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There’s No Planning Without Communication

July 22, 2019 by Honey Leveen Leave a Comment

long term care planning requires communicationCommunication is one of the most important factors in any significant relationship, right? And yet it is usually absent or at least faulty when it comes to sharing important information about health and finances. Sometimes the parents hide information from their children or the kids keep details from their parents. Or spouses feel the need to protect one another from the truth of their declining health.

In a recent issue of the newsletter published by the Society of Actuaries, I read an article written by my friend and colleague, Eileen Tell. Tell is an academic and a researcher. Her article is based on findings from research she conducted for the Office of the Assistant Secretary of Planning and Evaluation (ASPE), part of the U.S. Department of Health and Human Services.

In the article, Tell summarizes observations from consumer focus groups conducted as part of that study, intended to better understand a family’s search process for long term care services. The findings of the study support the same experiences I observe among my own clients.

“A common theme heard in all the groups was the lack of awareness of the decline in either physical or cognitive health of their loved one until this acute episode occurred.” By shielding family members from important facts, most are caught by surprise when there is a sudden decline in their health.

In many cases, it takes a major event to trigger family involvement. A fall, sudden illness, a stroke, or the unexpected need for a new primary caregiver. Family members find themselves unprepared to manage the important decisions that require immediate answers.

Communication Has To Happen

George Bernard Shaw wrote, “The single biggest problem in communication is the illusion that it has taken place.” You may wish that it happened. You may even think you were clear. But until all parties have the details and understand the situation, there’s no way you can properly prepare.

The study groups reveal the same patterns I see with my clients:

  • A lack of awareness of the decline in their loved one, until an acute episode occurred.
  • Aging parents typically shield their adult children from the realities of their limitations.
  • Where mom or dad ultimately winds up receiving care is very much a function of finances.

Sometimes, family members begin to address the sensitive subject of long term care, only to be met with silence, half-answers or a complete change of subject. Especially when it came to talking about paying for that care.

This type of denial is so widespread, that I’ve written many dozens of blogs about it.

I will never understand why people elect to re-act, rather than pro-act. I’ve seen many people who could have afforded long term care insurance (LTCi), but they refused to consider it. As if the very conversation was more taboo than their actual future without plans. LTCi can help cover a lot of future costs. Some often include care coordinators, too.

For my clients, LTCi is often transformative, a game-changer. This makes my career career hugely satisfying.

It’s rare to find families who are composed, level-headed and functional when long term care is needed. One thing should be obvious, though. When someone buys LTCi, they are stacking the deck in their favor that their future will unfold in a more dignified, graceful, considerate and affordable lifestyle.

Click here to receive your free, no-obligation quote for your customized long term care policy.

 

Filed Under: 3 in 4 Need More, Age related brain loss, Age related cognitive impairment, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Denial, Eileen Tell, Living in Denial, Long Term Care insurance, LTC Insurance, LTCi, SOA, Society of Actuaries, www.soa.org

Brain Decline + Failure to Communicate = Failure Formula

July 1, 2019 by Honey Leveen Leave a Comment

failure to communicateIf you are a regular reader of my weekly blog posts, you’ll notice the recurring theme of Brain Loss. While the condition isn’t avoidable, many of the resulting consequences can be prevented. It just takes a little planning and some open conversations. Otherwise, you are building a path to failure.

Here’s an email I recently received from a concerned service provider:

“Hi Honey,

You have been so helpful in the past and I always think of you when a question about LTC comes up! 

We have a former patient who just moved to New York to be closer to her daughter.  She is 91 years old and has dementia.  She has had a LTC policy, but without her daughter knowing, she let her policy lapse.   The LTC insurance company is asking for documentation of her mental status.  Our doctor only saw her for general medical ailments and never formally evaluated her memory, so we have no test scores to provide.  He wrote a letter of incapacity but the insurance company is not accepting that. 

This woman stands to lose hundreds of thousands of dollars of coverage.  Do you have any suggestions for them?”  

I receive emails and distressed phone calls like this too often and they are heartbreaking. The families reaching out to me are in a state of emergency and dealing with unbelievable levels of stress. A lot of this stress is a result of failure to plan properly.

I’m assuming that the mother’s health has seriously declined, since the family had her moved at 91 years old to a new state. She like has, at minimum, mid-stage dementia. This means her dementia is at a point where it’s obvious and she needs lots of supervision.

Avoiding the Preventable Failure

Fortunately, most long term care insurance (LTCi) policies now include language allowing policyholders to reinstate their coverage and get their claim paid within 6 months of policy lapse. If she’s lucky, the mother qualifies for reinstatement and her claims can be paid.

The mother will need to have neurological testing to prove her dementia. Once proven, her choice to cancel her coverage could be reversed, as she was not mentally capable of making this serious decision.

Some Reasonable Questions

  • Does the daughter have a copy of her mother’s LTCi policy? When monitoring the health and care of our parents, it is critical to have the documentation and be familiar with the terms. Understand what options are available before you need to use them
  • If the policy lapsed from nonpayment, does the insurance company know to automatically notify the daughter? This is a standard part of every LTCi application. Pay attention and remember to complete it. There is good news: this appointment can be added or changed at any time, as long as the policy is in good standing.
  • Did the family ever have the conversation with their mother about what kind of care she wanted to receive once she was unable to make these decisions on her own?

This tragedy occurred because of the family’s failure to explore and document their mother’s wishes and desires ahead of time, in a frank manner.

Take a moment to explore how you can plan for an easier future for yourself or someone you love. Click here to receive your free, no-obligation quote for long term care insurance.

 

Filed Under: Age related brain loss, Age related cognitive impairment, Correcting Ignorant Public Figures, Denial, Helpful Information About LTC Tagged With: age related cognitive decline, brain loss, cognitive decline, LTC Insurance, LTCi, LTCi facts

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

You Can Visit My New Yelp Page!

September 30, 2015 by Honey Leveen Leave a Comment

Yelp Review ButtonThe press has been publicizing Yelp’s new role helping the public find medical professionals they can trust. Other professionals are establishing Yelp pages, too.

I like the idea of knowing what other people think before I contact a professional.

I like to think I’m an “early adapter”.

In this spirit, I now have a Yelp page.

The rules are that I am not supposed to solicit your reviews, so I am not asking you to visit my Yelp page and review me. However, if you are moved to do so, I’ll be grateful to you!

Filed Under: Helpful Information About LTC Tagged With: Honey Leveen, Long Term Care insurance, LTC Insurance, 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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Email: honey@honeyleveen.com

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Testimonials

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)”
404 Royal Bonnet
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Phone: 713-988-4671
Fax: 281-829-7177

Email: honey@honeyleveen.com

Email: honey@honeyleveen.com

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