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Potential Concerns and Risks for Traditional LTCi

January 29, 2016 by Honey 2 Comments

Bait And SwitchForbes contributor Wade Pfau is doing the world great good with his series of articles about the urgent need for long-term care (LTC) planning.

What I like so much about Mr. Pfau is his credibility. He is a highly qualified financial planner and academic at The American College.

Financial advisors are generally fee-based, not commission-based, like I am. Because he does not make commission from his advice, some may consider him to be more credible than agents who sell long-term care insurance (LTCi).

In his January 19, 2016 Forbes column titled, “Potential Concerns and Risks of Traditional LTCi” Mr. Pfau describes the history of long-term care insurance and the mistakes made with this product in the past.

Since he is not an LTCi specialist, I can’t fault him too much for not quite “getting the whole story” on what causes and caused past LTCi rate hikes.

An example is this “bait and switch” accusation, which is wrong: “Buying based on who offers the cheapest price is risky, since the company may be seeking upfront sales with the intention of increasing premiums later.” It’s more complicated than this. Carriers are not interested in making lots of sales now and suffering unhappy clients, bad public relations, and reduced sales later. This has never been their strategy.

With an average LTCi buying age of 57 and an average claim age 25 or more years later, plus ever changing mortality rates and demographics, no prior experience to go on, and required reserves earning unusually low interest rates for longer than anyone could have imagined, how could the earliest LTCi carriers realize that their assumptions would be so far off that significant rate increases could not be avoided?

Mr. Pfau does correctly state that today’s LTCi products are expected to have very stable rates.

He also correctly describes the public’s resistance to buying LTCi. He gives some good reasons but fails to point out the #1 reason people don’t buy LTCi: DENIAL! To be fair, however, he has mentioned denial in his prior columns.

Mr. Pfau does mention people sometimes lapse their LTCi shortly before they need to use it, due to cognitive decline. This doesn’t happen often, but I have seen and dealt with it, and it is highly upsetting. It is also highly avoidable. By and large, LTCi policies have very low lapse rates. The study Mr. Pfau refers to giving high lapse rates has been refuted.

It is up to policyholders to plan for the high odds of mental incapacity by appointing and empowering, not arguing with, trusted individuals to act on their behalf. I have learned that one of the earliest and most subtle indicators of mild cognitive impairment is making bad business decisions. Such bad decisions often go unnoticed, again, due to denial by the policyholder and family members.

Today’s LTCi policies, thankfully, have stronger protection against unintentional lapses.

I still love Wade Pfau and greatly appreciate his very clear writing and ability to make complicated concepts understandable. His articles are very factual, with very few flaws.

 

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Forbes Magazine, Long Term Care insurance, long-term care, LTCi, Medicaid, Medicare, The American College, Wade Pfau, www.forbes.com

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

Expect an Alzheimer’s Epidemic

April 2, 2015 by Honey Leveen Leave a Comment

2015 Alzheimer’s Disease Facts and Figures were just released.

Between 2000 and 2013, the incidence of heart attacks, cancer, and other diseases fell, while the incidence of AD increased by 71%!

Prepare for the Alzheimer’s Disease (AD) epidemic. It’s coming.

In 2014, friends and family of people with Alzheimer’s and other dementias provided an estimated 17.9 billion hours of unpaid care, a contribution to the nation valued at $217.7 billion. This is approximately 46 percent of the net value of Walmart sales in 2013 and nearly eight times the total revenue of McDonald’s in 2013.

  • Approximately two-thirds of caregivers are women and 34 percent are age 65 or older.
  • Forty-one percent of caregivers have a household income of $50,000 or less.
  • Over half of primary caregivers of people with dementia take care of parents.
  • It is estimated that 250,000 children and young adults between ages 8 and 18 provide help to someone with Alzheimer’s disease or another dementia.

Alzheimer’s takes a devastating toll on caregivers. Nearly 60 percent of Alzheimer’s and dementia caregivers rate the emotional stress of caregiving as high or very high; about 40 percent suffer from depression. Due to the physical and emotional toll of caregiving, Alzheimer’s and dementia caregivers had $9.7 billion in additional health care costs of their own in 2014.

If you want to read an article that makes the physical and emotional costs of caregiving real, read “Caring for Alzheimer’s: How Three Families Cope” from this week’s Wall Street Journal.

My advice for middle- and upper middle-class Americans is to prepare now, with long-term care insurance (LTCi), while you can qualify and find reasonable rates.

Filed Under: 3 in 4 Need More, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Alzheimer's Association, dementia, Honey Leveen, Long Term Care insurance, long-term care, LTCi, www.honeyleveen.com

You Are Not Alone

March 15, 2015 by Honey Leveen Leave a Comment

CaregiverVisit www.caregiver.com for comprehensive information on all aspects of long-term care, including a free newsletter, magazine, care tips, local resources, and more.

This link will provide you with all articles pertaining to long-term care.

Here’s an interview with celebrity Amy Grant, that’s part of www.caregiver.com. Ms. Grant states the need to discuss long-term care with parents is the “elephant in the room”. She also mentions that her parents own long-term care insurance, something that I am certain is helping to make her family’s difficult journey a whole lot easier.

The thing I like most about www.caregiver.com is the fact it lets caregivers know they are not as isolated as they think they are.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC, Testimonials Tagged With: Amy Grant, Gary Barg, Honey Leveen, Long Term Care insurance, long-term care, LTC Insurance, LTCi, www.caregiver.com, www.honeyleveen.com

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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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