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Long-term Care Insurance Makes Great Birthday Gift

August 25, 2014 by Honey Leveen Leave a Comment

LTCi Birthday Gift“Long-term care insurance makes great birthday gift” is the title of a well-written, accurate, concise MarketWatch article by Robert Klein. (Of course, long-term care insurance (LTCi) also makes a great Mother’s Day, Father’s Day, Christmas, Kwanzaa, etc. gift!)

Part of what makes this column so great is how well Mr. Klein supports his advice. He writes, “More than 90% of participants in a 2010 Age Wave/Harris Interactive survey sponsored by Genworth hadn’t even talked about critical extended-care issues with their spouse/partner, aging parents or adult children. This was the case despite the fact that 55% of respondents reported that their greatest fear regarding an extended care illness or event was being a burden on their family.”

Almost 70 percent of those turning 65 will will need long-term care at some point in their lives.

These are scary statistics. Yet the public still fails to face these and other truths. Way too few of us own LTCi.

He also writes, “What wasn’t widely reported until recently, and is the real reason for having an extended-care plan, is the financial, emotional, and physical impact of an extended-care event on primary and secondary nonprofessional caregivers. Genworth’s “Beyond Dollars – The True Impact of Long Term Caring” research, which was initially published in 2010, did an excellent job of documenting this.”

From what I’ve witnessed over past 24 years selling LTCi, the emotional and physical reasons for owning LTCi are at least as compelling and important as the fact that LTCi conserves wealth.

I’ve blogged about Genworth’s “Beyond Dollars – The True Impact of Long Term Caring” study before. Since Mr. Klein laid these facts out so clearly and plainly, I’ll re-publish them”

  • “The average age of primary care givers is 53, with 42% caring for a mother, 14% for a father, and 13% for a spouse.
  • 42% reported that the care recipient resided in their home for a period of three years or more.
  • The financial impact was widespread, with 83% contributing financially, 63% reporting lost income of an average of 23% of household income, 61% reducing savings by an average of 63%, 57% dipping into their own retirement funds and/or savings, 45% cutting back on their own family expenses, 40% reducing family vacations, and 29% borrowing money, taking out a reverse mortgage and/or selling their home.
  • 57% provided care for more than 16 hours each week and 31% provided care for more than 30 hours each week.
  • Over a third reported direct negative consequences to their own careers, including 44% working fewer hours, 48% lost a job, changed shifts and/or missed career opportunities, 38% incurred repeated absences from work, and 17% found themselves repeatedly late for work.
  • The impact on family and relationships included 44% experiencing an increase in stress with their spouse, 27% reported stress with siblings, 23% experienced an increase in stress with their children, 20% reported reduced time with children, and 58% reduced savings for college education.”

My only qualm with Mr. Klein’s important, beautifully written, lucid column is perhaps his unrealistic advice that the lack of LTC planning can be solved fairly easily. Kids should consider paying for their parents LTCi using strategies such as “gifting” LTCi premiums to parents.

The problem with his advice is that kids who are in a position to pay LTCi premiums for their parents are probably at least in their forties. Therefore, their parents are probably at least in their 60’s. Traditional LTCi is pretty difficult to obtain once people enter their 60’s. Not only are prices higher, but qualifying for the coverage health-wise may also be a challenge. The mean LTCi buying age in the US is about 57 years old.

As an aside: we do have excellent asset-based LTC products that might provide a solution if traditional LTCi is out of reach.

The bottom line: do your LTC planning NOW, don’t wait!

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Age Wave, Genworth, Harris Interactive, Honey Leveen, LTCi, MarketWatch, Robert Klein, www.honeyleveen.com

Promises That Can Bend Without Breaking

May 27, 2014 by Honey Leveen Leave a Comment

Bending Without BreakingPromises That Can Bend Without Breaking is the title of a Modern Love column in the New York Times. I am a faithful reader of Modern Love. Each column features the most intimate, interesting, and unusual aspects of loving relationships.

This column features a couple, married 28 years, who live in an assisted living facility. They are only 49 and 50 years old. He is perfectly healthy, but his wife is suffering from dementia that is comparable to mid-stage Alzheimer’s disease.

As odd and unusual as it is to see people this young living in an assisted living facility, this is the right solution for them. With this arrangement the husband can be with his wife and safely continue his full-time job.

The column reads like an obituary of sorts, and that’s what it essentially is. The couple had a wonderful, joyous, interesting marriage for most of their 28 years together until the wife’s health issues occurred about six years ago.

Because they have the income (he is still working) I must guess they can afford assisted living, which normally runs $4,500 – $6,000 per month. (Here is Genworth’s current Cost of Care Survey.) I am nearly certain she does not own long-term care insurance.

The author talks about the marriage commitment, “until death does us part.” No doubt this commitment is much easier for this couple to uphold because sufficient money is available.

This column also illustrates the fallacy of a common objection to long-term care insurance (LTCi) purchase: “I’m too young; I’ll wait to purchase LTCi.” Sadly, at age 43, the wife in this story became uninsurable. Then she began to need the care LTCi would have paid for.

People who are insightful and mature enough to purchase LTCi in their 30’s and 40’s save a lot of money on their LTCi by capturing much lower premiums.  They also lock in their policies when they are still insurable, so they don’t have to deal with unexpected tragedies without the resources of an LTCi policy.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Honey Leveen, long-term care, LTCi, Modern Love, New York Times, NY Times, Robert St. Amant, www.honeyleveen.com

Why Staff (Is All That) Matters in Choosing a Nursing Home (Not!)

May 14, 2014 by Honey Leveen Leave a Comment

Nursing Home CareIn all of my 23 years specializing exclusively in long-term care insurance (LTCi), the Houston Chronicle has done scant reporting on LTCi and long-term care planning. They’ve done a story on how to financially plan for aging and left out mentioning LTCi altogether. On the rare occasion they’ve made mention of LTCi they’ve gotten vital facts wrong.

In a city as large as ours, I’m very embarrassed about the Houston Chronicle’s dearth of coverage of LTCi, a subject that would help its readers. I believe New York, Washington, DC, Chicago, and many smaller cities than Houston, have had good coverage of LTCi lately. Houston still hasn’t.

In her recent Houston Chronicle column, “Why Staff Matters in Choosing a Nursing Home”, reporter Cindy George advises using various online tools to help you “shop” for a facility that won’t neglect or abuse your loved one. She makes this task sound as easy as, say, researching a computer or vacation online.

If you do the proper research, her article implies, your loved one won’t be subject to neglect, abuse, or the murders or beatings that have recently occurred at two Houston nursing facilities. Or maybe your loved one will be subject to just some abuse and neglect, but not beatings or murders? To accomplish this just use the tools she provides; it’s that easy.

Here’s what I wrote to her on my Facebook page:

“Cindy George of the Houston Chronicle, I know you’re trying to help by offering advice on how to choose a functional nursing home, in light of the recent nursing home violence we’ve had in Houston. Your advice may make readers feel good in the short term by giving them the impression there are decent odds they might have any control over the quality of their care if they cannot afford to pay for it. I would like to help add depth to your reporting and hope you will accept my invite to lunch or coffee.”

The problem with stories like “Why Staff Matters in Choosing a Nursing Home” is that it lulls people into believing doing correct facility research and shopping is all they’ll need to access quality long-term care. Responsible long-term care planning is not necessary. The government is there and will be there to pay for quality long-term care.

Search on this blog for “Nursing Homes” to learn a lot about why the government can’t – and won’t – pay for meaningful, adequate long-term care.

Government financing for long-term care is decreasing. Nursing home failures, neglect, abuse, tragedies, are increasing.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Cindy George, Honey Leveen, Houston Chronicle, Lexington Place, Medicaid, Medicare, Nursing Homes, SNF, www.honeyleveen.com

Nursing Home Murders: Connecting the Dots with Medicaid-Paid LTC

May 1, 2014 by Honey Leveen Leave a Comment

Connecting The DotsWith permission from The Center for Long-Term Care Reform, I republish their Monday, April 28, 2014 post about my prior blog.

The reason I chose to cover the horrific nursing home murders still in the headlines here in Houston, is because there is a link between failing to plan responsibly for long-term care well in advance and tragic outcomes, whether or not they’re of the magnitude of the Lexington Place murders.

Many who can afford reasonably priced long-term care insurance simply won’t entertain it. They make excuses to avoid such conversations. It’s an uncomfortable conversation to have.

The horror and negligence that occurred at Lexington Place Nursing Home may be isolated (or maybe not since most of us choose to turn our heads away from this type of event). Even so, the importance of these posts is to understand that such events may be indicative of a widespread trend that’s just beginning.

I’ve chosen to cover these tragic murders because to me, they’re the tip of the iceberg. The industrialized warehousing of the indigent who need care will increase as our national debt grows, Medicaid and Medicare reimbursements continue to drop, and the partisan stalemate in Washington continues.  And this financial catastrophe is approaching at an increasingly rapid rate as government programs are deluged with unprepared Baby Boomers who need long-term care but did not plan for it when they were able to afford and obtain reasonably priced long-term care insurance (LTCi). Sadly, events like the Lexington Place murders may become more common.

This blog and the one before it are meant to educate. If these tragic posts help even one person wake up and decide to defer their purchase of a new flatscreen TV or more expensive car in favor of buying a reasonably priced LTCi policy, they’ll be worth it.

LTC E-Alert #14-014:  The Nursing Home Murders and LTC News and Comment

Monday, April 28, 2014

Seattle –

LTC Comment:  Did you see the news coverage last week about two nursing home residents bludgeoned to death by their roommate in Houston?  We opted not to cover it then, but the story does illustrate an important point.  Nursing homes, especially those in poorer areas, are heavily dependent on Medicaid which pays them less than the cost of providing the care.  Generous Medicare reimbursements help to make up part of the shortfall (at least for now), but the nursing homes most heavily dependent on Medicaid resort to cutting caregiver staff to a minimum and paying extremely low wages in order to operate.

So what?  Well, Honey Leveen, the self-proclaimed “Queen of Long-Term Care” and the Center’s Regional Representative in Houston, draws out the ramifications in her recent blog post here.  We encourage you to read it and to follow her links to more of the background.  Honey points out that the nursing home in which the murders occurred has “nearly all” Medicaid residents.  She opines that inadequate revenue led to dysfunctional management which resulted in poor care and finally in this awful crime.  She links to an earlier article she wrote for LifeHealthPRO questioning the value of “Partnership” policies that leave people dependent on Medicaid’s mostly nursing-home based care.

This is sad stuff, but information all LTCI producers should consider as they advise clients on long-term care planning.

Filed Under: Denial, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Center for Long-Term Care Reform, Honey Leveen, Lexington Place Nursing Facility, Long Term Care insurance, LTCi, Medicaid, Steve Moses, www.honeyleveen.com

It is Proven That Not Planning for Long-Term Care Ahead of Time Can Cause Harm to Those You Love

April 1, 2014 by Honey Leveen Leave a Comment

Caregiving Hard On CaregiverDon’t say I didn’t warn you about the hazards of not planning responsibly for your long-term care (LTC).

Unpaid care, normally provided by family and friends, is not calculated into the Gross Domestic Product (GDP), but if was, it would represent a significant percentage of the GDP.

According to www.longlivetexans.com/index.php/site/facts-figures, TX ranks number two nationally in the amount of uncompensated care provided by caregivers. We also have a very high incidence of Alzheimer’s Disease.

It’s unpaid care that can kill. Much, if not most care in the US is provided by family and friends on an unpaid basis and often at huge physical, emotional, and financial sacrifice to the amateur caregivers.

A new study by the AARP Public Policy Institute and the United Hospital Fund reports on just how much care, and what type of care employed family members (unpaid caregivers) provide. Here’s the link to the study. The findings are alarming. Despite workplace obligations, nearly half of all employed family caregivers perform many of the tasks we normally associated with licensed health care professionals, including a range of medical/nursing tasks, such as medication management, wound care, using meters and monitors, and more.

This report also describes the characteristics and stress levels of working versus unemployed family caregiver. No surprise: employed caregivers suffer more stress.

People who own long-term care insurance and need long-term care create less stressful, more dignified, considerate outcomes for themselves and those they love. They have more long-term care options to choose from. Watch some of the videos here to learn why.

I will never understand why well educated people, with successful careers and decent incomes, who can afford reasonably priced long-term care insurance, often go out of their way to avoid having even a preliminary conversation about responsible long-term care planning with me.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, Information About LTC Tagged With: AARP TX Public Policy Institute, Alzheimers Disease, Honey Leveen, United Hospital Fund, www.honeyleveen.com

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Honey Leveen, LUTCF, CLTC, LTCP
“The Queen, by Self-Proclamation, of Long-Term Care Insurance (LTCi)”
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Phone: 713-988-4671
Fax: 281-829-7177

Email: honey@honeyleveen.com

Email: honey@honeyleveen.com

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