Honey Leveen, Author at Long Term Care Insurance Expert | Honey Leveen

Same Old Story

February 2, 2021 by Honey Leveen Leave a Comment

Just a few months ago Al was enjoying his wife, family and traveling. An acute health event occurred – an aneurism, I think. Now Al will need a tremendous amount of long-term care, for a long time. His family was unprepared for this.

While the circumstances are not that unusual, this particular story hit me hard. Al is my age, only about 68; he was my high school classmate.

This couple had successful careers and saved for retirement. They were constructive, active, engaged, intelligent, business-literate people. But they didn’t prepare properly for long-term care (LTC). If their situation is like most I encounter, an ethical and wise professional, like me, probably knocked on their door many years ago asking to introduce them to how LTC insurance works. They decided they didn’t need LTC insurance and were comfortable enough to self-insure for LTC. After all, they probably wouldn’t need it.

They are now stoically in reactive mode, cobbling together Al’s plan of care, under duress. I bet they do have the money to self-insure for Al’s LTC but they’re reluctant to use it, especially because Al’s need for care could last decades.

Al may need round the clock care. If they had LTC in place, it would pay enough to at least offer respite, possibly changing the wife’s caregiver role enough so that she had opportunity to enjoy her husband’s company.

The following is his wife’s post, the names have been changed:

“Al was transferred to *** **** Lab on 1/18 and it took several more days to wait for Covid results. By the time I finally saw Al, 6 weeks had gone by since I called 911. The family had daily FaceTime conferences with Al while he was in the ICU, but nothing could have prepared me for how lethargic he appeared. Al did remember me, but correct orientation was so limited. I went into a panic mode when a few days later, I was informed that Al’s discharge date to our home would be on 2/11 and that he would require 24 hour supervision for safety, home health and a nurses aide. My mind worked overtime trying to get answers and accommodate our home while planning to keep Al safe. It was much easier to spend whole days at Al’s bedside. Our time together was just as sweet and tender as could be.

THEN, during the second week of rehab, Al started to wake up! He had more periods of lucid wakefulness. His eyes were open and he could hold his head up. Many of his positive, adorable attributes started to emerge, including wanting to wear the “executive director” hat when working with a young speech pathologist. He has such a strong intellect! Al is learning to motor plan for getting from in/out of a chair/bed and using a walker 300 ft with 2 rest breaks and physical assistance. His appetite is getting better and he can feed himself, brush his teeth and use an electric razor, with supervision to stay on task.

I’m being truthful to all of you so that there are no misunderstandings or hopeful inflations of what Al can and cannot do at this time. Al is making progress every day and it may take a year or more. Currently, Al has a limited understanding of his struggles and concrete orientation to time and place continues to be a challenge. He is trying to fill in the blanks of his memory files and it is our responsibility to ensure that he files the correct information. I discovered that this is why watching tv is not helpful!

Discharge planning is underway and all home equipment will be ordered. ***, ***, ***** and I did a complete Do it yourself makeover of Al’s ground floor home office. This room is accessible and a place where we will be living for however long it takes. We are lucky that we planned this addition with a ramp and French doors. In addition, there is an attached efficiency kitchen and full bathroom.

I help the nurses and therapists with Al’s care. I am lucky that patient care and rehab are the foundation of my OT career. This part does not intimidate me at all. While Al is at home, we will set up a daily schedule with music, current events for time and place, self help, seated cooking, games with grandkids, etc. Home will be a good place for continued recovery.

Before we left on our trip, we were in the process of joining ALL of our accounts and passwords. We ran out of time and did not complete this task, which was a big and costly mistake. Now that Al is not able to manage those accounts, I’m am locked out and and I had to obtain legal representation. My advice to friends and family, handle your affairs. Wrap it up in a bow for your trusted partner, family member or friend.

Thank you for all of the continued notes of love and concern. Al’s group of Brother/friends and wives/partners are a lifeline. I plan to lean on them once they get their covid shots. For all others offering help, that time will come when I may ask you.

Bye for now,”

The Latest LTC Statistics – 2021 Update

January 18, 2021 by Honey Leveen Leave a Comment

Christine Benz updates her “Must-Know Statistics About Long-Term Care” report every year and the newest LTC information is now available. She is a Personal Finance Director at Morningstar and these annual reports are packed with invaluable long term care statistics. We’re so grateful to her for this!

No stranger to the value of long term care, Benz openly shares about her obsession (her words!). Both of her parents required it later in their lives. Even though her parents had the funds to pay for their LTC, “… it was still a terribly hard process for them, my siblings, and me.”

Ms. Benz’s statistics cover a broad spectrum. If you click on the link to the report, you’ll find that each statistic is linked to the underlying research.

Some Interesting Long Term Care Statistics

How long will we actually use our long term care coverage?

Women will need more LTC than men.
48% of us will likely need LTC for less than a year.
21% of us will likely need LTC for 2-5 years.
13% of will will need LTC for more than 5 years.

She shows us who and at what age people will need LTC, and how long they’ll need LTC coverage. Women will need more LTC than men. Although 48% of us will need LTC for less than a year, 21% of us will need LTC for 2 – 5 years and 13% of us will need LTC for more than five years.

The Dementia Factor

38% of Americans over the age of 85 have Alzheimer’s disease.
64% of those afflicted are women.
From 2000 – 2017, Alzheimer’s-related deaths rose by 145% (deaths from heart disease decreased by 9% over the same period).

The Costs of Long Term Care

LTC costs rose dramatically between 2000 and 2015. They’re now more than $208 billion/year.
51% of LTC costs were paid by Medicaid
The estimated lifetime cost of caring for a dementia patient is $350,174.
The median annual cost of living in a nursing home is $102,200 (depending on geographic location and facility amenities offered).

Statistics on the Unpaid Caregiver

34.2 million people provided unpaid care to someone 50 years or older during the past 12 months.
Over 75% of these unpaid caregivers are women.
The average age of these unpaid caregivers is 49.2, while 34% are 65 or older.
70% of caregivers experience work-related challenges due to their caregiving responsibilities.
If they are able to maintain their paying jobs, they report spending an additional 34.7 hours each week providing unpaid care.

Maintaining Your Independence

In light of the ever-increasing costs of long term care along with the increasing age of the U.S. population, the ability to afford effective medical care is more important than ever. Instead of relying on family or friends, consider the possibility of hiring trained professionals for your care. You can move into a safe, comfortable environment or receive regular visits in your own home.

Click here to receive a free, no-obligation quote for your own LTCi coverage. It’s a great time to learn what options are available to you in the future with just a little planning today.

The Question Every Millenial/Gen X-er, etc. Should Be Asking Their Parents

December 24, 2020 by Honey Leveen Leave a Comment

The blog below was written by my good friend and long-time colleague, Phyllis Shelton. I’ve re-published it because I can’t possibly think of a way to say it better. Thank you, Phyllis!

Okay. You need a grownup question to ask your parents besides,

Can I borrow the car keys? Or Have you seen my car keys?
When am I going to get a car?
Can I get a raise on my allowance?
Can I have a toy, ice cream, ANYTHING?

You are WAY PAST those whiny ones. Your parents (or someone) generally raised you out of them. They took care of you, good, bad or indifferent childhood as you may have had. They sheltered you, fed you, sent you to school, and kept you from dying before today from all the crazy things you did as a kid.

Now it’s your turn. We don’t ever, ever, EVER want to think of our parents as getting old and needing our help.

I get it. But think you must.

With the pandemic and news shouting at you on every device that saving for retirement is going to be even harder now, is it even possible to consider that you might have to step up and help your parents

…at the peak of your career

…when you are sending your own kids to college?

…when you are trying to make (or repair) your marriage to be the best ever?

Fortunately, you don’t have to…if you ask The Question.

Mom/Dad, do you have long-term care insurance?

Then before they can react, add “I really appreciate everything you have done for me. I want to know you will be taken care of someday just as well as you have taken care of me.”

If the answer is “yes,” ask them to show you where the policy is in case you need to access it suddenly.

If the answer is “mind your own business,” you have to be firm with “This is my business. You are my parents and I owe you everything. I want to be there for you, but I will need the resources so I can quarterback your care. I’m concerned that I won’t be able to do it myself plus take care of [name your spouse, children].

Oh honey we would never expect you to do that.

Then give me two minutes to tell you what I have learned from TIME, Inc.

Most long-term care which is care lasting longer than 90 days is not in a nursing home.
Most people are never in a nursing home.
A spouse (partner) can’t do it all. Mom will want to, but we want her to have time with [name your kids]. She will need time to rest and when is the last time she picked you up?
Hiring caregivers in 20 years could easily cost $40/hr. That gets to be a couple of hundred thousand a year pretty fast.
Those country club assisted living facilities are projected to be a quarter of a million a year in 20 years…couples can stay together when they no longer want to keep up their house and they look nothing like nursing homes…
Health insurance and Medicare don’t pay for long-term care. After about three months, you are on your own…pay with your own money, pay with some type of long-term care insurance, or go on Medicaid, which means spending down most of your retirement savings.
Over half of people age 65 are expected to need some type of LTC in their lives…probably won’t be nursing home care, but home care can actually cost more than a nursing home, depending on how much you have. [Reference another family if you know one that has spent an inordinate amount of money today…like “you know Jamie had to hire round the clock caregivers for his dad for four years at over $200,000 a year and he just passed away a couple of years ago. I can’t imagine what they would pay 20 years from now.]
Today there are policies that have guaranteed premiums so you never have to worry about rate increases and can be paid off early so you don’t have to pay premium in retirement.
Policies like these return the money to a beneficiary if you never need care so it’s not the “use it or lose it” kind.
There are policies that pay a cash benefit so you can save money by hiring anyone you want to take care of you.
All those benefits are tax-free.
There are policies that you can buy with your IRA or 401(k) if that’s the best way and even those can be tax-free after a few years.
There are even policies that protect your assets from Medicaid if you ever had to go in that direction. What worries me about this is with this pandemic, state budgets are really slashed and it might be tough to get much help from Medicaid when you need it.

I love you Mom and Dad and I’m bringing this up because I want to be sure you are taken care of as well as you took care of me [and name your siblings]. You have to check on this stuff when your health is good so that’s why I’m bringing it up now. If I gave you a couple of websites to look at, would you do that for me?

The Senior Housing Glut: Signs of Increasing Denial

February 3, 2020 by Honey Leveen Leave a Comment

Senior housing used to be a “sure bet” for investors. Their gamble was based on statistics that showed the Silver Tsunami of Baby Boomers turning 80 in the next 10 years. In anticipation of this aging population, investors rushed to back development of the housing units that would be required to meet the rising demands. And now they’re dealing with a lot of vacant properties causing a senior housing glut.

Mish Shedlock reports that this might be one of the biggest real estate miscalculations in recent memory.

What’s Behind the Senior Housing Glut?

There were double the number of new senior housing units built in 2018, compared to 2014. Senior housing units are expected to hit an all-time high in 2023. There’s now a large supply of this type of housing while occupancy rates are lower than expected.

My anecdotal observation is too many people fail to move into them as soon as they should.

Some experts think the vacant housing may be due to the improved ability we have to control the progression chronic illnesses.

There are seniors who just don’t want to live among a bunch of other old people. They may see it as a jinx. Others just feel depressed by the idea.

Technology is also a driving factor. Venture capital and other investment firms are expected to invest about $1 billion this year in “aging in place” technologies. That’s about double the spending from three years ago. As the Wall Street Journal reports, “Seniors would prefer to remain at home near families and friends than live among others their own age.” Advances in technologies help support those wishes.

Or at least create the perception that their care at home is comparable to the care they’d receive in housing designed for the care of its senior residents. My experience is that too many people postpone moving into these facilities, to their detriment.

That River of Denial

When long-term care is needed, no technology can replace warm, loving, human touch and the ready support of community and friends. At a time in life when you’re less mobile, or cognitively impaired, my opinion is home is often not the healthiest, safest place to be.

I personally believe that the desire to age at home has less to do with longer lifespans, better treatments, ageism, or technology. It has to do with the topic I most frequently write about: Denial.

I find that some people don’t want to admit they are in need or are approaching the time when they require more help. For example, elderly spouses, frail themselves, often choose to be primary caregivers, insisting “nothing’s wrong”. Denial often detracts from the dignified, graceful outcome that might have been possible.

Are you ready to plan for your best possible future? If so, click here to receive a free, no-obligation quote for your own LTCi coverage. The life that is waiting for you might surprise you.

The High Cost of Avoidance and Denial

January 20, 2020 by Honey Leveen Leave a Comment

Over the years, I’ve written multiple blogs posts about the importance of creating a solid long term care plan to address your late life wishes. Make the plan and share it with your family. And yet, time after time, I read horror stories about unnecessary suffering, neglect and even death because they never had “the conversation”. As if avoiding this important discussion gives them some artificial sense of control and safety. There is a cost of avoidance and it’s very high.

“I’d rather die than talk about this.”

The truth is that once chronic health problems arise, your ability to make good decisions often decreases. This is partly because your brain may have reduced cognitive powers. And also because making good choices becomes harder when you’re feeling panicked with fewer options. It’s really hard to see the big picture when it feels like your world is getting smaller.

Mr. & Mrs. Shaver Paid the Cost of Avoidance

As reported in the New York Times (Dec 2019), their love story is the thing movies are made of. A romantic courtship and a loving marriage of 60 years. Unfortunately, his wife starting showing signs of dementia. Even though his children encouraged hiring home care help, Mr. Shaver refused any discussion. “Mind your own business. I’m taking care of it.”

He had ample savings for their retirement, so we know the cost of hiring help was not the issue. As the sole caregiver to his wife, he was obviously aware of her declining state of mind. However, he was unwilling to make any move that would improve their environment.

It must have broken his heart to see the love of his life disappear from his life. She no longer recognized him or their daughters. One day, while she was asleep, her loving husband laid down in bed next to her and shot his wife. And then shot himself.

The Time to Plan is Now

I’ve been helping people create these plans for 30 years. One thing I’ve learned is that having such a plan in place provides a peace of mind and increases quality of living. Without the comfort of a strategy, the fear of aging only grows over the years. As you age, the concerns over injury (falling in the shower, tripping over furniture, dizziness from medications) can contribute to mounting fears.

Once the fear takes hold, it becomes harder to make clear and thoughtful decisions. I’ve done several blogs on age-related brain loss and cognitive decline.

For most of us, whether we’re middle class or more affluent, owning long term care insurance (LTCi) is critical for ensuring dignity, options, and access to quality long term care. But it’s not enough. You must have ongoing, difficult conversations with your family so everyone understands the outcome you desire.

Click here to receive a free, no-obligation quote for your own LTCi coverage. Your family will thank you.

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Same Old Story

The Latest LTC Statistics – 2021 Update

Some Interesting Long Term Care Statistics

Maintaining Your Independence

The Question Every Millenial/Gen X-er, etc. Should Be Asking Their Parents

From My Blog

Podcast Illuminates LTC Need

LTCI is Magical at Time of Need!

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