Tag: LTC

What is Long Term Care Insurance?

What is Long Term Care Insurance?

What is Long Term Care Insurance?

What Is Long Term Care Insurance

Long Term Care Insurance Polices provide cash to cover the cost of your care when you cannot take care of yourself.

At some point, you may need help to get through each day. Hopefully, you have family and friends to help you, but even they can only help you to a point.

Many people find maintaining their independence and dignity an important value. Consequently, these people find Long Term Care (LTC) Insurance is an important part of their financial planning.

Defining Your Needs

You need to start thinking now about how you will plan for your own care down the road. “Long-Term Care” as a plan has many parts including:

  • Where you will live
  • What services you will need
  • What people you can depend on
  • How you will pay for everything
  • What legal considerations you need to address

Additionally, part of your plan might also include insurance.

What Can Long Term Care Insurance Help You Pay for?

Long Term Care Insurance can help you pay for:

  • Nursing homes & LTC facilities
  • In home daily living services
  • In home personal services

Who Needs Long Term Care Insurance?

According to New York Life Insurance Company, 70% of people age 65 and older will need help with daily living at some point. Moreover, almost 50% of these people will end up spending more than $107,000 on Long Term Care costs.

Reasons People Get LTC Insurance

Here are a few types of people that need Long-Term Care Insurance:

Do I need Long-Term Care Insurance?
  • Independent people who do not want to rely on their family to take care of them or pay for their care.
  • Prepared people that do not have reliable support they can trust to help with their care.
  • Determined people that want enough money to cover in home services so they don’t have to go to a nursing home.
  • Planning people that do not want to drain their retirement accounts with LTC expenses.
  • Finally, people that do not want to end up on Medicaid at any point in their lives.

Does Medicare Cover Long-Term Care?

Many of my clients have asked me if Medicare covers Long-Term Care costs and services. It is a good question, but perhaps not a good answer. The answer is no. Medicare does not cover LTC costs.

Why Doesn’t Medicare Cover LTC?

What is Medicare - Medicare Life Health Co.

To start, long-term care has mostly to do with the support and services you will need for daily living and personal care activities. These are not medical services. Consequently, they are not covered by Medicare.

  • For example, if you need to see a doctor or medical provider, that is a medical expense.
  • In contrast, if you need help using the toilet, that is a long-term care expense.

What About Medicaid?

Medicaid will eventually help you pay for LTC expenses. However, you must be considered below the poverty level before the Medicaid program kicks in.

As an example, my grandparents both lived to be about 87 years old. (Married 67 years!) They had enough money to cover their assisted living expenses for a while, but the last 6 months or so of their lives were spent on Medicaid. They had to do a “spend down” of all of their assets to cover LTC expenses. Once their funds were exhausted, Medicaid kicked in.

In their case, while they had money to spend, they had choices on where they lived and what services they used. However, as soon as the money was gone, they had to move to a place that had “beds” available for Medicaid recipients. As a result, they were moved around a lot in their last year.

On the much brighter side, they were together until the end and passed months apart. They were also happy and loved. So, even though the journey was difficult, we were all in it together. You can read a little more about my care-giving story here.

If you do not want to “spend down” your assets on LTC costs, you will need to have insurance to cover your care costs.

How Does LTC Insurance Work?

LTC is an insurance policy. Consequently, you take it out now to pay for a future event that may or may-not occur.

  • First, you pick a plan with an insurance carrier and structure it to fit your needs. This includes deciding how large of a benefit you want.
  • In addition, your decision will also depend on how much premium you can afford to pay a month for your policy.
  • Premium cost is based on age, and availability of policies are dependent on health underwriting. As a result, not everyone will be able to afford a plan, and not everyone will be able to get a plan. As with most insurance, the younger and the healthier, the better. So, start soon.
  • Then, you keep paying premiums until you need the policy. (Or you cancel the policy because you ended up not needing it. For example, you die before you needed it.)

When Do Long-Term Care Insurance Benefits Begin?

First, in order to start using your LTC policy’s benefits, a licensed medical practitioner will need to certify you chronically ill.

According to Mutual of Omaha, being chronically ill means, “You need help with at least two of the six activities of daily living for at least 90 consecutive days or you need continual supervision due to a severe cognitive impairment.”

The government defines Activities of Daily Living (ADLs), as “basic actions that independently functioning individuals perform on a daily basis.”

ADLs Include:

Caring for Elderly Parents - a how to guide from medicare life health co.
  • Bathing
  • Dressing
  • Using the toilet
  • Transferring (to or from bed or chair)
  • Caring for incontinence
  • Eating

So, you typically need to not be able to do at least two of these to start your benefits.

Do Benefits Start Right Away?

To start, it takes a bit of time to get the right paperwork completed by your doctor, sent in and then certified by the insurance company. Even then, your policy might not kick-in right away.

To keep the cost of LTC insurance lower, many insurance companies will build-in an elimination period. Often, you can decide how long this waiting period will be before benefits begin. Naturally, the longer the waiting period, the less expensive the policy.

Will My Policy Last Until I Die?

Typically, your policy has a set payout rate. This means that it will pay out up to a specific dollar amount. If you outlive this amount, then you will have to use other resources to pay for your care.

How Much will my LTC Policy Cost?

The cost of your policy will depend on your needs, cost of living in your area, your age, your health, and many other factors. To find out an exact cost, you will need to work with an agent to discuss your unique situation.

How Much Long-Term Care Benefit Do I Need?

This is also a question we can’t answer without knowing your needs and situation. If you are wanting a rough idea of what you may need, try out this Long-Term Care Insurance Calculator from Mutual of Omaha.

What are the Alternatives to Purchasing a Long-Term Care Plan?

Long-Term Care Policies are expensive. Additionally, if you wait too long they might not be available to you. One alternative is to spend down your assets until you qualify for Medicaid. If you do not have a lot of assets left by the time you need Long-Term Care, then this may be an option for you.

However, if you have saved money and do not want to drain it all away in medical costs, then you may have another option: Life Insurance.

Do I need life insurance in retirement?

“As an alternative to Long Term Care Insurance, some retirees consider Life Insurance Policies that have LTC riders or a Chronic Illness Rider. For example, an insurance carrier might offer a product (like an IUL policy) with an option to purchase up-front a rider that will cover long term care events. You can pay qualified long-term care expenses with the death benefit, naturally, before death. Then, when you pass, the insurance company pays what is left to your beneficiaries.”

From Our Article: Do I Need Life Insurance In Retirement.

Conclusions

In summary, long-term care insurance can protect you and your family against the rising costs of assisted living and nursing home care. However, it is expensive. You need to plan ahead to either secure LTC insurance early on, or find another option like life insurance with LTC riders.

medicare and medicaid difference guide
Please follow us:
What is Indexed Universal Life Insurance (IUL)

What is Indexed Universal Life Insurance (IUL)

What is Indexed Universal Life Insurance (IUL)? Do I Need One?

What is Indexed Universal Life Insurance (IUL)? That is a question we hear often as IUL’s have been increasing in popularity. I am sure we will hear it even more as they are expected to continue to rise this year.

They have become popular in our low interest bond market as an alternate way to grow savings fund conservatively for both retirement purposes and legacy purposes. However, not everyone needs an IUL. Let’s take a deeper look into what are IULs and who might need/want one.

What is Indexed Universal Life Insurance (IUL)?

An Indexed Universal Life (IUL) Insurance Policy offers insurance with a cash value in addition to a tax-free death benefit. Both the cash value and the death benefit are useful and attractive tax advantaged ways to provide for your family. The cash value can provide you tax advantaged income in retirement, and the death benefit can provide tax advantaged cash for your family when you die.

Premiums

IULs are structured so that premium payments cover not just the cost of insurance, but also the extra money needed to create and maintain the cash value of the policy. Each month the policy cash value grows with excess cash payments and interest. However, the policy is also debited by the cost of insurance and policy charges/fees.

Interest

The interest growth is tied to a financial index (like the S&P 500, Russell 2000, Nasdaq 100 and the Dow Jones) and usually with a minimum growth rate and a maximum (capped) interest rate. This allows participants to take advantage of market growth without having the threat of losing money. The tradeoff for this security is the growth cap. For instance, you might have a minimum interest of 2% and a cap at 12%. If the market loses money, you don’t. If the market grows 20% or 30%, you only see 12%.

The Flexibility of IUL

One of the main reasons, IULs are popular is their flexibility.

  • Premium Flexibility – The premiums are flexible each month. There is usually a minimum and maximum you can feed into the policy each month. Staying within your contracted terms, this allows you to let the accumulated cash value help in paying the cost of insurance if you miss a month’s premium. However, the policy will lapse if there is not enough cash value to cover the cost of insurance and fees. (This is true with most policies, unless you have a no lapse guarantee rider.)
  • Death Benefit Flexibility – You have the ability to increase or decrease your death benefit (subject to underwriting).

Do You Need Universal Life Insurance (IUL)?

Here are some reasons you might need an IUL.

  • First, if you are looking for another avenue to bolster tax advantaged (tax-free) cash flow in retirement.
  • Second, if you need to leave money after you die for final expenses, income replacement, debts, or estate taxes.
  • Finally, if you need an alternative to long-term care insurance.

Let’s break each of these down.

IULs for Retirement Planning

Sometimes you need another revenue stream in retirement. You probably have your taxable accounts (IRAs, Pensions, Social Security, Investments) to draw from as one stream. In addition, you might have tax free accounts such as a Roth IRA (or Social Security if you keep your tax threshold low enough), but often times you need another vehicle to in this tax advantaged category.

This is where an IUL’s cash value comes in. You can borrow against this amount in retirement and the loan is considered a tax free event. This is an avenue is not just for the super wealthy, but if you are looking for a place to grow a lot of money conservatively, this is a good place. It is also a good way to manage your tax exposure in retirement. Are you interested in keeping your taxes as low as possible in retirement? I suggest reading the book, The Power of Zero by David Mcknight to learn more.

IULs for Survivor’s Benefits

These are the traditional reasons for taking out life insurance, and they all stand-up in an IUL. You can structure your policy so that your beneficiaries will receive a lump sum of cash that is not taxed by the federal government. You will need to plan to see how much of a death benefit you will need to leave to help your family in paying off your expenses (funeral, medical) and your debts. In addition, your beneficiary(ies) might need to replace your income after you pass or pay off big ticket items to maintain their lifestyle. Moreover, the death benefit can offer money to help pay estate taxes.

IULs for Long-Term Care Planning

What is an IUL

Long Term Care Riders are a newer benefit of IUL policies. However, only some carriers offer them. Long Term Care Insurance can be very expensive… very, very expensive. Wrapping up the “cost” of insurance in an upfront IUL rider is one way to make it less painful. With an LTC rider, qualified long-term care expenses are paid using the death benefit before death. The insurance company pays what is left to your beneficiaries as a death benefit when you pass. Remember, Medicare doesn’t cover Long Term Care.

Action Steps

Now that you know what is Indexed Universal Life Insurance (IUL) Policy, here is what you can do next:

  • If you have decided that you want an IUL or want more information on one, you should talk to a licensed insurance agent. IUL’s are complicated. In addition, each company structures them differently. This is not a product you can just “click to buy!.”
  • If you have read through this article and thought, “not me” or “not now,” then I would encourage you to consider other alternatives to solve your planning problems.
    • Investing: If you need a place to access cash that is not taxable in retirement, make sure you are maxing out your Roth IRA first.
    • Insurance: If you need life insurance, but just not that much, check out final expense policies, or if you are younger, term life.
Please follow us:
Life Insurance in Retirement?

Life Insurance in Retirement?

Do I need life insurance in retirement?

Personal Finance and Insurance for Retirement

In retirement, you need a plan that will keep you healthy and happy for many years, but what happens when those years run out? Well, you need a plan for that too. Life insurance in retirement is one solution.

We all will end up in different financial places in retirement, and our cash flow and savings will dictate how our “final expenses” play out after we pass. Not everyone needs life insurance in retirement, but even if you don’t “need” it, you still may want it.

Reasons for life insurance in retirement and recommendations

Let’s break down some of the reasons for having life insurance in both the need and want categories.

1. No Savings

You may need life insurance if your saving plan didn’t quite pan out like you thought it would. According to a study done by Northwestern Mutual, 1 in 3 Americans have less than $5,000 saved for retirement. The average funeral costs between $7,000 and $9,000, and many people have large medical bills from their last days, so you can see how that math does not add up.

You might have Social Security coming in monthly or even a pension. However, you typically need that money for retirement living expenses. Unless you think you can save a little of that money each month in retirement, life insurance is a good idea. (Be honest with yourself. If you could not save it before retirement, you probably will not save it now.)

Life Insurance Recommendations

Your options will depend on your cash flow situation. First, you need to decide how much insurance you need. Second, you will need to see what you can afford to pay each a month in premium.

Final Expense – Term life and whole life insurance is usually too expensive when you are older, and your social security death payment is only $255. Final Expense Insurance will give you a smaller face value ($10,000 to $20,000 is very common) but it is priced accordingly. I recommend getting this insurance sooner rather than later, as the premiums will go up every year you get older.

Life Insurance for your final expenses has a bonus when it comes to cash flow – it is paid to the beneficiary directly and is not subject to federal income tax which can save hundreds/thousands. Moreover, because it does not have to go through probate delays, your family gets the money faster. Here is one last benefit. You can assign funds from the life insurance to be paid directly to your funeral home. This little convenience can be a big deal to your loved ones.

2. Market Volatility Concerns

Another type of retiree may want life insurance because they are concerned about their savings being affected by market losses. Maybe you are like “most Americans” who have an average of $84,821 saved for retirement. However, $85k well below what experts consider enough for living expenses. Think of what one bad market year could do to your nest egg.

Even if you had a couple million in retirement, there are reasons for life insurance in relation to market losses. It just depends on how much you are intending to leave behind and for what reasons.

Example

For example, one spouse dies right after a large market crash (hopefully unrelated). The crash leaves the other spouse with half their portfolio assets and the same amount of living costs. The surviving spouse can use the life insurance money to fill in the holes from the lost income and catch up in the market.

You could use this money to pay off a mortgage. Similarly, you could use it to handle any issues with the estate. In addition, it is always good to know that your loved ones will have cash to bury you, no matter what the market conditions.

Life Insurance Recommendations

  1. IUL – For those that have cash to pay premiums and market assets to protect, I recommend you talk to a licensed agent about an IUL – Indexed Universal Life Insurance. These policies offer flexibility for your particular phase in life. However, they are complex, so please talk to a professional about your options.
  2. Final Expense – For those that are mostly concerned about final expense costs (i.e. funeral, medical bills, credit card/loan balances, etc.), a small final expense policy might be your best bet.

3. Long-Term Care Considerations

What Is Long Term Care Insurance

As an alternative to Long Term Care Insurance, some retirees consider Life Insurance Policies that have LTC riders or a Chronic Illness Rider. For example, an insurance carrier might offer a product (like an IUL policy) with an option to purchase up-front a rider that will cover long term care events. You can pay qualified long-term care expenses with the death benefit, naturally, before death. Then, when you pass, the insurance company pays what is left to your beneficiaries

Life Insurance in Retirement Summary

I would recommend some form of life insurance to retirees.

  • If you can afford to be responsible for your final expenses, do it. Your family will appreciate it.
  • If you can afford to make sure your spouse can continue to enjoy retirement when you are gone, hop to it.
  • If you are looking for an alternative to Long Term Care Insurance, call an agent and learn your options. Medical expenses are not getting cheaper. In addition, Medicare does not cover these.

My Personal Experience

I’ll leave you with my own family’s relevant story. Last year, when my father-in-law unexpectedly passed away, his Final Expense policy saved everyone time and from stress. This left my mother-in-law well taken care of financially, but a lot of her assets were not in cash at the moment.

It was a great relief for all of us not to have to jump through a bunch of hoops to get the bills all taken care of. The policy paid money directly to the funeral home and then sent my mother-in-law the rest in a check. All of that without a tax event. It made me grateful to have a family that planned for each other and made the last year a little less stressful for all.

Please follow us:
Social media & sharing icons powered by UltimatelySocial