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21. Why should I buy long-term care insurance?

The cost of care today is merely a reference point to plan for the ten or so years from now when care might be needed. When considering long-term care coverage it is very important to remember that the insurance is not for now -- but for the future.   This is why inflation protection is so important.

Assumption:

a) Nursing home rates will increase 5% compounded.

b) The average age of entrance to a nursing home is 78

Widower Jones is 65. He has assets of $300,000. His income, primarily derived from his assets, is about $100 per day. The cost of a typical nursing home in his area is currently about $180 per day. In planning for his long-term care needs, he has several options:

  1. Self-insure.
  2. Lifetime coverage of $180 per day without inflation protection.
  3. Three years of coverage at $180 per day with inflation protection.

 

Based on a 5% compound inflation factor, fifteen years into the future nursing home care will be about $360 per day ($180 x 5% x 15 years), but Widower Jones' income and assets have remained constant. Should he need four years of nursing home care, the following scenarios show what would happen to Widower Jones based on the above options.

SCENARIO 1: Widower Jones is on Medicaid. With $100 per day income, he will need to pay $260 per day from his assets. By the end of four years, he will have had to spend $379,000 ($79,000 more that his total assets).

SCENARIO 2: Widower Jones has lost $116,800 in assets. Adding his income to his insurance leaves $80 per day that must be paid from his assets.

SCENARIO 3: Widower Jones has lost $102,200 in assets. While his insurance covered the first three years, in year four, his income leaves $260 per day that must be paid from his assets.

* The figures used are approximate. In the State of New York, historically, nursing home rates have risen between 5% and 8% per year.

* New York State Partnership Report, 1998

 

Now it's time to design your plan.


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FAQ1121