Long Term Care Insurance Expert | Honey Leveen | Houston, TX

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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

Costs and Incidence of Long-Term Care

January 25, 2016 by Honey Leave a Comment

In his January 5, 2016 Forbes column titled “Costs and Incidence of Long-Term Care”, columnist Wade Pfau explicitly describes how likely it is any of us will need long-term care (LTC).

He states the most credible research he found determined that 58% of men and 79% of women aged 65 and older would need LTC at some point, and that average lengths for care were 2.2 years for men and 3.7 years for women. 38% of men and 63% of women will require care for one year or longer, while 11% of men and 28% of women will need care for at least 5 years.

He correctly explains people are not statistics. Statistics are irrelevant if you are the one needing LTC and you have not properly planned for it.

Mr. Pfau also correctly notes study results vary but the big picture is the odds are needing LTC are very high.

He accurately explains what LTC is.

He quotes average annual rates nationally for assisted living are $43,000/year and a private nursing home room is $91,250/year. A five year stay in a nursing home would cost $456,250 in today’s dollars.

Mr. Pfau explains that LTC costs vary and are regional. He gives the link to the newest Genworth Cost of Care Study, so people can determine a more precise cost of care in their locale.

What I find so entirely cool about Mr. Pfau is that he’s a fee-based financial planner. Unlike me, he is not a commission-based advisor who needs to sell products to make a living. He is an insightful thinker with a clear, common-sense, accessible writing style. He has an accurate view of the Big Picture and the necessity of responsible LTC planning.

In other words, he is interested in helping people create and achieve wealth – many financial planners can do that – but more importantly, once clients achieve wealth, he clearly understands the things they must do to preserve it.

 

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Forbes, Genworth, home care, home health care, Medicaid, Medicare, Wade Pfau

Hybrid LTC Policies

January 25, 2016 by Honey Leave a Comment

The Big PictureMy love affair with Forbes contributor Wade Pfau continues. He’s written another clear, concise, accessible article on a complicated subject: explaining the newer, asset-based (also known as “hybrid”) long-term care (LTC) products.

In this piece, Mr. Pfau also explains the differences and the pros and cons between traditional long-term care insurance (LTCi) and the newer, asset based (hybrid) life/LTC plans. This part of the article gets a wee bit more technical, but it is clearly written.

Since I have a life insurance background, I understand asset-based (hybrid) LTC plans well and I like them.

Which choice is better? The jury’s out. Each approach has advantages and disadvantages.

The Big Picture is: take the risk of needing LTC seriously. It is real.

What’s the best insurance policy? Trick question. It’s the one that’s in force when you need it!

One thing is clear: to make the wisest decision you can, and to be very satisfied with it, you’ll need the assistance of an experienced, ethical, qualified professional…like myself!

Filed Under: Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: asset based LTC, assisted living, Forbes Magazine, home care, hybrid LTCi, Long Term Care insurance, LTCi, Medicaid, Medicare, Nursing Homes, Wade Pfau

Examining Long-Term Care Insurance

January 19, 2016 by Honey Leave a Comment

Retirement Spending ShocksIn his January 14, 2016 column, Forbes contributor Wade Pfau describes what traditional health-based long-term care insurance (LTCi) is. He describes what determines LTCi prices and gives sound advice on when to buy it.

Mr. Pfau has keen insight that enables him to make complicated things easy to understand.

I love that Mr. Pfau hints at what can happen psychologically to affluent families who must self-insure when a LTC event occurs. He describes this in more detail in his December 22, 2015 Forbes column.

I also love the fact that Mr. Pfau is a financial planner. Far too many financial planners, just like the public in general, do not address LTC planning. After all, LTCi is complicated, and planning for it is a highly unpleasant subject for many.

He states, “At some point, wealth may be sufficient to self-fund long-term care expenses, but reasonable individuals may still decide to include insurance in their plans as part of an overall risk management strategy.”

An unforeseen, expensive “spending shock,” caused by an unplanned long-term care event, can wreak unnecessary, avoidable financial, mental, and physical havoc on families and estates.

Filed Under: Elephant in the Room, Helpful Information About LTC, I'll Just Self-Insure, Information About LTC Tagged With: Cash Type Long-Term Care Insurance, Forbes, home care, LTCi, Medicaid, Medicare, Nursing Homes, Spending Shock, Wade Pfau

Long-Term Care Insurance Can Be Costly but Effective

December 26, 2015 by Honey 1 Comment

Elderly WomanWhy doesn’t this New York Times article report on what its title promises it will, which is the effectiveness of long-term care insurance (LTCi)?

While being factually correct, this article puts the wrong “spin” on things.

It starts by giving the wrong title. LTCi is not necessarily costly. What can easily be far more costly is needing long-term care for anything but a short length of time and not owning LTCi.

The article “hooks” readers in the first paragraph by describing how LTCi preserves wealth. From there, this article gives readers excuses to avoid responsible LTC planning.

The truth is, the most important reason to own LTCi is not to preserve wealth. It is to preserve family integrity by reducing family resentment, stress and discord. The fact that LTCi also preserves wealth, and does it so well, is “icing on the cake.”

Families and governments are in budgetary crisis due to skyrocketing LTC costs.

Reporters and editors need to get the above perspectives corrected. Reporting needs to be done – now – on the hundreds of thousands of families collecting from LTCi and the radical qualitative difference that LTCi creates in their lives.

Here are some examples of the harmful “spin” I’m talking about:

The article hints that Ms. Cheng’s father is collecting enormous amounts from his LTCi policy, but it is not explicit about this. Why not? Why isn’t any space devoted to describing the extraordinary, qualitative difference LTCi has made not only for Ms. Cheng, but for her father?

Does Ms. Cheng own LTCi herself? Her advice about needing correct professional assistance with choosing LTCi, having a holistic outlook about the role of LTCi in estate planning, and asking children for input and help is sage. The reporter (Mr. Wasik)  should have asked her to comment about her own LTCi (if she doesn’t own LTCi, I just don’t understand why not, based on her personal experience and how wise she seems to be).

Instead, Mr. Wasik sidetracks readers with some “red herrings.”

There’s an irrelevant sentence describing how Keith Singer recommends clients with more than $500,000 should own LTCi. (I doubt he has any clients with less than a $500,000 net worth; most financial planners don’t.)  This sentence is harmful to readers, giving lower net-worth people one more excuse to dissuade themselves from doing responsible LTC planning. Such people are far more prone to catastrophe resulting from unplanned LTC needs. Here’s a story about a solid middle class couple with a 0,000 net worth that was devastated by unplanned LTC costs. This couple probably could have purchased very reasonable LTCi while they were insurable.

This sentence does not report on the effectiveness of LTCi (as the title purports) and is again potentially harmful to readers : “After a 90-day “elimination” period (often partly covered by Medicare for people whose need for extra care is hastened by a stroke or other medical emergency), the policy covers all assisted living, community and home care.” This perspective is incorrect, and further goads the American public to avoid responsible LTC planning by hinting that Medicare might assist with LTC costs. Medicare-paid LTC is not only paltry and inadequate; most people are not entitled to it.

Shame on Mr. Wasik and the NYT editors, whom I otherwise hold in high esteem. For the sake of the American public, reporting needs to be done now on the extraordinary, qualitative, transformative difference LTCi has and will make for hundreds of thousands of us.

Filed Under: 3 in 4 Need More, Denial, Helpful Information About LTC, Information About LTC, Misinformation About LTC, New York Times Tagged With: adult day care, assisted living, home care, home health care, Long Term Care insurance, Medicare, New York Times, Nursing Homes, Wealth Preservation

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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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