People under 65 often need long-term care and have not prepared for this possibility.
We have a friend in his mid-50s who suffered a spinal injury and is now quadriplegic. One minute he was OK, and suddenly after a fall at home, he was not. He has been told that he can make a decent recovery with about a year of intensive re-hab.
The problem is that his health insurance paid the acute part of his expenses – his care in the hospital and at The Institute for Rehabilitation and Research at Memorial Hermann Hospital – but it does not pay for the chronic, ongoing care necessary for his continued recovery.
I recently learned that the nursing home where he’s been getting rigorous physical therapy, five days a week, for the past month or so, wants him discharged. His physical therapist reported that he was making good progress, but his progress has not been speedy enough for his insurance company. His insurance company is very eager to quit paying, and the family is now fighting it out with his medical insurer.
This very tragic situation is unfortunately far too common in today’s medical landscape.
This family is ill prepared to cope with their situation, which is clearly taking a toll on them.
If they owned long-term care insurance (LTCi), their situation would be quite different and they would have many more options. An LTCi policy would have helped defray the expenses of his much needed, ongoing home health care and physical therapy.