The High Cost of Not Having Long-Term Care Insurance

 

Long-term care insurance is a crucial financial tool that can protect you and your loved ones from the significant costs associated with long-term care services. Unfortunately, many people overlook the importance of this coverage, leading to potentially devastating financial consequences.

Understanding the Risks

• Rising Costs: The cost of long-term care services has been steadily increasing over the years. Without insurance, you may be forced to deplete your savings or rely on family members to cover these expenses.
• Medicaid Dependence: If you're unable to afford long-term care out-of-pocket, you may need to qualify for Medicaid. This can involve a significant asset depletion process, potentially jeopardizing your retirement savings.
• Emotional Burden: The emotional stress of facing a long-term care need can be overwhelming. Having insurance can provide peace of mind and allow you to focus on your health and well-being.

Potential Consequences of Not Having Long-Term Care Insurance

• Financial Ruin: The cost of long-term care can quickly drain your savings and retirement funds, leaving you financially vulnerable.
• Family Strain: The burden of caring for a loved one can be physically, emotionally, and financially taxing on family members.
• Loss of Independence: Without adequate care, you may be forced to give up your independence and move into a nursing home.

Why Long-Term Care Insurance is Important

• Financial Protection: Long-term care insurance can help cover the costs of care, protecting your savings and assets.
• Peace of Mind: Knowing that you have insurance can alleviate stress and anxiety about your future.
• Flexibility: Many policies offer a variety of benefits, including coverage for in-home care, assisted living, and nursing home care.
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If you're considering long-term care insurance, it's important to:

• Start Early: The earlier you purchase a policy, the lower your premiums are likely to be. Be aware that some carriers have higher minimum ages than others.
• Evaluate Your Needs: Consider your family history, health conditions, and desired level of coverage when choosing a policy.
• Shop Around: Compare policies from different insurers to find the best deal for your needs. This includes "stand alone" polices as well as life insurance with living benefits, which can also help solve the problem of paying for these services.

By understanding the risks and benefits of long-term care insurance, you can make informed decisions about your financial future.

If you have questions about long term care, please drop us a note or schedule a short phone or Zoom appointment.

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. Please subscribe to this blog!

Do You Need Short Term Home Healthcare Insurance?

As we age, our chances of needing some form of long-term care increase. This could mean needing help with activities of daily living (ADLs) such as bathing, dressing, and eating, or needing more specialized care such as skilled nursing.

Long-term care can be expensive, and many people don't have the savings to cover the cost. This is where short-term home healthcare insurance can help.

Short-term home healthcare insurance* provides coverage for a limited period of time, typically up to one year. This type of insurance can help pay for in-home care, such as help with ADLs, as well as short stays in a nursing home.

There are many benefits to having short-term home healthcare insurance. Here are a few of the most important:

• It can help you stay in your own home. Many people prefer to age in place, and short-term home healthcare insurance can help make this possible. With this type of insurance, you can get the help you need to stay safe and independent in your own home.
• It can help you avoid out-of-pocket costs. Long-term care can be very expensive, and short-term home healthcare insurance can help you cover some of these costs. This can save you a significant amount of money, especially if you need care for a prolonged period of time.
• It can give you peace of mind. Knowing that you have short-term home healthcare insurance in place can give you peace of mind. If you do need care, you'll have the financial resources to get the help you need.

If you're considering short-term home healthcare insurance, there are a few things you should keep in mind. First, you'll need to make sure that you qualify for coverage. You'll typically need to be age 50 or older and have a good health history.

Second, you'll need to decide how much coverage you need. The amount of coverage you'll need will depend on your individual needs and circumstances.

Finally, you'll need to shop around for the best policy. There are many different short-term home healthcare insurance policies available, so it's important to compare rates and benefits before you buy.

If you're thinking about getting short-term home healthcare insurance, I encourage you to do your research and talk to an insurance agent. This type of insurance can provide peace of mind and financial security, and it could be the right choice for you.

Contact us about your options. If you have questions, you can schedule a short phone call with one of our agents.

*Plans are not available in all states.

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog!

The Basics Of Dental Insurance

One of the most popular benefits people want to discuss when enrolling for their benefits is their dental insurance. I have always felt that the reason they ask about dental coverage is because they know they will use it, even if it's just for the preventative benefits. And in the back of everyone's mind is the scenario of breaking a tooth while eating popcorn or a candy bar. 

Dental insurance, like health insurance, is typically supported by networks of doctors, who agree to fees for certain services. This can help dental patients with the fees for "basic" services such as fillings or extractions, or "major" services, like root canals or crowns.

There are plans available that will allow one to go out of the network for these services, which may mean paying more out of pocket, but they still cover the bulk of the costs. For those who live in rural areas where finding a doctor in a certain network can be difficult, this is a still a good option.

And there can be waiting periods, depending on the plan. I have seen some plans that only cover preventative (cleanings and x-rays) for the first year, while others may offer basic services. 

There is a good reason for this. Many people will tell me "I need a root canal, so I better get some dental insurance." The insurance carrier doesn't want to receive a couple of months of premiums (let's say $200 for the family) and have to pay out a $2000 claim right off the bat. Makes sense.

At Surf Financial Brokers, shopped around and looked at several plans that our clients would want. So now we offer a plan that includes vision and hearing coverage as well, and allows clients to receive services in or out of the network. If you are interested in such a plan, you can go to our website and run your own quote for you or your whole family. And if you see a plan you like, you can even start your own application. 

Dental coverage is an important way to avoid unforeseen situations that are painful, inconvenient and expensive. And our teeth are important for our quality of life, as well as part of a great smile.

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life, disability, long term care, cancer, accident and other insurance coverages in North Carolina, South Carolina, Virginia, Tennessee and Georgia. He's also is a professional speaker helping sales people be more productive and efficient, and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog!

What Is The Current State Of Long Term Care Part 3

In the previous posts we took a look at what Long Term Care (LTC) is as well as how those who suffer from chronic illnesses are cared for in various types of facilities. As explained, stays in nursing homes and assisted living facilities are not cheap. Statistically 2 out of every 5 people will need some sort of LTC services, and the cost of those services is steadily rising each year. 

We also discussed a couple of ways to shift the burden of the expenses to an insurance carrier, through either a traditional stand alone Long Term Care insurance (LTCI) policy or a life insurance policy with living benefits. Depending on one's financial situation, age and health conditions, one option may be preferred over the other.  However, there are still another way to help cover the costs of LTC services. 

Short Term Home Healthcare (STHHC) insurance is a great alternative for those who possibly can't afford the premiums of a LTCI policy. As most people would prefer to stay in their own homes instead of a facility, a STHHC is an obvious choice. Especially with Covid wreaking havoc in nursing and assisted living facilities. home healthcare is a better option. But there is a caveat. 

The costs of home healthcare are much higher than staying in a facility. This makes sense if one considers that one-on-one care will cost more compared to a facility where several staff members watch over dozens of people at once.

As I mentioned in a previous post, my father suffered from Parkinson's Disease and insisted on being in his own home. His in-home care company was charging him in excess of $75,000 each year! He barely had the funds from his pension and some rental incomes and fell short each month. To subsidize the shortfall he was dipping into his home equity line, which our family was unaware of until he passed away. 

A better way to pay for the cost of home healthcare is the purchase of a Short Term Home Healthcare insurance policy. The cost of one of these policies is not nearly as expensive as a traditional LTCI plan and the application process is very simple. However there are a few drawbacks. 

The policy only covers in home care and for a total of 365 days. Given that some people only receive in-home care services a few days of the week, the 365 days don't have to be consecutive. In other words, the policy can be used over several years potentially. 

The applicant for one of these policies must be 60 years old and the rates do go up every five years, so these are points that must be taken into consideration. However, I still recommend this coverage to our clients who are looking into LTCI. 

For a good explanation of the policy and how it works, you can watch a short video by clicking here. 

Trying to self-fund long term care expenses is difficult for the vast majority of Americans. There is a myth that the government will take care of us, but it's not true. With our life spans getting longer it doesn't mean that the quality of life is better as we age. Making sure that we don't burden our families as our health declines should be a priority for most people. 

As we plan for our retirement years we need to seriously take into consideration that our health will decline and there will be expenses to deal with. Let us help you with planning and if you have any questions let us know. In the meantime, please stay healthy!

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog!

What Is The Current State Of Long Term Care? Part 2

In the previous post we looked at Long Term Care (LTC) services and when people need them. Included in that summary was how expensive LTC can be. As discussed, someone can work their whole life to build a nest egg of assets, only to have those assets depleted due to a chronic illness. The alternative is to shift that financial risk to an insurance company by taking out a policy while one is still insurable. 

We also covered one of the options which was a life insurance policy with "living benefits" or a LTC rider to help cover these expenses. One advantage of this is that if the insured should die unexpectedly, the policy will still pay a death benefit.

Another option is the traditional stand alone Long Term Care Insurance (LTCI) policy. These insurance policies have been around for a relatively short period of time and there have been a lot of changes over the years. And even though they are pretty comprehensive in that they can help pay for care in a facility or for "in home" care, they also can help pay for other expenses, like construction of a ramp or "informal caregiver" training, when a family member is involved. 

There are other issues that one needs to be aware of when it comes to LTCI. First, the underwriting process is different (as in stricter) when someone applies for coverage. The carrier may want to have a cognitive test done, for instance. I had a client get declined for coverage because he had a history of heart problems and smoked a few cigars each week. Separately they may not have been a problem but the underwriter put the two together and saw that as a potential risk. 

Also, most stand along LTCI policies usually have a provision that allows the carrier to raise the rates on the policy, unlike the previously mentioned life insurance which would "lock in" on a rate. After the financial crisis of 2008, several companies increased their rates on their in-force books of business, some doing it more than once. For those who are trying to do the right thing and plan ahead, this provision can come back to bite them.

Yet another thing to consider is that a lot of insurance carriers have gotten away from offering LTCI policies. These companies have either stopped selling new policies but still keep the old ones on their books, or they have sold the books of business to other carriers. This is due to the fact that when these policies were developed they did not have a lot of claims history to go on when setting the premium rates. As claims mushroomed, the number of carriers offering these policies shrunk. 

One more thing to be aware of is how these policies pay. Typically, LTCI pays claims as a reimbursement, which means the insured will need to send the bills for LTC expenses to the insurance company. Most nursing and assisted living facilities will take care of this matter for you, but remember that if you are a patient in one of these facilities you may need to rely on a family member to handle this. 

With all of that to consider, I still think that LTCI can be a great value as long as the client is aware of how they pay benefits and the multitude of features. A good agent will discuss all of this with a prospective client in detail and should also include other family members as well. These policies may seem expensive but can save you and your loved ones tens of thousands of dollars.

In the next post we'll look at one more option that is available. In the meantime, please stay healthy! 

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog! 

What Is The Current State Of Long Term Care? Part 1

Over the past year nursing homes, assisted living facilities and other facilities that house the chronically ill, mostly the elderly*, have been ravaged by Covid. The numbers of infections and deaths are heartbreaking, especially since the vast majority of these people are isolated from their families. But why are all of these people in these facilities to begin with? Are there other options available and what do those options cost?

In general terms, most of the people who are in these types of facilities are deemed "chronically ill", which means that they will be ill for a long period of time and there is no cure. Some will receive some rehabilitation but getting them back to 100% is not possible. An example of this could be an older person who has broken a hip which will prevent them from walking again. 

Medically speaking, long term care (LTC) services are for those who are unable to perform or need help with Activities of Daily Living (ADL's). These are:

• Bathing
• Transferring (going from the bed to a chair, for example)
• Dressing
• Using the toilet
• Eating
• Incontinence

Paying for these services can be expensive. Many people find out too late that Medicare will not cover the costs of assisted living facilities and will only pay for skilled nursing care for up to 100 days, and that is only if you are released from a hospital. In other words, the smart move is to begin looking for LTC insurance early on when you are healthy and insurable.

Most LTC policy's benefits will be triggered if someone is unable to perform two of the six ADL's. Another way to trigger the benefits is to be cognitively impaired, i.e. Alzheimer's or dementia.

There are other types of facilities as well, which mostly are non-medical. Think of an apartment but has meals and someone checks in on you. LTC policies generally don't cover these types of facilities.

Let's assume that you are reading this and are healthy enough to go through the underwriting process with an insurance carrier. What are your options? My suggestion is to call a few facilities in your area** to find out what they are charging their patients. Most are pretty good at giving you rates, but be aware that some will give you a monthly rate and others a daily rate, which is an industry norm. 

With that valuable information at your disposal you can begin to look at ways of covering those costs. Needless to say, these services can be very expensive and it can easily take a few years to wipe out any assets one may have spent a lifetime working for.

Let me say right off the bat that there are a limited number of available "Medicaid beds" in each facility, but to be eligible for those one has to prove a level of indigence. In other words, you are limited in the assets you own and there is a "look back period", which at the time of this writing was 60 months. This is to avoid someone from transferring all of their assets to a family member so they can get free nursing care. 

Going back to our options, if you are young enough you may want to look into a life insurance policy with LTC or "living benefits" as part of the policy or even a rider. This locks in the rate for your coverage and if you should pass away before you use it the life insurance will pay a death benefit to your loved ones. 

The nice part about this option is that it pays you a percentage of the face amount of the policy once your doctor says that you can't perform 2 of the 6 ADL's or if you are cognitively impaired. Once the benefits are triggered they pay until they run out.

In the next post I will go over a couple more options. In the meantime, check us out on the web and please stay healthy!

*One of the myths of nursing facilities is that only the elderly are patients, when in fact nearly a third of the patients are under the age of 65.

**Costs vary dramatically depending on your geography.  

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog! 

Life Insurance and Long Term Care Combo Products

If you or a loved one ever need help with daily living activities, you will discover that custodial care can be expensive. That’s true whether the care is provided at home, in an assisted living facility, or in a nursing home, and it’s especially true if care is needed for many years.

Long-term care (LTC) insurance is available, but insurance companies have learned that these costs can be steep. Premium increases for LTC insurance are in the news (for example, some press reports tell of cases where premiums have tripled in the last three years), and some insurance companies have dropped out of this business. Consumers face the prospect of paying thousands of dollars a year, every year, and never getting any benefit at all if it turns out that custodial care is not needed.

Some people might prefer another path to LTC coverage, such as a hybrid or “combo” product. In a traditional life insurance policy a consumer buys a product that will deliver a death benefit, but with a combo product, the consumer can obtain a rider that will offer a payout if the covered individual needs LTC.

Let's assume that our new friend Bob has an insurance policy on his life, payable to his son James. Bob’s policy has an LTC rider. So, if Bob needs LTC, that insurance policy will provide a benefit to help pay those bills. Regardless if Bob needs care and collects an LTC benefit, his life insurance policy will pay a death benefit to James at the time of Bob’s death.

Generally, in this situation, Bob would receive an “accelerated death benefit” to pay for care.  When someone receives such a payout, the amount of the lifetime benefit is subtracted from the death benefit that eventually will be paid to beneficiaries. Typically, a combo life insurance product would be some form of whole life or universal life, rather than term life insurance, although of late we offer a term policy that includes "living benefits".

The common aspect of this tactic is the absence of a “use it or lose it” drawback. With standalone LTC insurance, the money spent could wind up generating no return. With life insurance there will be a payout to someone at some point. The extra LTC coverage is another benefit that possibly will come in handy.

Acquiring LTC coverage in this manner usually avoids the threat of future premium increases. As another attraction, existing life insurance policies might be exchanged, tax-free, for a new contract that includes an LTC rider.

The attractions of LTC combo products, however, come with negatives as well. The underlying problem here includes the potentially disastrous costs of LTC, and this problem can’t be escaped by switching from one type of insurance to another. There often is a cost to adding an LTC rider to an insurance policy. These combo products may require a substantial outlay, which must be paid upfront or within relatively few years.

In addition, tax advantages may be lost with combo products. With most standalone LTC insurance policies, certain amounts of your premium count as a medical expense, which can potentially be deducted. That’s not the case with a rider to a life insurance policy.

As of 2017, people age 40 and younger can include LTC premiums up to $410 as a medical expense; that amount scales up as premium payers age, maxing out at $5,110 for those 70 and older. Those outlays are added to other medical expenses, and the amount that exceeds 10% of adjusted gross income can be taken as an itemized deduction.

Combo products vary widely, and so do individuals’ concerns on this issue. However, generally, people who only want LTC insurance might be best-served with standalone coverage, working with an insurance professional to hold down premiums. That said, if you are interested in life insurance such as whole life or universal life, it may be worth exploring the idea of adding LTC coverage, perhaps for an added fee.

There are a few factors we take into account when discussing these options, notably the age of the insured at the time of the application and, of course, their budget. A younger person may find a combo policy more affordable than an older person.

If you have questions or concerns let us know. In the meantime, please stay healthy!

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog! 

Do You Need Dental, Vision Or Hearing Insurance?

On occasion I work with enrollment companies helping people with their voluntary benefits. We have the usual line-up of products, with life insurance and disability plans available for the employees that we meet with. By far, the most requested products are the dental and vision plans. As a matter of fact, the employees will walk in to our one-on-one meetings and say something along the lines of "all I want is my dental and vision". 

There are those of us, myself included, who don't have access to group policies through an employer. For people who are small business owners, contract employees or otherwise self-employed, getting a good individual plan has been difficult. 

On an individual basis, dental plans are available but can be rather pricey. There are usually waiting periods as well, which can make the product unattractive to many people. With all of this in mind, I have been a bit resistant in including a dental plan in our line up of products. That is, until now. 

We have recently begun to offer a plan through one of our carriers, Manhattan Life, which solves many of the issues we have been concerned with. And even better, this plan not only covers dental, but vision and hearing too!

Another reason we have begun to offer these plans is because Medicare does not provide coverage for dental, hearing or vision and many of our clients have requested information for these services of late.  

Here are a few of the basic features*:

• No networks. You can go to any provider.
• A $100 deductible per year per person.
• The plan is available to people from ages 18-85. 
• You can include up to 3 children.
• You can choose your annual maximum benefit of either $1000 or $1500
• Guaranteed Issue (No health questions)
• Guaranteed Renewable. You can keep it as long as your like as long as you pay the premiums.
• No waiting period for preventative and basic dental services.
• Benefits for hearing exams and hearing aids.

(For a more detailed list of services, click here.) 

As mentioned above, not having a network means you can go to any provider. One thing to keep in mind though is that your doctor may or may not file your claim for you. The patient may have to pay the bill in full and submit the claim on their own. Because of this we recommend asking your doctor before receiving services so there are no surprises.  

One of the nice parts of this plan is that if one does not use the full maximum benefit for dental, they can use the balance for vision or hearing services. One of our partner agents was telling me how he only used a small portion of his benefits on the dental plan one year, so he used the balance to get new eyeglasses. That's maximizing your plan!

We have added a quoting tool to our website, but for your convenience you can run your own quote here.  If you like your quote you can even begin the application, which is easy to complete and only takes a few minutes.

Not everyone wants or needs dental insurance. But for those who do, we hope you take a few minutes to look at the plan and run your own quote. In the meantime, please stay healthy!

*Plans vary from state to state. Be sure to ask for a brochure for your state.

Chris Castanes is the president of Surf Financial Brokers, helping people find affordable life and disability insurance coverage. He's also is a professional speaker helping sales people be more productive and efficient and has spoken to professional and civic organizations throughout the Southeast. And please subscribe to this blog!