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Examining Long-Term Care Insurance

January 19, 2016 by Honey Leave a Comment

Retirement Spending ShocksIn his January 14, 2016 column, Forbes contributor Wade Pfau describes what traditional health-based long-term care insurance (LTCi) is. He describes what determines LTCi prices and gives sound advice on when to buy it.

Mr. Pfau has keen insight that enables him to make complicated things easy to understand.

I love that Mr. Pfau hints at what can happen psychologically to affluent families who must self-insure when a LTC event occurs. He describes this in more detail in his December 22, 2015 Forbes column.

I also love the fact that Mr. Pfau is a financial planner. Far too many financial planners, just like the public in general, do not address LTC planning. After all, LTCi is complicated, and planning for it is a highly unpleasant subject for many.

He states, “At some point, wealth may be sufficient to self-fund long-term care expenses, but reasonable individuals may still decide to include insurance in their plans as part of an overall risk management strategy.”

An unforeseen, expensive “spending shock,” caused by an unplanned long-term care event, can wreak unnecessary, avoidable financial, mental, and physical havoc on families and estates.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Cash Type Long-Term Care Insurance, Forbes, home care, LTCi, Medicaid, Medicare, Nursing Homes, Spending Shock, Wade Pfau

The Importance of Planning for Long-Term Care

January 13, 2016 by Honey Leave a Comment

Retirement Spending ShocksForbes has recently published some explicit, straightforward and accurate columns on long-term care (LTC). These columns are a great service to the public and a refreshing break from the typically neglected, error-riddled, negatively slanted coverage of LTC.

Wade Pfau is a professor at The American College, Principal at McLean Asset Management, and Forbes contributor.

Mr. Pfau is my new LTC hero!

In his December 22, 2015 Forbes column on the importance of planning for LTC, he states most retirement income planning is focused on income needs and market volatility and longevity.

A major retirement risk, which receives far less coverage and is often ignored, is that of spending shocks: having to spend significantly higher amounts than planned. Mr. Pfau states, “Long-term care (LTC) spending represents one of the most severe spending shocks that can impact retirees.”

He continues, “An expensive LTC event could derail an otherwise well-built retirement plan. This problem is growing as people are living longer, since it becomes more likely that care will be needed for longer as well. Older individuals suffer from higher rates of physical and cognitive problems, and they may have fewer family members or friends who are in a position to provide sustained daily assistance.”

I love that Mr. Pfau also accurately describes the psychology of denial that causes the failure and refusal to properly plan for LTC. He goes on to explain that lack of LTC planning “can create strains as long-term care depletes household assets, bankrupts a surviving spouse, or adds burdens for other family members who may end up making large sacrifices to provide care.”

Mr. Pfau then continues to clearly, accurately describe what LTC is.

I am very grateful to Mr. Pfau and believe this column is of great value to readers.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: aaltc, Denial, Forbes, home care, home health care, LTC, LTCi, McLean Asset Management, Medicaid, Nursing Homes, the American Association for Long-Term Care Insurance, The American College, Wade Pfa

You Can’t Insure A Barn Once It’s on Fire!

January 5, 2016 by Honey Leave a Comment

The following is a guest blog by my dear friend and trusted colleague Tobe Gerard of www.tobegerardinsurance.com:

Burning BarnDuring Chanukah, my brother-in-law greeted us with the unexpected news that he had been diagnosed with Parkinson’s Disease.  He is 62.  As we were coming to grips with his diagnosis, whispers at a holiday party related that one of our favorite neighbors had also been diagnosed with Parkinson’s Disease.  He is 60.   Last week, while attending a seminar, I ran into an insurance colleague who I haven’t seen in 10 years and he mentioned that he too has Parkinson’s.  He is 59.  These ages are all the norm for the onset of PD.

According to the Parkinson’s Disease Foundation, there are 1 million Americans who have PD, with men more than 1½ times more likely to have PD than women.

My brother in law and our neighbor are both divorced with no children.  I had discussed long-term care insurance (LTCi) with each of them 10 years ago, 5 years ago, and even 1 year ago.  Here’s the gist of our most recent conversation: “I’m asking this, but I already know what you’re going to say.  It’s too late to purchase a policy – right?”   Unfortunately, the answer is always: “Yes, it’s too late.”   With the work that I do, more and more people are asking me that same question, and the only answer that I have is: “Yes, it’s too late.”

Dread diseases such as: Parkinson’s, Muscular Dystrophy, MS, ALS, and early onset Alzheimer’s, are rearing their ugly heads younger and younger.   Your clients don’t have to have a family history with any of these to be hit.  Encourage your clients to consider LTCi around the time they turn 50; waiting until they are in their 60’s can be risky business these days in LTCi land!

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: ALS, home care, home health care, Long Term Care insurance, Lou Gehrig's Disease, LTCi, MS, Muscular Dystrophy, Parkinson's Disease

The World’s Greatest Excuses

December 21, 2015 by Honey Leave a Comment

Dog CollarPlease note:  Name below has been changed – I see this person often and consider us good friends.

Women need much more long-term care than men do. This is because we live longer and we have higher odds of getting Alzheimer’s Disease!

Single women have the greatest odds of needing long-term care.

You would think women would take heed. But they’re not!

Here’s the most recent, tragic story of middle class people unprepared for long-term care.

Here’s the most recent story I’ve seen about how long-term care insurance (LTCi) saved the day by conserving wealth and keeping family function in-tact.

Here’s the latest excuse a friend has given to avoid thinking of, and planning for, long-term care (LTC). I’ve changed her name.

Gloria is a single retired university librarian. She has a special needs daughter who will never be independent. She’s in her 60’s. She has another daughter who’s a single professional, living in another state.

Gloria bought a second pedigreed dog. She plans on training this dog to compete in races.

I gather it is very expensive and takes the equivalent – and more – than long-term care insurance (LTCi) premium would cost to buy, maintain, and train this type of dog.

She told me the new dog will keep her active and will help her avoid needing long-term care.

Filed Under: Denial, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Alzheimers Disease, Excuses For Not Buying LTCi, Long Term Care insurance, long-term care, LTCi, Medicaid, Medicare

One Family’s True Story

December 6, 2015 by Honey Leveen Leave a Comment

The following testimonial was written by my colleague, Stacey Merritt. He is a leader in the health insurance industry here in Texas, and nationally. He owns www.tpasystems.net. I thank him for having the courage to share his story. We both hope it will influence more people to plan appropriately for their long-term care.

Stacey Merritt“My mother, Charlotte, a single parent for my entire childhood, worked two jobs for most of her life. In 2000, at my mother’s age of 77, I received a courtesy call from her employer, the general manager of the nicest hotel in El Paso, Texas, who cordially, but plainly informed me that she had reached the point where she should no longer be working. Of course, he was right. So, within a very few months, I arranged for her to move from her lifelong hometown to Houston, where we could be more involved and keep a close eye on her.

The next twelve years were simply awful; more awful for her, but awful for everyone nonetheless. Unable to work, to socialize in a work setting, and to drive a car depressed her. She didn’t have any assets other than her personal belongings, and we all suspected the day would come when we could no longer be her caregivers. She began withering away before our eyes.

In late May of 2008, we got a call from Life Alert – a great product that helps the elderly contact emergency services. I arrived at her apartment before the paramedics did; she had fallen and broken her hip. While the paramedics were arranging to move her as she laid still on the bedroom floor, she said, ‘I am sorry for what this is going to put you through’. Boy, no kidding!

She never lived alone again. She went through surgery and as much physical therapy as the providers could squeeze out of her Medicare. When my mom moved into our house in August, I became steadfast in being her care provider including showering her three times a week for 18 months.

My wife Kellie and I decided to add a living space downstairs onto the house for my mother.  The buildout took longer than we expected; however we were able to move her into her quarters in August of 2009. At this point, she became largely incontinent yet still ambulatory. Once every hour, we commuted to her room to help her to and from the bathroom. I can’t praise my wife enough for the help that she provided during this time; everyone was burdened to be sure.

Finally, in January, 2010, she announced that she couldn’t commute to and from the bathroom anymore. This was the day of reckoning. I responded by saying, “Mom, are you sure? If you are right, this is a game-changer.” She was sure. Within a month, she was out of the house and in a nursing home as a Medicaid beneficiary. She was one of the lucky ones. Turns out that if you have your mental faculties but are physically disabled, as was the case with my mother, the waiting period to get into a nursing home is comparatively short as a Medicaid beneficiary. However, if you’re suffering from Alzheimer’s or dementia, it can take many months.

I bought a long term care plan on my mother when we were all much younger. However, I reached a point where I couldn’t pay the premiums and had to let the policy lapse. This was most unfortunate, indeed. By the time I was at a place in life when I could afford the premium, my mother was uninsurable. My biggest regret was the lack of home healthcare benefits to rely on for her care. Had that been in place, she could have stayed home longer and would have been cared for by people more qualified than my wife and me. She might even have been able to die at home.

I can certainly tell you that the LTCi premiums for Kellie and me get paid every month. And yours should, too!”

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: assisted living, broken hip, home care, Life Alert, long-term care, LTC, LTC Insurance, LTCi Testimonial, Nursing Homes, Stacey Merritt

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Open Quotation Mark"Honey - Whenever I need a clarification regarding our “LTC” you are “Johnny on the spot” responding in a very prompt manner, reassuring me, informing me in a concise way, patient with me as I massage the understanding in my own words. Your knowledge is current and expressed with confidence, offered in your conscientious and upbeat personality. Quotation Mark ClosedIt is a pleasure to work with you. Thank you for your expertise." ~ Nancy Damon, Houston, TX
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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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