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Caring for Elder Orphans

October 8, 2019 by Honey Leveen Leave a Comment

Care for ourselves or our parents is often provided by family members. In fact, 80% of home care is given by one or more members of the family. But what happens if there isn’t family available? No spouse, no children nearby (or none at all) — this is the world of Elder Orphans.

They may live full and active lives. But when it comes to making plans for this chapter of their lives, most of this growing population is dangerously unprepared. This is a tricky segment of people to even properly identify, so most reports are subjective. Still, this is still an important aging phenomenon that needs our attention.

Elder Orphans are Aging Alone

Let’s start by understanding how one becomes part of this growing category of seniors. For starters, understand that it can be totally voluntary. For example, a person may be happily single in their later years, thoroughly enjoying the freedom and privacy living alone affords them. Or they chose to build a life without children.

On the other hand, this may not be the life they originally signed up for. The death of a lifelong spouse or a divorce can leave someone surprisingly single when they need someone most. Even if they have children, they may live too far away to provide regular, consistent home care. Sometimes, parents are estranged from their kids.

As you can see, a variety of circumstances can lead to becoming an elder orphan. Regardless of how they got here, there are specific and unique challenges they’ll have to manage. And, like so many long term care issues, ignoring them doesn’t change the needs they create down the road.

Financial Insecurity and Health Concerns

There are a number of groups in Facebook that have sprung up in response to growing needs. The most popular one, Elder Orphans – Aging Alone, has over 9,000 members! The group serves as a resource for information to its members and also provides some emotional support.

The group conducted an informal survey, as reported by the Washington Post. Of the 500 people who responded, 70% revealed that they had not identified a person who could take care of them when they could no longer care for themselves.

Respondents shared some of their most pressing fears for their future:

  • 25% worried about losing their housing
  • 23% reported having at least one incident in the past year where they lacked enough money to cover basic needs
  • 40% admitted to struggling with depression

The Power of Community

To prepare to be an elder orphan, you must establish a strong, supportive community, way in advance of need. You need to have brutally frank, explicit, frequent conversations with friends, family, and all fiduciaries about your wishes. My husband and I have taken this advice. We live in a Continuing Care Retirement Community, even though we’re both active and in great health. In addition to knowing each others wishes. Our fiduciaries know our wishes. We tell friends of our wishes.

As for the financial concerns… long term care expenses can be manageable and affordable, with the proper planning. The time for planning is Now. You don’t have to navigate your future alone. The resources you or your parents will need are well within your grasp.

When you’re ready to take that first step, click here to receive a free, no-obligation quote for your own long term care insurance policy.

 

Filed Under: Denial, Elder fraud exploitation scams, Elephant in the Room, Helpful Information About LTC Tagged With: community, Community Living Assistance Services and Supports Act, Elder Orphanism, elder orphans, home care, long-term care, LTC, Shell Point Retirement Community, SPRC, Washington Post

Using Your Long Term Care Insurance In Your 60s (or Younger!)

August 26, 2019 by Honey Leveen Leave a Comment

TLCI Woman on crutchesWhen you think of Long Term Care Insurance (LTCi), you’re probably thinking about planning for medical expenses and care for your later years. However, there are plenty of adults under 65 who are already using their LTCi policy for ongoing care.

Imagine thinking you’ve got decades before you need to start drawing on your LTCi when suddenly, the unexpected event happens. The catastrophic accident you didn’t see coming. The diagnosis that your physical injury is permanent and you will require full-time care for the rest of your life.

Few adults under 65 are prepared for this possibility.

We have a friend who had a fall at his home which resulted in severe spinal injury. He is now quadriplegic. He was in his mid-50s at the time of the accident.

While his health insurance paid for the immediate expenses including the surgeries and rehabilitation, it did not cover the ongoing care necessary for his continued recover. His original physical therapy required intensive sessions 5 days each week and he was making remarkable progress under this program. Unfortunately, his insurance company declined continuing coverage and he was discharged.

Needing Long Term Care Under 65

In 2018, the global financial services company Morningstar reported that 45% of adults requiring long term care are under 65 years old. In fact, 8% of people between the ages of 40 – 50 will have a disability that requires long term care.

Reasons for early long term care include:

  • Psychiatric or neurologic illness
  • Developmental disabilities
  • Traumatic physical injury, like brain or spinal cord damage

The AMDA (American Medical Directors Association) has even published a guidebook, “The Younger Adult in the Long Term Care Setting” to help navigate the options available. They recognize that the needs of this particular group are quite different from those over 65.

For starters, how does one prepare for living the next 30 – 60 years of their life in a nursing home facility?

That manual is available to members of the Society for Post-Acute and Long-Term Care (PALTC).

Relying on Tea Leaves?

None of us knows how our future plays out. That’s why we purchase health insurance and auto insurance. The younger residents now living in nursing homes didn’t plan for this scenario. Those who have long term care insurance have better options and access to a higher quality of life and medical care.

Make plans to protect your future self. Click here to receive your free, no-obligation quote for your own LTCi policy.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure Tagged With: Long Term Care insurance, long-term care, LTC, LTCi, Morningstar, spinal injuries

Indecision Paralysis Can Be Very Expensive

August 20, 2019 by Honey Leveen Leave a Comment

indecision about buying long term care insurance 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.

Filed Under: Age related brain loss, Age related cognitive impairment, Denial Tagged With: caregivers, caregiving, Long Term Care insurance, long-term care, LTC, LTCi, professional caregiver, quality of life

One in Five Nursing Home Residents Report Abuse

June 20, 2016 by Honey Leave a Comment

Abusive Nursing HomeA new study reports one in five – or about 20% of nursing home residents – have experienced at least one resident-to-resident abusive event.

This is a conundrum brought about by abysmally low pay to nursing home caregivers, and by Medicaid reimbursement rates so low it is difficult for nursing homes to stay in the black. The majority of nursing home residents are covered by Medicaid.

Here’s a blog I wrote showing nursing home workers are quitting to work at McDonald’s, where they get paid more and don’t have to mess with bedpans or possible back injuries.

The article mentions the double homicide at a nursing home not far from here. Here is a series of blogs I did about this event.

If you want to greatly increase the odds you will not wind up in a nursing home, you need to own long-term care insurance (LTCi). Most LTCi policyholders are able to remain at home or move to an assisted living facility, instead of a nursing home. The evidence is in a recent AHIP study sited here; ask and I will email the complete study to you.

Filed Under: 3 in 4 Need More, Denial, Elephant in the Room, Helpful Information About LTC, Information About LTC Tagged With: AALTCI, Abuse, long-term care, LTC, LTCi, Medicaid, Medicare, Nursing Homes

Extraordinary Story of Devotion…and No LTCi

March 14, 2016 by Honey Leave a Comment

Helping Mother Bathe
Elizabeth helps her mother bathe.
Mark Makela for The New York Times

A story in yesterday’s New York Times titled “Living With the Parents I’m Losing to Alzheimer’s blew me away. I hope non-subscribers can open it.

Here’s the accompanying slideshow.

The story is about Elizabeth Wolf, a very generous, candid, public person with a blog at www.upsidedowndaughter.com.

Read the column or blog to learn that five years ago Ms. Wolf was enjoying young adulthood and exciting new pursuits when she gave them up and returned home to become her parents’ primary caregiver. Both parents have Alzheimer’s Disease. She’s doing this with the help of her extremely devoted husband.

We know from graphic, detailed information in the story about finances and day-to-day coping, neither parent owns long-term care insurance (LTCi).

If you’re like me, you are forced to wonder how extremely different Ms. Wolf’s life and relationships with her husband and parents would be if one or both parents owned LTCi.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC, New York Times Tagged With: Elizabeth Wolf, Long Term Care insurance, long-term care, LTC, LTCi, Medicare, Paula Span

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

Email: honey@honeyleveen.com

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