The Role of Long-Term Care Insurance in Your Financial Plan

Jeff Vistica
CFP®, ChSNC®, AIF®
September 30, 2024

Planning for the future often includes focusing on retirement, investments, and creating a legacy for your loved ones. One crucial aspect that’s sometimes overlooked is long-term care insurance. This type of insurance helps cover the costs associated with extended care, not typically covered by  Medicare.

Integrating long-term care insurance into your financial plan can safeguard your assets and provide peace of mind.

What is Long-Term Care Insurance?

Long-term care insurance is designed to cover services that support daily living, including help with bathing, dressing, and eating. As you age, there’s a possibility that you may need these services either at home or in a nursing facility.

The expenses for long-term care can quickly accumulate, potentially depleting your savings.

Policies vary, but most offer coverage for in-home care, nursing homes, assisted living, and adult daycare centers.

Some policies may cover care provided by family or informal caregivers, allowing more flexibility in your care arrangements.

Do You Need Long-Term Care Insurance?

When deciding whether long-term care insurance is right for you, consider your family’s health history and financial situation.

If your family has a history of chronic illnesses or extended care needs, this insurance could be a wise investment.

If your assets are substantial and you wish to protect them, a long-term care policy may avoid depleting your savings.

Many people mistakenly assume that Medicare will cover long-term care needs. Medicare only covers short-term stays in nursing homes or

limited home care under specific conditions. Long-term care insurance bridges this gap, offering coverage that Medicare cannot.

How Much Does Long-Term Care Cost?

One of the reasons long-term care insurance is so valuable is the staggering cost of care.

The national average cost of a private room in a nursing home can exceed $100,000 annually.

In-home care costs vary based on the level of care required but can still reach thousands of dollars per month. These figures may rise significantly due to inflation and increasing demand for care services.

How to Choose a Long-Term Care Insurance Policy

When selecting a long-term care policy, understand the different options available. Here are a few key factors to consider:

  • Coverage Amount and Duration: Determine how much coverage you’ll need based on long-term care costs in your location and the length of time you may require care.
  • Elimination Period: This is the waiting period before the insurance kicks in. Some policies have a 30-day elimination period, while others may be 90 days or more. Consider your savings and whether you can afford to pay for care during this waiting time.
  • Inflation Protection: Long-term care costs tend to rise over time. Inflation protection ensures that your policy keeps pace with the increasing cost of care, maintaining the value of your coverage.
  • Benefit Triggers: Most policies activate benefits when you cannot perform a certain number of daily activities, such as bathing or dressing. Understand these triggers and ensure they align with your expectations and needs.
  • Comprehensive vs. Facility-Only Policies: Some policies will cover in-home care, while others may only cover nursing home or facility-based care. A comprehensive policy offers more flexibility, allowing you to choose where and how you receive care.

Long-Term Care Insurance as Part of Your Financial Plan

Long-term care insurance isn’t just about protecting your savings. It’s about having options.

Including this insurance in your financial plan ensures your family won’t be burdened with difficult care decisions. Without insurance, your loved ones may have to make choices based on affordability rather than what’s best for you.

When Should You Purchase Long-Term Care Insurance?

Timing is a crucial factor when purchasing long-term care insurance.

You should begin looking into policies in their 50s or early 60s. Waiting too long can result in higher premiums or even being denied coverage if you develop a medical condition.

Another reason to purchase long-term care insurance sooner rather than later is the unpredictability of health issues. You may never need the policy, but should a long-term care need arise, having the insurance in place will significantly affect your overall financial picture.

Are There Alternatives to Long-Term Care Insurance?

While long-term care insurance is one of the most popular ways to cover the cost of extended care, it’s not the only option. Here are a few alternatives:

  • Self-Funding: If you have significant assets, you may self-fund your long-term care.

    While self-funding provides more flexibility, it also requires discipline and foresight to ensure your savings will cover your potential care needs.
  • Hybrid Policies: Hybrid policies offer life insurance and long-term care coverage.

    These policies pay for long-term care services if needed and provide a death benefit to beneficiaries if long-term care is never required.

    This type of policy can be cost-effective and provide peace of mind by addressing both life insurance and long-term care needs in one solution.  Long-term care annuity options are also available.
  • Medicaid: If you have limited income and assets, Medicaid may cover your long-term care needs.

    Medicaid has strict eligibility requirements.  You will need to deplete most of your assets before qualifying for coverage.

    Medicaid limits the facilities where you can receive care, which may restrict your options and compromise the quality of the care you will receive.

    Finally, navigating the Medicaid application process and staying compliant with its rules and regulations can be complex and time-consuming.

Final Thoughts

Incorporating long-term care insurance into your financial plan prepares you for the unexpected. It protects your assets, provides flexibility, and alleviates the emotional and financial strain on your loved ones.

While no one likes to think about the possibility of needing extended care, planning for it now can prevent significant challenges later on.

DISCLAIMER: Jeff Vistica is the managing principal of Vistica Wealth Advisors based in Carlsbad, CA. He is a CERTIFIED FINANCIAL PLANNER™, a Chartered Special Needs Consultant® a Chartered Financial Consultant® and an Accredited Investment Fiduciary®. He earned an Executive Financial Planner Advanced Certificate from San Diego State University and his bachelor’s degree from Loyola Marymount University. Vistica Wealth Advisors is an SEC registered investment advisory firm. Information was compiled from third-party sources believed to be reliable, however Vistica Wealth Advisors cannot guarantee the accuracy of that information. Hyperlinks to this third-party informational content and websites are provided solely for reader convenience. Information provided is for informational purposes only and does not intend to make an offer or solicitation for the sale or purchase of any specific securities, investments, or investment strategies. Prior to implementing any strategy, everyone is advised to consult with the appropriately licensed professionals to assess your individual situations and needs.

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