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Long-Term Care Insurance Can Be Costly but Effective

December 26, 2015 by Honey 1 Comment

Elderly WomanWhy doesn’t this New York Times article report on what its title promises it will, which is the effectiveness of long-term care insurance (LTCi)?

While being factually correct, this article puts the wrong “spin” on things.

It starts by giving the wrong title. LTCi is not necessarily costly. What can easily be far more costly is needing long-term care for anything but a short length of time and not owning LTCi.

The article “hooks” readers in the first paragraph by describing how LTCi preserves wealth. From there, this article gives readers excuses to avoid responsible LTC planning.

The truth is, the most important reason to own LTCi is not to preserve wealth. It is to preserve family integrity by reducing family resentment, stress and discord. The fact that LTCi also preserves wealth, and does it so well, is “icing on the cake.”

Families and governments are in budgetary crisis due to skyrocketing LTC costs.

Reporters and editors need to get the above perspectives corrected. Reporting needs to be done – now – on the hundreds of thousands of families collecting from LTCi and the radical qualitative difference that LTCi creates in their lives.

Here are some examples of the harmful “spin” I’m talking about:

The article hints that Ms. Cheng’s father is collecting enormous amounts from his LTCi policy, but it is not explicit about this. Why not? Why isn’t any space devoted to describing the extraordinary, qualitative difference LTCi has made not only for Ms. Cheng, but for her father?

Does Ms. Cheng own LTCi herself? Her advice about needing correct professional assistance with choosing LTCi, having a holistic outlook about the role of LTCi in estate planning, and asking children for input and help is sage. The reporter (Mr. Wasik)  should have asked her to comment about her own LTCi (if she doesn’t own LTCi, I just don’t understand why not, based on her personal experience and how wise she seems to be).

Instead, Mr. Wasik sidetracks readers with some “red herrings.”

There’s an irrelevant sentence describing how Keith Singer recommends clients with more than $500,000 should own LTCi. (I doubt he has any clients with less than a $500,000 net worth; most financial planners don’t.)  This sentence is harmful to readers, giving lower net-worth people one more excuse to dissuade themselves from doing responsible LTC planning. Such people are far more prone to catastrophe resulting from unplanned LTC needs. Here’s a story about a solid middle class couple with a 0,000 net worth that was devastated by unplanned LTC costs. This couple probably could have purchased very reasonable LTCi while they were insurable.

This sentence does not report on the effectiveness of LTCi (as the title purports) and is again potentially harmful to readers : “After a 90-day “elimination” period (often partly covered by Medicare for people whose need for extra care is hastened by a stroke or other medical emergency), the policy covers all assisted living, community and home care.” This perspective is incorrect, and further goads the American public to avoid responsible LTC planning by hinting that Medicare might assist with LTC costs. Medicare-paid LTC is not only paltry and inadequate; most people are not entitled to it.

Shame on Mr. Wasik and the NYT editors, whom I otherwise hold in high esteem. For the sake of the American public, reporting needs to be done now on the extraordinary, qualitative, transformative difference LTCi has and will make for hundreds of thousands of us.

Filed Under: 3 in 4 Need More, Denial, Helpful Information About LTC, Information About LTC, Misinformation About LTC, New York Times Tagged With: adult day care, assisted living, home care, home health care, Long Term Care insurance, Medicare, New York Times, Nursing Homes, Wealth Preservation

Government Shift to Care at Home

May 10, 2012 by Honey Leave a Comment

In “A Shift From Nursing Homes To Managed Care at Home”   (New York Times, February 24, 2012) Joseph Berger notes that shrinking Medicaid and Medicare funds are forcing closure of more and more nursing homes – 350 nursing home have closed over the past six years nationally.  For example, New York State plans to transfer 70,000 to 80,000 people needing over 120 days of Medicare-covered long-term care (LTC) to their homes.  Studies suggest that care at home can cost less than in a nursing home, so such a policy may stretch scarce Medicaid funds a little further.

Shifting Medicaid funding from nursing homes to in-home care sounds great. Caregivers really like this idea. The whole notion of avoiding nursing home stays is very appealing.

Many policymakers cling to the notion that such a shift will save money, but this is far from the truth.

I quote the following from Steve Moses of the Center for Long-Term Care Reform:

When compared to an elderly population for whom traditionally available care is offered, recipients of expanded community-based services do not use significantly fewer days of nursing home care.[1]

 An increasingly large number of studies, including the results of a national channeling demonstration program, have shown that non-institutional services typically do not substitute for nursing home care, but, rather, represent additional services most often to new populations.[2] 

Although community-based LTC programs proved beneficial to both clients and informal caregivers in the LTC demonstrations, they did not prove budget neutral or cost effective.[3]

For Medicaid to afford quality home health care for all recipients it must have fewer recipients. By tightening eligibility, closing eligibility loopholes, preventing Medicaid planning, and enforcing estate recovery, the program can do a better job for fewer genuinely needy eligibles. When middle class and affluent people understand their savings and home equity are at risk for LTC, they will avoid Medicaid dependency by paying privately from savings, home equity conversion and private insurance.

Here are the footnotes:

[1] General Accounting Office, “The Elderly Should Benefit From Expanded Home Health Care But Increasing Those Services Will Not Insure Cost Reductions” (Dec. 7, 1982) p. 43, http://archive.gao.gov/f0102/120074.pdf.
[2] John F. Holahan and Joel W. Cohen, Medicaid: The Trade-off between Cost Containment and Access to Care, (Washington DC: The Urban Institute Press, 1986), p. 106.
[3] Kenneth G. Manton, “The Dynamics of Population Aging: Demography and Policy Analysis,” The Milbank Quarterly, vol. 69, no. 2, 1991, p. 322.

Filed Under: I'll Just Self-Insure, Information About LTC, Long-Term Care Awareness Month Tagged With: caregivers, Center for Long-Term Care Reform, home health care, Joseph Berger, Medicaid, Medicaid eligibility, New York Times, Steve Moses

To Move or Not to Move…

February 23, 2012 by Honey Leave a Comment

Many elders insist on staying at home, rather than transitioning to an independent or assisted living facility.  I’ve been advising against doing this for years. Long-term care at home may cause isolation or possibly even caregiver abuse. Existing studies already prove the importance of social interaction for those needing LTC. Staying at home is not as safe from a medication management, home maintenance, proper nutritional and safety and security standpoint, either. Now, a new study, titled, “Myths & Realities of Continuing Care Retirement Facilities (CCRC’s)”  backs me up on this.

The study was performed by nationally recognized gerontologist Ken Dyhtwald of Age Wave and sponsored by Vi (71 South Wacker Drive, Suite 900,Chicago,IL 60606), a leader in senior living that currently operates ten continuing care retirement communities (CRCCs). 

 With careful research, the study debunks these five “myths:”  

1. “My current home will be the best possible place to live in my post-retirement years.”

2. “My current home is the best option to continue an active social life and stay connected with my friends.”

3. “It’s less expensive and more financially secure for me to stay in my current home.”

4. “It would be easy to get any care I need at home.”

5. “CCRCs are filled with old people who are sick and dying.”

The cost of Vi’s typical CCRC is approximately $2,800 per month, which covers rent, food, and all social/learning activities.  Even if your mortgage is paid off, property taxes, home insurance, utilities, food, transportation, maintenance/repairs, etc can add up to a very big number! 

 When it’s time to progress to assisted living, compared to the average $55,000 per year cost for home health care, the average cost of $39,000 per year in an assisted living facility looks pretty attractive.

 And, as always, the good news is that home health care care or assisted living at a CCRC will be covered by your long-term care insurance policy. 

I urge all seniors to visit some CCRCs in their area to see what a supportive, friendly home they offer.  I think you’ll find that these myths fade away very quickly.

 

 

Filed Under: Helpful Information About LTC, Information About LTC Tagged With: Age Wave, assisted living, CCRC's, Continuing Care Retirement Communities, home health care, Honey Leveen, Ken Dyhtwald, Long Term Care insurance, long-term care costs, LTC costs, LTC Insurance, Nursing Homes, Vi, www.honeyleveen.com

The High Cost of Elder Care

December 29, 2011 by Honey Leave a Comment

Here’s a link to a great testimonial for long-term care insurance (LTCi) from www.forbes.com. The blog is titled The High Cost of Elder Care. The author describes how the  LTCi his parents purchased is allowing his father to access the type and quantity of care he now needs, without wrecking undue havoc with  family members lives or finances.

The author is quoting $30/hour for home health care. I cannot find information on where the father lives, but this high hourly cost for care causes me to believe he resides somewhere other than TX. Here in TX, high quality home health care costs about $20/hour. If this family lived here, this same LTCi policy would have preserved even more of the family’s wealth.

Filed Under: Helpful Information About LTC, Information About LTC Tagged With: Forbes Magazine, home health care, Honey Leveen, Long Term Care insurance, LTC Insurance, www.forbes.com

Dear Abby Reader Describes Situation Without Long-term Care Insurance

September 16, 2011 by Honey Leave a Comment

Quoted directly from today’s (September 12, 2011) Dear Abby column:

“Dear Abby:

My longtime friend Jim and a stroke several years ago. His wife was struggling to keep him at home while working, taking care of the house, cooking and doing other endless chores. She found it difficult even to get out of the house for a haircut. She confided to me the hurt she felt when friends never followed through on their general offers of assistance.

Our discussion led to the formation of the FOJ (Friends of Jim’s) Club. Everyone in our “elite” group commits to spending two hours a month with Jim. The time slots we fill are recorded in our FOJ calendar. This time provides a needed respite for Jim’s wife and an opportunity to Jim to interact with others and get out of the house. Because the time commitment is for a defined— but not overly long—period of time, people are more willing and able to make a commitment they know they can keep.

                                   Friend of Jim’s in Champaign, IL”

Honey’s comments: LTCQueen readers who do NOT own LTCi (long-term care insurance), please do everything within your power to imagine how different the scenario above would be if Jim had purchased LTCi.

My guess is that although Jim’s wife is getting some respite from friends, it is still not enough respite to spare her the additional mental, physical and financial stress being his full-time caregiver causes.

If Jim owned LTCi, chances are his policy would pay for home health care and he’d be on collecting from it right now.  His policy would also be in “waiver of premium” (requiring no premium payments). I have no way of knowing how much home health care his LTCi would pay for, but chances are that whatever additional, paid home health care it paid for would go far to alleviate his wife’s stress and the resentment this reader describes.

LTCi ownership is all about having dignity, options, choices for not only the person needing care, but just as importantly, for the loved ones surrounding them.

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: caregiving, Dear Abby, home health care, Honey Leveen, Long Term Care insurance, LTCi, www.honeyleveen.com

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Phone: 713-988-4671
Fax: 281-829-7177

Email: honey@honeyleveen.com

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