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Another avoidable, tragic situation caused by failure to plan for LTC

July 9, 2012 by Honey Leave a Comment

Today’s Dear Abby column again advises about grief caused by failure to plan for long-term care. I have pasted it beneath my blog.

The son states he built a new house to accommodate his mother. When his mother became fearful of his wife, she was moved to an assisted living facility. I have two thoughts about this: how traumatic it must have been for the mother to move at that point, and what a saint the wife is for attempting to be the mother’s primary caregiver!

We can only guess how long the son and his wife provided in-home care for his mother there before placing her in assisted living, where she remained for 10 years. The son states his mothers 10+ years of long-term care need left him financially, as well as emotionally drained, so we have evidence the mother had little income and wealth and that her son and daughter-in-law subsidized the cost of her assisted living.

The son states his mother died in 2007 and five years later he  is still guilt-ridden because he had to place her in an assisted living facility.

If this family had addressed responsible long-term care planning while the mother was healthy, perhaps the mother would have purchased  reasonably priced long-term care insurance (LTCi). Her LTCi would have paid for appropriately trained home health care providers the mother would not be scared of. Mother probably could have remained at home in these circumstances. This probably would have averted the family discord described, plus much of the son’s guilt-ridden grief. It also would have averted the financial drain described.

Why people don’t want to have a conversation about responsible long-term care planning while they are healthy and premiums are reasonable is beyond me.

From Dear Abby’s July 9, 2012 column:

DEAR ABBY: My mother’s Alzheimer’s became apparent after she was in a car accident. I should have noticed the signs earlier, but I didn’t. Her body recovered, her mind did not.

I built a new house with a separate suite for her. My wife and I tried to care for her for a year, but I’m disabled and Mom was afraid of my wife. There was never a moment’s peace. Fearing for our collective health, I finally placed Mom into an assisted living facility. It was one of the hardest decisions of my life.

My children criticized me but offered no alternatives. I visited her as often as possible. Because I could no longer drive, I sent someone with gifts and treats for her. Mom died in 2007 after 10 years in the facility. The last few years she didn’t know me from a doorknob. Her disease left my wife and me drained emotionally and financially. I still feel guilty for not doing more. The look of fear on her face haunts me still. Is this normal for someone in my circumstances? — ONLY CHILD IN FLORIDA

Filed Under: Denial, Helpful Information About LTC, Information About LTC Tagged With: assisted living, Dear Abby, Honey Leveen, LTC Insurance, the American Association for Long-Term Care Insurance, www.honeyleveen.com

Personal stories about long-term care

July 8, 2012 by Honey Leave a Comment

I enjoyed my good friend and colleague Margie Barrie’s column in June’s Senior Market Advisor Magazine.

Long-term care insurance allows you to have choices, access and options not just now, while you are independent, but through the final days of your life.

The following actual testimonials are from Margie’s column. They are written by LTCi claimants and families. Thanks to colleagues Mark Goldberg and Matt McCann for sharing these.

Written by a claimant’s husband:

“We bought our policy when we were 60. My wife had a stroke when she was 64. The stroke left her partially paralyzed, and we were devastated. She required care to just cope with the stuff you have to do every day to live. If it wasn’t for this insurance, she would have gone into a nursing home permanently. But because she had this protection, we could bring help into the house. We didn’t have to change the way we lived. Without the policy, I would have been the one who provided the care and my daughter would have had to quit her job to help me.

“Because we had this policy, it prevented us from having to change our life, and that made all the difference in the world. As far as I am concerned the value of having the policy is priceless. It’s probably the best investment we have ever made.”

Written by claimant’s daughter and son:

“We didn’t even know that mom and dad had long-term care insurance until they both got sick. This policy made helping them find the best care for their circumstances so much easier.

“We had no idea how flexible their policies were. The fact they had the choice of going into an assisted-living facility instead of a nursing home has given us both great relief. We might not have that option if we didn’t know we would have the dollars the policy provides them for the care.

“My brother and I have both applied for coverage for ourselves as we have experienced firsthand what the impact of having these policies can have. My parents never wanted to be a burden, and I don’t want to be a burden to my kids.

“I am a mother of two teenage  children and if I had to be the one who had to coordinate and provide my parents’ care, it would make my life impossible. My brother is in a similar situation.”

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Honey Leveen, Margie Barrie, Mark Goldberg, Matt McCann, Senior Market Advisor, www.honeyleveen.com

Forbes article almost (but not quite) gets it right

June 29, 2012 by Honey Leave a Comment

See my response below to an article by Howard Gleckman on Forbes online, June 28, 2012. The article is titled, “10 Questions to Ask Before Buying LTC Insurance.

Thanks for decent article on long-term care insurance (LTCi), Mr. Gleckman, but one part of your advice makes no sense to me. Why do you always recommend that people with net worth of under $200K do not need to worry about purchasing LTCi? 1) Many of these people have ample income to afford LTCi and 2)you readily admit that Medicaid-paid LTC leaves a lot to be desired as far as choice and quality goes. You admit that Medicaid’s future funding is uncertain. Why wouldn’t people with less net worth want the dignity, options and choices LTCi ownership provides?

Why do you advise that people with net worths of more than $2 million can self-insure? $2 million is not that much money and doesn’t throw off that much income. Even for people with many millions, they already designate their income to support their normal lifestyle. A sudden “hickey” of thousands upon thousands of $$ needed for LTC really cramps their lifestyle and can possibly threaten the welfare of the healthy spouse if equity is eroded paying for LTCi. Also, in these situations there is more money to bicker over and familiy members often quarrel over the quality and quantity of LTC their loved one needs. These type of fights may be largely avoided with LTCi ownership.

I sell lots and lots of LTC insurance to people with net worths under $200K and over $2 million. You do the public a dis-service with this advice.

Filed Under: Correcting Ignorant Public Figures, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Forbes Magazine, Honey Leveen, Howard Gleckman, LTC Insurance, Medicaid, www.honeyleveen.com

Long-term Care Insurance (LTCi) Can Help Reduce Fall Rates in Nursing Homes

June 28, 2012 by Honey Leave a Comment

A new study cited in the June 28, 2012 issue of Health Day http://consumer.healthday.com/Article.asp?AID=665947 reported that 21% of patients admitted to nursing homes in the U.S. suffered a fall within the first 30 days.  The authors noted unfamiliarity with the facility and staff contributed to these accidents.  On an optimistic note, the study found “…that higher levels of staffing with certified nursing assistants reduces the risk of patient falls.”

Most nursing home care in the US is paid for by Medicaid. Medicaid accepting facilities are notoriously understaffed. Since long-term care insurance provides additional financial resources, it often enables people to avoid Medicaid-paid nursing homes with poor staffing ratios. LTCi owners are much more likely than non-LTCi owners to be able to access long-term care at home and in facilities with better staffing.

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Honey Leveen, Long Term Care insurance, LTCi, Medicaid, Nursing Homes, www.honeyleveen.com

Are You on the Hook for Mom’s Nursing Home Bill?

June 26, 2012 by Honey Leave a Comment

In an article that EVERY Boomer should read, “Are You on the Hook for Mom’s Nursing Home Bill?” (http://online.wsj.com/article/SB10001424052702303506404577446410116857508.html), in the June 22, 2012 Wall Street Journal, Kelly Greene notes that “29 states have ‘filial support’ laws that could be used to go after patients’ adult children for unpaid long-term-care bills.”  And although these laws have not been enforced in many states,  “…Pennsylvania nursing homes have started routinely using the law to prod families into paying their elders’ bills or completing Medicaid paperwork on their behalf.”  And it’s a good bet that other states will begin to use their laws as Medicaid funding dries up and nursing homes become increasingly desperate to cover their costs.

So just when you thought Mom and Dad would receive their long-term care (LTC) in a local nursing home at the federal government’s expense, you may be asked to ante up – conceivably for hundreds of thousands of those dollars that you were planning to support your comfortable retirement!

 The answer, of course, is early planning.  “The best defense against such laws, elder-law experts say, is planning,” Greene continues. ‘If your parents aren’t multimillionaires, then you need to get some advice way early, maybe when they’re 65,’ says Carolyn Rosenblatt, aSan Franciscomediator, elder-law attorney and registered nurse. ‘By the time they’re in their 80s, most people need some help. How would you pay for that?’ 

The best way to eliminate this potential problem entirely is to begin a discussion of LTC insurance with your parents when they reach their 50s or early 60s at the latest.  And while you’re at it, you can begin planning to purchase your OWN LTC insurance so you don’t your children don’t have to suffer through the same emotional and financial stress in your later years.

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Baby Boomers, Filial support law, Honey Leveen, Kelly Greene, Nursing Homes, Pennsylvania, Wall Street Journal, www.honeyleveen.com

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Phone: 713-988-4671
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Email: honey@honeyleveen.com

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