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Two Options for Funding LTC Expenses

January 27, 2016 by Honey Leave a Comment

Self FundingIn 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.”

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: caregivers, caregiving, Forbes, health insurance, home care, Long Term Care insurance, LTC, LTCi, Medicaid, Medicare, Nursing Homes, Wade Pfau

The Importance of Planning for Long-Term Care

January 13, 2016 by Honey Leave a Comment

Retirement Spending ShocksForbes has recently published some explicit, straightforward and accurate columns on long-term care (LTC). These columns are a great service to the public and a refreshing break from the typically neglected, error-riddled, negatively slanted coverage of LTC.

Wade Pfau is a professor at The American College, Principal at McLean Asset Management, and Forbes contributor.

Mr. Pfau is my new LTC hero!

In his December 22, 2015 Forbes column on the importance of planning for LTC, he states most retirement income planning is focused on income needs and market volatility and longevity.

A major retirement risk, which receives far less coverage and is often ignored, is that of spending shocks: having to spend significantly higher amounts than planned. Mr. Pfau states, “Long-term care (LTC) spending represents one of the most severe spending shocks that can impact retirees.”

He continues, “An expensive LTC event could derail an otherwise well-built retirement plan. This problem is growing as people are living longer, since it becomes more likely that care will be needed for longer as well. Older individuals suffer from higher rates of physical and cognitive problems, and they may have fewer family members or friends who are in a position to provide sustained daily assistance.”

I love that Mr. Pfau also accurately describes the psychology of denial that causes the failure and refusal to properly plan for LTC. He goes on to explain that lack of LTC planning “can create strains as long-term care depletes household assets, bankrupts a surviving spouse, or adds burdens for other family members who may end up making large sacrifices to provide care.”

Mr. Pfau then continues to clearly, accurately describe what LTC is.

I am very grateful to Mr. Pfau and believe this column is of great value to readers.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: aaltc, Denial, Forbes, home care, home health care, LTC, LTCi, McLean Asset Management, Medicaid, Nursing Homes, the American Association for Long-Term Care Insurance, The American College, Wade Pfa

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

Are you sure you want to count on Medicaid to pay for LTC?

January 14, 2015 by Honey Leveen Leave a Comment

Cherry PickingThe bottom line, illustrated in this May, 2014 New York Times story, is that there’s been an increasing trend towards managed care for Medicaid patients. The patients featured in this story are Medicaid-paid long-term care (LTC) recipients. An increasing number of Medicaid providers are paid “capitated” rates. Capitated means they get a flat, per person allowance to care for each Medicaid recipient. In the Medicaid-paid LTC described in the article, providers are “cherry picking” out less needful, easier to care for patients, leaving more needful LTC patients with fewer options.

A reasonably priced long-term care insurance (LTCi) policy is a better option than planning on letting Medicaid pay for your long-term care.

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Honey Leveen, long-term care, long-term care insurannce, LTC, LTCi, Medicaid, New York Times, www.honeyleveen.com

There’ll Be Too Few Millennials and Gen X-ers to Care For Us

January 9, 2015 by Honey Leveen Leave a Comment

Millenials Gen XersIn Kimberly Palmer’s article, “Why Caring for Older Adults Is Getting Costlier,” published in U.S. News & World Report, December 17, 2014, we learn that by 2030, Baby Boomers will start turning 85. There will be even more of a torrent of people needing long-term care. Most will be unprepared.

The majority of long-term care (LTC) in Texas and the US is provided by unpaid family members.

The article says the current ratio of family caregivers per every “vulnerable person” is 7 to 1. But soon, because of the aging population, it will be 3 to 1, she says. That will put even more pressure on family caregivers and make it harder for them to continue managing all their other responsibilities.

Here’s another blog I did about “Super-Aging.”

This article is highly educational because it puts the dilemma we will face into very human terms. In this quote, it describes the huge toll being a caregiver takes:

“Robison says her experience caring for her grandmother has made her think about the importance of taking out long-term health care insurance for herself one day, as well as saving for retirement.  ‘What we think we need is usually nowhere near the amount we need. … If my grandmother didn’t have a family, where would she be? Who would advocate for her?’  Robison adds that the situation continues to strain her family members, who want to make sure their MeMa is living as well as possible. ‘None of us are trained caregivers. We’re just doing the best we can.’”

My advice is to plan for your long-term care now. Owning reasonably priced long-term care insurance (LTCi) is a great way to do this.

Filed Under: Denial, Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Honey Leveen, Kimberly Palmer, Long Term Care insurance, long-term care, LTC, LTCi, Super-Aging, US News & World Report, 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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