LTCi Archives - Page 3 of 30 - Long Term Care Insurance Expert | Honey Leveen

Good News: LTCi Keeps People out of Nursing Homes!

July 30, 2019 by Honey Leveen Leave a Comment

One of the greatest fears among seniors is having to move to a nursing home. In fact, a study reports that seniors fear nursing homes more than they fear death. They don’t want to lose their independence.

And the majority of family members polled have serious concerns about their loved one suffering from neglect or mistreatment in nursing homes.

When I began selling LTCi in the late-1980s, assisted living was a new industry and facilities were hard to find. Most long term care took place in nursing homes or at home. In those days, some LTCi policies did not include assisted living coverage because it was so unknown.

Well, I’ve got some good news to share!

LTCi Can Keep People Out of Nursing Homes

Things are very different today. The 2019 Millman Long Term Care Insurance Survey is out, reporting on the current landscape of the LTCi landscape. It contains lots of good news for LTCi policyholders.

In 2013, 60% of policyholders avoided nursing homes. In 2017, only 30% of LTCi claims were for nursing homes.

People being cared for in assisted living live longer than in any other setting. LTCi claims for assisted living are now the longest and most expensive claims paid.

I expect this significant drop in nursing home admissions to continue. At least for those who are protected by their long term care insurance. Today, every traditional LTCi policy on the market will cover assisted living. This was not true years ago. Assisted living is now mainstream, popular, rapidly growing, and profitable. Happily, there are so many more choices are available.

Claims Are Getting Paid and In Record Time

The good news continues!

In 2017, payments to LTCi policyholders came to $11 billion for claims. This is a 55.9% increase in claim payments in the previous year. And claims are being paid 8% faster which means families are getting relief in a more timely manner. Expect this trend to continue.

Remember, LTCi ownership is a “long” game. The average age of LTCi purchase is 57. However, people don’t usually need to file a claim until they’re in their late 70s or well into their 80s. People who buy LTCi are realists, willing to plan for a future that’s years away.

If you’re someone who enjoys reading detailed insurance analysis, you can find the full report by clicking the image, below. And if you’re someone who likes planning for an easier future, click here to receive your free, no-obligation for long term care insurance coverage.

2019 Milliman Long Term Care Insurance Survey

There’s No Planning Without Communication

July 22, 2019 by Honey Leveen Leave a Comment

Communication 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.

Brain Decline + Failure to Communicate = Failure Formula

July 1, 2019 by Honey Leveen Leave a Comment

If 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.

Are Assisted Living Facilities Keeping Up With Needs?

March 26, 2019 by Honey Leveen Leave a Comment

Assisted living facilities and their residents don’t tire of blaming each other for sub-standard care.

An article in the New York Times reported the tragic and avoidable death of a 90-year-old resident, suffering from dementia. A resident of Brookdale Charleston Senior Living, she wandered outside — and not for the first time.

Nobody noticed her absence for seven hours. She was found in the pond behind the facility, dead from puncture marks to her ear, temple, jaw and cheeks. Her pacemaker was discovered inside one of the alligators that lived in the pond.

The assisted living facility has already settled the family’s claim for wrongful death and is now facing an additional suit for emotional distress.

Sharing the Blame

I believe that the residents, their families and the facilities can share in the blame.

Undertrained Staff

Assisted living is not federally regulated. Nursing homes are. State enforcement and sanctions are often lax and not very stringent.

Many experts agree that much of the problem stems from inadequate staffing which I’ve blogged about in the past. Adequate funding will easily resolve these shortcomings. An simple recommendation, but more difficult to implement.

Assisted living started as a service for people who were more independent. Residents who need help with activities of daily living (ADLs). Some residents were experiencing early cognitive challenges. Just a generation later, assisted living often accepts people with far greater needs. Needs they may not be prepared to fully accommodate. I often see this, and it disturbs me.

The Facility’s Profit Motive

Many assisted living facilities are for-profit entities, earning handsome returns to their investors. I have some friends who manage the marketing at some of these organizations. They often tell me that they are pressured by management to fill as many apartments as they can.

Facilities cannot offer this needed care at an affordable price point that fills apartments and attain financial returns that please their investors. As the saying goes, “No one can serve two masters.”

The Resident’s Budget

The residents (or their families) pay for assisted living out of their own pockets, unlike nursing homes. Medicare or Medicaid do not contribute. They have a high appeal, as they emphasize independent living instead of intensive medical care.

Many residents are unable to afford the higher cost of fully trained and properly staffed facilities, so they let their budget determine the quality of care they receive.

People want to deny the almost certain fact that they might ever need long term care (LTC). When they inevitably do need LTC, it is common for them and their family to downplay the true extent of their needs.

So they choose the posh, upscale environment so many assisted living facilities have, instead of one that may be better-equipped to actually care for the resident.

What happens when the residents and their family realize that they’re not getting the care they need? They might experience the tragic consequences like the resident in the NYT article. They might move to another facility more appropriate for their escalating needs.

Decide to Plan

When planning for your future needs, wouldn’t it be nice to make your decisions based on quality of life and not settle for a sub-standard solution just because of your financial limitations?

Choose quality! Click here to receive your free, no-obligation quote for your own Long Term Care insurance policy.

Falling Down is no Joke for the Elderly

December 8, 2018 by Honey Leveen Leave a Comment

The World Health Organization (WHO) announced that falls are the second highest cause of injury in seniors. Falls trail just behind traffic-related injuries. In fact, over 37 million of these falls are serious enough to require medical attention, globally.

Here in the U.S., the Center for Disease Control (CDC) reports that one in four seniors, aged 65+, fall each year. Those falls mean more than 2.8 million visits to the emergency room. Tragically, there are over 27,000 deaths each year from falls.

Preventing Falls

The WHO lists multiple fall prevention strategies to help reduce risk, including:

Muscle strengthening and balance retraining
Introduction and use of physical devices to assist those with physical and/or sensory impairments
Thorough assessment of the living environment for potential falling hazards

The rest of the list, along with a discussion of other risk factors can be found here on the WHO website.

The Cost of Falls – not just in dollars

The CDC explains that the total cost of the injuries from falls was about $50 billion in 2015. By 2020, these costs are expected to be over $67 billion.

There has been a lot of work raising awareness around preventing these falls. Unfortunately, many seniors react in fear, so they change their regular activities. They choose to stay home and “play it safe”. However, reducing their social interaction and physical routines creates their own problems. They often experience an increase in alienation and depression.

You don’t have to hide in fear of falls! A thoughtful long term care insurance (LTCi) policy can help you easily prepare to navigate this road. Perhaps you want to hire trained home healthcare professionals. Maybe you’re looking for a facility that is properly equipped with safety features to reduce your risk. These options become available to you, especially when you plan in advance for your future needs.

The first “step” is beginning your research. Click here to receive your free, no-obligation quote for your own LTCi policy.

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