State of the LTC insurance industry - Long Term Care Insurance Expert | Honey Leveen

Practical, Useful Advice for Caregivers

October 29, 2019 by Honey Leveen Leave a Comment

Roslynn Carter once said, “There are only four kinds of people in the world – those who have been caregivers, those who are caregivers, those who will be caregivers and those who will need caregivers.”

Helping a loved one as their caregiver is a selfless responsibility many of us will take on at some point during our lives.

Readers of this blog already know how stressful caregiving can be. Things get harder without detailed planning. Long term care insurance (LTCi) can provide some financial security and peace of mind.

Challenges Caregivers Face

To help caregivers understand and find solutions to their challenges, EduMed created a fantastic online guidebook for caregiving success. I like this guidebook because it is brief, concise, and gives actionable advice. I read many stories about caregiver and patient suffering and hardship. Very few sources provide practical, useful advice helping caregivers find their way forward.

The guidebook begins by highlighting the challenges facing caregivers on a regular basis. It’s important to know that these experiences are shared by so many others.

These challenges include:

Time Management — How to juggle daily errands, feeding & bathing your loved one, doctor appointments and your own self-care.
Stress (physical and emotional) — Like headaches, chest pain, loneliness and/or anxiety.
Lack of Privacy — Your life is no longer your own, as the needs of your loved ones take priority. Whether or not they or the rest of your family appreciate your efforts.
Financial Strain — Even with your attentive care, medical bills might be adding up. Without proper planning and effective coverage from long term care insurance, the pressure easily builds.
Lack of Sleep — The added responsibilities of caregiving can often lead to increased anxiety or insomnia.
Isolation — Spending so much time caring for your loved one can limit the time you used to share with friends. The mere idea of lunch out can sound like a fantasy.
Burnout — The combination of physical, mental and emotional energy required can overwhelm most people.

Suggestions to Support Caregivers

Fortunately, this guidebook gives some practical advice that caregivers can follow. They boil down to 3 major areas:

Process (organize your tasks)

Make lists, capture appointments and reminders on calendars. Research the numerous phone apps that are available (Some suggestions are included in the handbook).

People & Community (connect with a support system)

You don’t have to do this alone! For example, consider building a support team so you can delegate certain tasks. Find support groups so you can connect with others to share your stories, your woes and your wins.

Self Care (don’t forget YOU)

Even the lightest exercise routine can make a difference in your outlook. So can healthy food choices. And don’t forget to make time to have some fun (remember fun?). You can’t help anyone when your own tank is running on fumes.

Choosing to take care of a loved one is a huge decision, not to be made lightly. With all of the uncertainty and self-sacrifice, one of the most helpful things you can do is plan ahead. As I’ve written in multiple posts, have the conversation today! Decide what that care will look like, what’s expected of you and a reasonable budget.

Perhaps you’ve been thinking about long term care insurance (LTCi) to help reduce some of these challenges. Click here to receive a free, no-obligation quote for your own LTCi policy.

LTC Insurance is Still Useful While Living in a CCRC

October 16, 2019 by Honey Leveen Leave a Comment

As a resident at Shell Point Retirement Community (SPRC), I have had a number of interesting, eye-opening conversations with my neighbors. Many of them believe that living in a Continuing Care Retirement Community (CCRC) is an opportunity stop paying for their long term care insurance (LTCi), now that their care is provided by the facility. On the contrary, there are plenty of reasons you’ll want to continue maintaining your LTC insurance in a CCRC.

Before you make this potentially dangerous decision for yourself or your parents, take a moment to review the following list of expenses that can by paid for by LTC insurance. Without the benefit of LTCi, these costs will be paid out-of-pocket by the resident or family.

1. Paying for Home Care

Sally’s mother lived in SPRC for 26 years. Although she needed care, her mother did not own long term care insurance (LTCi), since she believed the CCRC would cover the costs of her needs. Over the years, Sally’s mother was unwilling to accept the fact that her health was deteriorating and that she needed additional care. Ideally, she would have moved to the on-site assisted living facility or elected for home care. She would not admit this.

The majority of CCRC’s pay for assisted living or nursing home care, but they don’t pay for home care.

As you’ll hear in Sally’s video testimony below, her mother was unwilling to pay for home care, even though she could afford it. She wanted to preserve her estate for the benefit of her children. Her situation got so dangerous that Sally had to enlist intervention by a professional to “force” her mother into better care. Sally realizes now that the entire situation could have been avoided if her mother had been covered by a LTCi policy.

2. One More Story About Needing Home Care

When Hugh and his wife moved here to SPRC, they assumed that they no longer needed their LTC insurance in a CCRC, since the cost of assisted living and nursing care was included. So they stopped paying their monthly LTCi premiums and let their policies lapse.

In her last months, Hugh’s wife became extremely disabled, needing care above and beyond what the assisted living facility could legally provide. Hugh was advised to move his wife to the on-site nursing home so she could receive the care she needed.

While life in the assisted living center provides a cheery, home-like atmosphere, the nursing home is more sterile and institutional. Hugh just couldn’t bear moving his wife into the nursing home. So he chose to keep her in the assisted living facility and supplement her care with 24 hour a day caregivers.

Hugh had to pay for his wife’s caregivers out of his own pocket. As he shared his story with me, I told him about my work. He recognized how much he regretted giving up their long term care insurance. He knows that if they’d kept their policies active, the cost needed for his wife’s additional care would have been covered.

3. Visiting Your Hairdresser

We often see wheelchair or walker-bound residents in our beauty salons, restaurants, walkways, or swimming pool. These are typically assisted living residents. They’re accompanied by scrub-clad caregivers. The cost of this personalized care is paid out-of-pocket and can really add up over time. With proper planning, LTCi can often help pay for these costs.

4. Meals Aren’t Free

You had to eat before, and you continue to need to eat when you reside in an assisted living facility. Eating is not part of long term care. Your high quality care is paid by the CCRC, but meals are not included. In my community, for example, there is an additional charge of approximately $1,000/month to cover meals. LTCi can help pay for this.

5. Apartment Space

At our CCRC, if you live in a fairly small home, you’ll be assigned a smaller assisted living apartment. If, however, you want to upgrade and move into a larger apartment, LTC insurance can often pay for the additional cost of a larger assisted living apartment at the CCRC. That’s right! Your long term care insurance payments could help cover the extra charges for more spacious living or a better view.

6. The Unexpected Need for an Off-site Facility

Nancy’s husband was stricken with Lewy Body Dementia. If this sounds familiar, this is the same illness that actor Robin Williams suffered from. This form of dementia can damage thinking and alertness. Symptoms can include physical stiffness, hallucinations and even violence.

As a result of his condition, Nancy’s husband became physically violent and needed more care than SPRC could safely provide. Despite their best efforts, SPRC was unable to keep him on-site. Nancy was forced to find an off-site facility that could properly care for her husband. Those unexpected costs (paid without the benefit of LTCi coverage) nearly demolished her savings.

Hold On to Your LTCi

Moving to a Continuing Care Retirement Community (CCRC) does not mean it’s time to end your long term care insurance policy. In fact, this may be the time you most want that peace of mind.

Now is the time to start planning for your future needs. Click here to receive a free, no-obligation quote for your own LTCi policy.

Caring for Elder Orphans

October 8, 2019 by Honey Leveen Leave a Comment

Care for ourselves or our parents is often provided by family members. In fact, 80% of home care is given by one or more members of the family. But what happens if there isn’t family available? No spouse, no children nearby (or none at all) — this is the world of Elder Orphans.

They may live full and active lives. But when it comes to making plans for this chapter of their lives, most of this growing population is dangerously unprepared. This is a tricky segment of people to even properly identify, so most reports are subjective. Still, this is still an important aging phenomenon that needs our attention.

Elder Orphans are Aging Alone

Let’s start by understanding how one becomes part of this growing category of seniors. For starters, understand that it can be totally voluntary. For example, a person may be happily single in their later years, thoroughly enjoying the freedom and privacy living alone affords them. Or they chose to build a life without children.

On the other hand, this may not be the life they originally signed up for. The death of a lifelong spouse or a divorce can leave someone surprisingly single when they need someone most. Even if they have children, they may live too far away to provide regular, consistent home care. Sometimes, parents are estranged from their kids.

As you can see, a variety of circumstances can lead to becoming an elder orphan. Regardless of how they got here, there are specific and unique challenges they’ll have to manage. And, like so many long term care issues, ignoring them doesn’t change the needs they create down the road.

Financial Insecurity and Health Concerns

There are a number of groups in Facebook that have sprung up in response to growing needs. The most popular one, Elder Orphans – Aging Alone, has over 9,000 members! The group serves as a resource for information to its members and also provides some emotional support.

The group conducted an informal survey, as reported by the Washington Post. Of the 500 people who responded, 70% revealed that they had not identified a person who could take care of them when they could no longer care for themselves.

Respondents shared some of their most pressing fears for their future:

25% worried about losing their housing
23% reported having at least one incident in the past year where they lacked enough money to cover basic needs
40% admitted to struggling with depression

The Power of Community

To prepare to be an elder orphan, you must establish a strong, supportive community, way in advance of need. You need to have brutally frank, explicit, frequent conversations with friends, family, and all fiduciaries about your wishes. My husband and I have taken this advice. We live in a Continuing Care Retirement Community, even though we’re both active and in great health. In addition to knowing each others wishes. Our fiduciaries know our wishes. We tell friends of our wishes.

As for the financial concerns… long term care expenses can be manageable and affordable, with the proper planning. The time for planning is Now. You don’t have to navigate your future alone. The resources you or your parents will need are well within your grasp.

When you’re ready to take that first step, click here to receive a free, no-obligation quote for your own long term care insurance policy.

All the Single Ladies, All the Single Ladies… LTCi and Single Women

September 30, 2019 by Honey Leveen Leave a Comment

The need for long term care doesn’t think about your gender, your financial success or even your age. A life-changing medical crisis can barrel into your life when you least expect it, like an unexpected car accident. Or, it can sneak up on you, introducing subtle symptoms over time, barely noticeable. We see this, for example, with Alzheimer’s disease in people even in their 40s. What we do know is that single women are more in need for long term care insurance (LTCi) than others.

The Special Case for LTCi and Single Women

The two major factors driving the need of LTCi by women are longevity and caregiving.

It probably won’t surprise you to read that women live longer than men. More than two-thirds of Americans over the age of 85 are women. And 80% of centenarians are women. It’s no wonder most residents in nursing homes are women.

At the age of 75, almost 70% of women are single (widowed, divorced or never married). This means they typically live alone, without help with their daily tasks. And because of their historically lower earnings, single women at this age have significantly lower income from Social Security and other retirement plans.

Women are also more likely to be providing care for family members. 75% of people providing home care are women and typically a daughter caring for her mother. On average, she will devote 20 hours each week taking care of her mother. However, 1 in 6 caregivers will provide 40+ hours each week.

Older Women and Poverty

A report compiled by Justice in Aging last year found that out of the 7.1 million older adults that live in poverty, nearly two-thirds of them are women.

The report points to a number of issues that impact the incidence of poverty among women (You can click here to read the full report).

Wage Gap and Low Paying Jobs — 70% of workers earning $10/hour or less are women.
Caregiving — Caring for children and/or parents takes time away from paid employment.
Higher Health Care Costs — A 65-year old woman will spend $47,000 more in health care than a 65-year old man.
Domestic Violence — Affects physical and mental health, so it keeps women in poverty.
Wealth Gap — The Wage Gap reduces many women’s ability to accumulate wealth over their lifetimes.

If you are a woman, you are more likely to need medical care in your later years. Even if that care doesn’t begin until your 70s or 80s. If you have spent years taking care of parents and/or children, this is the time to start thinking about taking care of yourself.

Click here to receive a free, no-obligation quote for your own LTCi policy.

How Good Food Can Help Your Finances

September 24, 2019 by Honey Leveen Leave a Comment

While researching the value of nutrition on our long term care benefits (“Eating for Life — An LTCi Benefit“), I came across a powerful infographic. There was so much important information in that image, I decided it needed its own blog post. I want to highlight all the great points made.

Many people spend their time and energy looking to solve their health issues with multiple prescriptions. But some of the easiest answers can be found in the foods we eat on a regular basis.

The Friedman School of Nutrition Science & Policy at Tufts University has launched a Public Impact Initiative to address the “nutrition crisis” found across our nation. They are bringing the full power of their research to help create awareness and change. They are targeting farming programs, school lunch offerings, the military and many other stakeholders in the healthcare sector.

Food Is Medicine

The image below starts with the 10 foods that cause nearly half of U.S. deaths (heart disease, stroke, type 2 diabetes) each year.

Eating too much: sodium, processed meat, sugary beverages, and unprocessed red meat
Eating too little: nuts & seeds, seafood Omega-3, vegetables, fruit, whole grains, and polyunsaturated fats

The Public Initiative aims to save lives and also reduce the skyrocketing costs of healthcare.

LTCi benefit

Workplace Strategies

Reducing employee health risks (like high blood pressure and sugar levels) by only 1% can save employers $83 to $103 each year.
Wellness programs lower medical costs by $3.27 for every $1.00 spent

Lower Income Families

Increasing intake of fruits & vegetables of all SNAP recipients will save $6.77 billion over a lifetime.

Healthcare System

Increasing intake of fruit & vegetables by Medicaid and Medicare participants could prevent almost 2 million cardiovascular disease incidents and save over $40 billion in healthcare costs.
Treating diabetes by providing free fresh food lowers the risk of death or other complications by 40%.
Increasing the amount of whole grains, nuts, fish, and plant-based oils in our diets can prevent 3.31 million cardiovascular disease events. This could save over $102 billion in healthcare costs.

The LTCi Benefit

Here’s the bonus! While we’re enjoying all of this delicious, nutritious food, we’re feeling the incredible benefits in our bodies. We’re also living longer lives with significantly better health. This lowers our own cost of healthcare.

In addition, this preserves the value of your long term care insurance policy, allowing it to grow in value for a longer period of time. When you finally need to start receiving payments, you will have a deeper well to draw from. This gives you access to a wider variety of care options and a higher quality of life in your later years.