Who Will Pay Your Long Term Care Expenses (Part 3 of 3)?

People turning 65 have a 70% chance of needing long term care services. And 20% of people turning 65 will need long term care services for more than five years.

Basic long term care services exceed $5,000 monthly. In 20 years, this cost will double. Funds come long term care services come from three sources: (1) the government; (2) insurance companies; and (3) out of people's own pockets.

In previous posts we discussed more specifically how the government pays people's long term care expenses through Medicaid (Part 1), and we discussed how insurance companies provide funds to help people cover all or a portion of these expenses (Part 2). Here we'll address what happens when people are forced to pay for the care out of their own pocketbooks.

Here are some problems that families incur when they have to spend their own hard-earned dollars paying for long term care services.

Sometimes a family will admit a spouse or parent into a nursing home, forking out $6,000 per month, while the people in the rooms to the left and the right, and the nursing home resident across the hall, are all getting what's called "a free ride." This makes people bitter about the "system."

But let's say, rather, that a family decides to skip the nursing home route and they decide to keep husband/wife/father/mother at home. Well, 24/7 care these days cost in excess of $10,000 monthly - so the funds go even faster.

So now the family decides to save money by having the children "take turns" caring for their parent. But what often happens is only two of the four children live in the same geographic area, while two others live in town. And the primary caregiving daughter who lives locally gets made at her siblings because, while she does not mind caring for her parent, she's having to carry the heave load while other siblings don't pull their weight. All this causes family relationships to tear apart - at least that's what they tell me!

So, what should you do?

(1) Plan ahead. You'll have the most options if you start having serious discussions while you are healthy. Talk to an attorney who can help you with these and other estate planning options. Talk to your family who will play a significant role in your care.

(2) Get some help. To get the best information about your best options, you'll need help from an estate attorney who understand's your state rules regarding Medicaid eligibility, and what it takes to get there. You'll need to uncover your long term care insurance options - perhaps your attorney can guide you through this as well. And you'll need to consult with your family who will be assisting you in the future.

(3) Don't be a victim of "Paralysis By Analysis." Sometimes, when there are too many options to consider, and some of those options seem complicated, people throw up their hands and take no action, putting it off for another day, which turns into another year and then another decade.

So plan ahead. Get good information. Work with good people so you can get it right the first time, and then live your life to the fullest knowing that your long term care needs will be met according to your plan.

This post is for informational purposes only and does not provide legal advice. Please do not act or refrain from acting based on anything you read on this site. Using this site or communicating with Rabalais Estate Planning, LLC, through this site does not form an attorney/client relationship.

Paul Rabalais

Louisiana Estate Planning Attorney


Phone: (225) 329-2450