Welcome to our changing society! In 1900, there were 75.9 million Americans. A century later, there are 75.9 million Americans over the age of 50!

Thanks to the miracles of modern medicine, we certainly are living longer. Even if those extra years of life are not without some need for care, the good news is our health and personal long term care choices have expanded to include more attractive options than ever before. Since there will be more and more of us calling for these services and wanting to maintain control over how and where we receive them, we need to plan to finance these increasingly expensive care options.

So here we have the last piece of good news. Quality private long term care insurance can be obtained and is surprisingly affordable.


Today, long term care insurance policies offer consumers flexible, comprehensive coverage in all current care settings. Many plans provide for future developments in long term care through their "alternate plan of care" provisions.


A decade ago
those who purchased long term care insurance policies were faced with very limited options in coverage for both nursing home and home health care. Policyholders watched as their once state-of-the-art policies became obsolete and shut them out from coverage for the more desirable new options in long term care that developed in the 1990s - assisted living facilities and adult day care. Major insurance carriers have now developed policies that solve the problems of the past.

Most policies today are comprehensive and are fashioned after a "pool of dollars" concept. They pay for care in any combination of settings, in any order of need, with no requirement for prior hospitalization. They will cover, up to certain limits set by the insured, costs of long term care incurred in either the community setting (home health care and adult day care) or in facilities (assisted living facilities and nursing homes).

The insured can choose, at time of application, the maximum daily benefit amount that will be covered, the benefit length, elimination period, and type of inflation protection. The maximum daily benefit amount and benefit length together determine the amount of dollars in the spending account for long term care.

  Example: A 5-year policy at $200 per day is calculated as follows:
5 x 365 x $200 = $365,000 in the spending account.

 

A lifetime or unlimited benefit length may also be chosen, which would give the insured an unlimited amount of funds in the spending account. All payouts, regardless of benefit length, are subject to the maximum daily benefit amount.

The elimination period (same as a deductible) is the number of days the insured will pay out-of-pocket before the policy begins to pay for care.

The automatic inflation riders protect the daily dollar maximums by raising the dail
y limit annually while maintaining a level premium. The policies can be customized to the insured, taking into account the following: age, health, assets, income, risk tolerance, etc.

Long term care insurance is filling the consumer demand for greater security while also being family-oriented. Under some policies, coverage is extended to provide for:

  • Bed reservation at insured's assisted living or nursing care facility while home for a visit or in hospital
  • Training for family members who want to provide some or all of the care
  • Survivorship benefits for the remaining spouse who, left alone, will now have a paid-up long-term care policy
  • Accelerated payment options for those who wish a fixed term to their premium payments (a good option for those still working)
  • Changes to the home environment to make it safer for the insured to remain there as long as possible
  • Greater flexibility in who can be paid to provide the care at home, extending in some cases even to family members or neighbors
  • Geriatric care management for insureds and their families to get help from professionals in lining up the care and/or equipment that's needed at home.
Carriers are recognizing that today's households come in many different sizes and shapes. Some are extending spousal discounts to committed partners and same generation family members who are unmarried and live together.

Nationwide coverage is offered by all of the major insurance carriers, regardless of the state where purchased. Several carriers extend their coverage worldwide while others extend it to specified countries.

Today's insureds can feel confident that their coverage, once secured, will readily adapt itself to our rapidly changing long-term care environment.
 


© 2002
N.P. Morith Inc.