caregiving Archives - 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.

Pro-Act, Don’t Re-Act

September 17, 2019 by Honey Leveen Leave a Comment

At long last, we have a string of incredibly positive articles featuring LTCi news! Writers are really doing their homework and digging into the research. They are reporting on the many benefits of long term care insurance (LTCi).

1. When to Move to Assisted Living

It can feel tricky when to make that decision. At what point do we need to leave traditional independent living and move into an assisted living community? This article in U.S. News & World Report (Aug. 9, 2019) gives some simple indicators to look for:

Has there been a decline in medical conditions? Is there overall weakening in personal strength or more falls happening?
Are personal finances becoming more difficult to manage? Are there more money-related problems?
Is the home no longer kept clean? Is personal hygiene falling off? Are there healthy meals prepared daily?
Are there signs of depression or social isolation?

As we age, it is more common to experience multiple medical conditions at the same time. Degrading vision along with a neurological disease like Parkinson’s creates a formidable challenge in maintaining independent living.

And, as I’ve often discussed, the brain deterioration of dementia or Alzheimer’s disease can result in forgetfulness (taking prescriptions properly), poor decision-making and poor motor skills (prone to dangerous falls).

Have That Conversation EARLY

When that time comes, will we be able to recognize the signs? And with all those signs staring us in the face, will we be willing to accept the decision ahead of us? Roxanne Sorensen, an Aging Life Care specialist, reports that, “Families are making some of the most important decisions of their life while they’re emotional. They don’t have time to think about it. They’re in a crisis situation, and now they’re faced with the decision of where mom or dad is going to be institutionalized for the rest of their life.”

Once again, we’re reminded that the time to make these plans is before the decisions have to be made. When we’re less emotional and more level-headed. Plus, having this conversation early provides extra time to research local community options and make the best possible choice. What a luxury to have the time to join a waiting list for the more popular places instead of taking “whatever we can find”.

2. Assisted Living Improves Quality of Life

The very same week, the same publication printed a separate article on LTCi news. They list some of the great benefits of moving to assisted living. Here’s a sample of offerings from some communities:

DAILY TASKS: This includes support for regular grooming, bathing and preparing healthy meals that support specific dietary needs (diabetes, blood pressure, etc.).
SOCIAL ENGAGEMENT: One of the easiest remedies for social isolation and depression is the feeling of belonging that comes from living in a supportive and active community.
RECREATION: Exercise, movies, walking clubs and reading groups can rapidly fill the calendar of residents.
MEDICATION MANAGEMENT: Assuring prescriptions are taken at the right time, in the correct dosage. Also coordinating timely delivery from local pharmacies.
EDUCATION/CULTURAL PROGRAMS: Guest lecturers, educational curriculum and culturally-themed events adds tremendous richness.
SAFE ENVIRONMENT: Having staff on hand to assist in difficult tasks, living heavy objects or just taking a walk around the grounds.
MEMORY SUPPORT: Daily interaction with therapeutic recreation, under the supervision of trained professionals, from memory classes to art classes.

Of course, these benefits will vary from facility to facility, so be sure to do your research EARLY to find the best match for your needs.

3. Boomers As Caregivers

In more LTCi news, the Baby Boomer generation is facing the hard decisions as they try to manage the long term care needs of their parents. In fact, 9 out of 10 boomers who expect to be caregivers recognize that they’ll be making significant sacrifices in their own lives for the sake of their parents’ care.

These sacrifices range from cuts in personal spending and travel to reducing work hours or completely leaving their careers.

The good news is that the boomer generation is more willing to have the important conversations with their children when it comes to planning for their own care in later life. They recognize how likely it is that they will need long term care. And they are making the necessary plans to prepare themselves and their family for that future.

The article cites a study that concludes, “With one-third of caregivers tapping into their nest eggs to pay for health care expenses, it’s vital that payment planning for future caregiving is considered and prioritized in equal measure.”

Striking Gold With LTCi News

Reading these 3 recent articles completely align with the themes that drive my passion for my work in long term care insurance. I believe it’s better to stay ahead of problems. The time to act is when “the writing is on the wall”, not when the wall is crumbling down around you.

I know how important it is to have these difficult conversations with our loved ones (and ourselves!). It is my mission to support people in creating the best possible environment in their later years. One of quality living, dignity and independence.

To begin, click here to receive your free no-obligation quote for your own LTCi policy.

Indecision Paralysis Can Be Very Expensive

August 20, 2019 by Honey Leveen Leave a Comment

I had a phone conversation with a 62-year old woman I’ll call Margaret who was interested in learning more about long term care insurance (LTCi). She still works full-time, and her “off hours” are completely dedicated to caring for her husband who suffers from Alzheimer’s disease. She wanted to learn about LTCi costs and how it works.

In our chat, Margaret quickly revealed some details about her own health: a long-time smoker and her frail stature. She described the daily demands of her time and energy, caring for her husband after putting in a full day at her job. I could feel the weight of her words as she shared her concerns with me.

For now, her husband is able to stay home unsupervised while she works. Margaret understands that this is only temporary, as her husband’s condition continues to decline. And she worries that if he should fall during the day, it could result in very dangerous, if not fatal, injury.

Margaret’s nights and weekends are consumed with caring for her husband. She has no social life outside of the home. And she is keenly aware that the day is coming when she can no longer leave her husband unsupervised.

Will she have to

Hire a professional caregiver?
Move her husband into a facility, separating them for the first time in their 40+ year marriage?
Leave her job?

Discussing LTCi Costs

When Margaret and I met, we discussed the current quality of her life. The weight of her responsibility was really taking its toll on her. And it served as her motivation to shield her son from taking on this same role if she ever became unable to care for herself.

Margaret understands better than most the important value of buying LTC insurance.

We talked about the fact that if her husband had an LTCi policy, they both would be benefiting socially, economically, medically, and emotionally. For example, there could be a caregiver in their home, giving her peace of mind while she worked and easing her responsibilities when she came home.

She desired these options for her son so he wouldn’t have to sacrifice so much of his life to take care of her in the later years. We also talked about the quality of life for Margaret, having access to a variety of lifestyle choices and restoring dignity to her days.

Even Knowing All the Facts

Margaret chose not to proceed with her LTCi application. Maybe “chose” is the wrong word. What really happened is that she was paralyzed with indecision. Even though she understood the importance of long term care insurance and saw she could manage the LTCi premiums, she was unable to make that next step. I wish I did not see this as often as I do.

Unfortunately, if Margaret needs long-term care (LTC), she and her son will end up paying a higher price in time, energy, quality of life, and stress.

You don’t have to be caught by surprise, like a deer in the headlights. Take that first, proactive step to protect you and your family. Click here to receive your free no-obligation quote for your own LTCi policy.

Two Options for Funding LTC Expenses

January 27, 2016 by Honey Leave a Comment

In his January 12, 2016 Forbes column, Wade Pfau describes why Medicare, Medicaid and health insurance do not pay for long-term care (LTC). This column describes what can and often does happen, financially and psychologically, even to highly affluent people, when LTC planning is ignored and people wind up self funding for LTC with personal assets.

Mr. Pfau has heart. He gives us facts, but he also shares accurate human insights. He wisely urges people to prepare now for their last years, and to share their plans with those they most trust.

This piece is accurate, accessible and concise.

He states, “For self funding, ask yourself if you have sufficient financial resources to cover an expensive long-term care shock and still meet the remaining financial goals for retirement. Which specific resources could be used for long-term care expenses? How will they be invested? What impact would these expenditures have on the standard of living for remaining household members and potential beneficiaries? Is this a risk that can be accepted, or could insurance provide a positive impact by helping pool this risk?”

“Self funding could force an individual to rely more greatly on family care, which introduces a number of potential opportunity costs not included in formal cost calculations. Caregivers often experience increased stress and health problems, and they could be forced to make sacrifices in their careers that could result in substantially reduced lifetime earnings. The health problems created by providing long-term care could potentially result in the caregiver needing long-term care for themselves as well.”

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