care policy through their employer.

Individually-purchased long-term care policies usually offer:

  • Preferred health discounts that save you as much as 25%, and
  • Marital discounts that can save as much as 40%.  (Marital discounts are even given for domestic partners, in most states).

Most group LTCi policies do not give any preferred health discounts.  And group LTCi policies usually do not give any discounts for being married.

But the biggest disadvantage to watch out for is that group LTCi policies are usually NOT Partnership-qualified policies.

Now that 39 states have “LTC Partnership programs” you can protect your assets even if your long-term care policy runs out of benefits.  Each dollar that your long-term care partnership policy pays out in benefits entitles you to keep a dollar of your assets if you ever need to apply for Medicaid services.

You do not have to buy an expensive “unlimited” long-term care insurance policy.  You only need to buy an amount of long-term care insurance equal to the amount of assets you want to protect for yourself, your spouse or partner, and/or your heirs.

Even if an individually-purchased LTCi policy were to cost more than a comparable group LTCi policy, this special asset protection offered by the LTC Partnership programs is probably worth the cost.

But, again, individually-purchased LTCi policies are often less expensive and have better benefits than group LTCi policies (especially for healthy couples).

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What is the “Elimination Period” in a long-term care policy?

The Elimination Period is similar to a deductible.

The Elimination Period is the number of days you receive qualified care before your long-term care policy will begin to pay benefits.

The shorter your Elimination Period, the higher the premium.  The longer the Elimination Period, the lower the premium

Most policies offer several choices for the Elimination Period.  Common examples of Elimination Periods you can choose are:

  • 30 days,
  • 60 days,
  • 90 days,
  • 180 days, or even
  • 365 days.

(Not all Elimination Period choices are available in every state.)


Most policies have “once-per-lifetime” Elimination Periods. That means that that once you’ve satisfied your Elimination Period, you never have to satisfy it again.  It is NOT like a medical insurance deductible.  You do NOT have to satisfy the Elimination Period every calendar year.

Home Healthcare Tip: Some policies offer a zero-day Elimination Period for care at home.  With these policies, the Elimination Period is waived for care at home.  Some policies include this feature automatically.  Other policies make this available for an extra premium.

If home health care benefits are important to you, then you should consider choosing a policy with no Elimination Period for care at home.


Money-Saving Tip: With some policies, a 90-day Elimination Period can be 20% less premium than a 30-day Elimination Period.

A 90-day Elimination Period for care in a facility can be a particularly good value in those policies that offer a zero-day Elimination Period for care at home.

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Love and Long-term care Insurance

I’ve been wanting to say something like this for a long-time, but I could never quite find the right words.  I read them today in an article in the Minneapolis Star-Tribune.  Here is the quote verbatim from a colleague of mine:

“Mike Westling, a long-term-care insurance specialist in Richfield, Minn., has watched his father, who was in a serious car accident in 2004 and is in assisted living, spend about $4,000 a month on his care. “A long-term-care insurance policy is the best form of saying ‘I love you’ to your spouse and family, because removing the looming responsibility of day-to-day care-giving on the family is truly a gift and a blessing,” Westling said.”


Thanks, Mike, for reminding us all of the real reason for planning for our future long-term care.

Here is a link to the full article

 

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What Health Reform Doesn’t Cover: Long-Term Care for the Elderly

There’s a great article on CBS Money Watch entitled, “What Health Reform Doesn’t Cover:  Long-Term Care for the Elderly”.

One of the biggest misconceptions about the CLASS Act (Community Living Assistance Services and Support Act) is that “it will help the elderly receive care at home.”

But, the CLASS Act legislation requires that you must pay premiums for 5 years AND must be working for at least 3 of those 5 years in order to be “vested” and eligible to make a claim.

Therefore, the CLASS Act will not be an option for those who are already disabled (and unable to work),  those who are retired or those who choose not to work.

The real message of the CLASS Act is that the government is trying to get out of paying for long-term care.

Fortunately, there’s good news.  This article notes that ten of the leading long-term care insurers are currently paying over $4 billion in long-term care claims every year.

(That’s an increase of more than 53% over 2007.)

Each year, the industry as a whole is incurring over $10 billion in claims.

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Long-term care insurance is not for sissies!

The NFL and the NFL Alumni Association announced recently that they’ve signed an agreement with a leading long-term care insurance company to provide long-term care insurance benefits to retired NFL players.

Mike Ditka was one of the former players who lead the push to get the NFL to agree to provide the long-term care benefits.

If there was ever a man’s man, it’s Mike Ditka.

Mike Ditka Chicago Bears Head Coach

Mike Ditka Chicago Bears Head Coach

He is in the “Top 100 NFL’s Greatest Players“.  As a player, his nickname was “Iron Mike”.

He revolutionized the position of tight end and helped the Chicago Bears win the NFL championship in 1963.

Years later he became the head coach of the Bears and led one of the greatest teams in NFL history to a Super Bowl victory in 1985.

He’s one of only two men to win a Super Bowl as a player, an assistant coach, and a head coach.

“Iron Mike” Ditka believes in long-term care insurance.

 


Here are some of my favorite quotes from Mike Ditka:

“You’re never a loser until you quit trying.”

“Success isn’t permanent and failure isn’t fatal.”

“Success isn’t measured by money or power or social rank. Success is measured by your discipline and inner peace.”

“If things came easy, then everybody would be great at what they did, let’s face it.”

“If you are determined enough and willing to pay the price, you can get it done.”

“I always tell people I want to live to be 150 and they say why would you want to do that. I say, well there’s a few people I haven’t made mad yet, I want to get them.”

“Here’s what I tell anybody and this is what I believe. The greatest gift we have is the gift of life. We understand that. That comes from our Creator. We’re given a body. Now you may not like it, but you can maximize that body the best it can be maximized.”

“Before you can win, you have to believe you are worthy.”

“What’s the difference between a 3-week-old puppy and a sportswriter? In 6 weeks, the puppy will stop whining.”

 

Here’s a link to Mike’s biography at the Chicago Bears website.

Here’s a link to the press release announcing the new long-term care insurance benefits for the retired NFL players.

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The real message of the CLASS Act!

After the healthcare reform bill (PPACA) passed in March 2010, some people mistook the CLASS Act program as some type of new entitlement.

The Community Living Assistance Services and Supports Act (aka The CLASS Act) is the exact opposite of an entitlement program.

 

The message the federal government is sending to all of us through the passage of the CLASS Act is:

YOU have to pay for your own long-term care!

The CLASS Act’s $50 per day “average benefit” will only cover a small portion of the $75,000+ per year many Americans pay right now for in-home care.  Most people who want to protect their savings will still need to purchase long-term care insurance to supplement the CLASS Act benefit (or instead of the CLASS Act benefit.)

One of the biggest budgetary problems we face in this country, is that most Americans still believe that Medicare or their medical insurance covers the cost of long-term care.

The CLASS Act helps to address this problem by clarifying that you either have to pay for your own long-term care by using:

  1. your savings,
  2. the “average $50 per day” CLASS Act benefit,
  3. long-term care insurance,
  4. or a combination of these


Most of the ten million Americans who have purchased long-term care insurance, have done so because they’ve seen friends or family forced to spend down their assets before qualifying for Medicaid.  The CLASS Act will help alert the rest of the country to the fact that we all need to prepare for our future long term-care needs.

To learn more about the CLASS Act,
click any of the following links:

13 facts about the CLASS Act

When does the CLASS Act become effective?

Are the CLASS Act premiums projected to be higher or lower than long-term care insurance?

How is the CLASS Act better than a long-term care insurance policy?

Learn how over 37 states have created a new way for you to protect your assets with a government-approved long-term care policy

Who should NOT own long-term care insurance?

A very well-written article was printed in the Times Union paper (and on their website) this past Sunday.

The writer interviewed some financial planners and elder law attorneys who specialize in estate planning and Medicaid planning.

They answer many of the more common questions related to long-term care planning and long-term care insurance, like:

  • Who should not own long-term care insurance?
  • How much should someone have in net worth before they should decide to “self-insure” for long-term care?
  • How much does long-term care insurance cost for most people who buy it today?
  • What age is “too young” to buy long-term care insurance?
  • What is the best age to buy long-term care insurance?
  • What questions should you ask before you buy long-term care insurance?

Here’s a link to the article:

http://www.timesunion.com/default/article/Preparing-now-for-the-long-term-972399.php

 

 

 

 

 

 

The difficulties that lie ahead for the CLASS Act

Howard Gleckman, author of “Caring for Our Parents” does a superb job of explaining the difficulties facing the CLASS Act program (Community Living Assistance Services and Support Act).  In order for the CLASS Act program to be successful, the federal government will have to balance a lot of competing interests.

The Secretary of Health and Human Services (HHS) needs to try to maximize enrollment in order to keep the program solvent because taxpayer dollars cannot be used to pay any of the claims made by the participants (enrollees).

It is a voluntary program.  Every employee (or self-employed person) can choose to opt-out of the CLASS Act program.  Therefore, if premiums are too high, not enough healthy employees will enroll in the program–they will simply opt-out.  If premiums are too low, it will become insolvent because the only people who will participate will be those with severe disabilities and chronic illnesses.

Although the CLASS Act program “became effective” on January 1, 2011, they have only begun to hire staff and set up the offices in the Administration on Aging.  The exact benefits and premiums will probably not be determined by the Secretary of HHS until October 2012.  Enrollment for the CLASS Act program will probably begin in the first or second quarter of 2013.

Here is a link to Howard Gleckman’s superb eight-minute interview with the Urban Institute:

http://www.urban.org/publications/500204.html

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Aren’t the most expensive long-term care policies the best long-term care policies?

A woman in California recently asked me why one long-term care policy was almost twice as expensive as some of the other policies I’d compared for her.

It’s a good question and it reminded me of a story.

A few years ago, I compared several long-term care policies for  a woman in Florida.  She had applied for a policy with a leading long-term care insurer.  After she’d applied she thought she should shop around and compare to make sure she had made the right choice.

I first asked her about her health history because that can be a big factor in determining what each policy would cost.  She was in perfect health so she was able to get the lowest rates from each of the top long-term care insurers.

We then discussed the specific benefits that were in the policy she’d just applied for.  I wanted to make sure I did an “apples to apples” comparison for her of the main features of the policy, particularly the:  Daily Benefit, Inflation Benefit, Policy Limit, and Elimination Period.

I compared those same benefits with several of the top long-term care policies.

It turned out that the policy she’d applied for was the most expensive policy of the ten policies I compared. I showed her how she could get the same benefits, from a company with HIGHER financial ratings, for about 40% LESS premium.

Unfortunately, she did NOT take my advice.

She said, “Thank you for showing me that I already have the best policy.”

I asked, “How did I do that?”

She said, “The policy I have is by far the most expensive policy, so it must be the best.”

I was so surprised by her statement that I just wished her well and hung up the phone.

Most of us assume that the more expensive something is, the better it is.  That may be true for cars or laptops or smartphones, but, it’s not true for long-term care insurance.

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Does the CLASS Act become effective on January 1, 2011?

When does the CLASS Act (Community Living Assistance Services and Supports Act) become effective?

There is a lot of confusion about when the CLASS Act becomes effective.  Many reputable sources have erroneously stated that the CLASS Act starts on January 1, 2011, including Kaiser Health News, The National Federation of Independent Business (NFIB), and even major news organizations.

The Department of Health and Human Services will only begin to hire actuaries and administrative personnel, in January 2011.  They will start to develop the details of the CLASS Act program.  However, the Dept. of HHS has until October 2012 to decide on:

  • how enrollment will be handle,
  • how the benefits will be tiered (depending on one’s level of disability), and
  • how much it will cost to participate in the program.

Once the details are released (sometime in 2012), there will be a 90-day period for “public comment”.  Then enrollment will begin (probably in the first quarter of 2013.)

Since the CLASS Act requires that premiums be paid for 5 years before any benefits can be received, the earliest any claims can be made by enrollees will be somewhere around 2018.

To learn more about the CLASS Act, click any of the following links:

How is the CLASS Act better than traditional long-term care insurance

Why are the CLASS Act premiums projected to be so much higher than traditional long-term care insurance

The 3 big disadvantages to the CLASS Act

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