With so many people needing long term care these days, consumers are asking lots of questions about how to protect what they own if they need expensive long term care services in the future.
In Part 1 of our three part series, we addressed when and how the government covers long term care expenses. In this Part 2, we are addressing how and when insurance companies cover long term care expenses.
In general, there are two types of long term care insurance: traditional long term care insurance, and asset based long term care insurance.
Traditional long term care insurance can be looked at similar to your automobile insurance and your homeowner's insurance. You pay for it every year, and if you never file a claim, that money is kept by the insurance company. If you own traditional long term care insurance and never need long term care services, the money you paid for the traditional long term care insurance is never recovered.
In this post, however, we'll look at an asset based insurance product that combines life insurance with long term care benefits. This policy is often funded with a single payment whereby an individual or a couple repositions what is often an existing low yield asset (like funds in a savings account) into a policy and the result is a net zero cost.
Let's take a look at an example. Let's say a healthy 59 year old couple wants to protect their assets from long term care expenses. They want to ensure that if either or both of them need long term care services in the future, that they will each have $6,000 of monthly long term care benefit, and they want that benefit to last for an unlimited period of time. They also want to make certain that if they do not need long term care services in the future, that their children (their beneficiaries) will receive a tax-free death benefit from the insurance company after they both pass away.
At 59 years old (the numbers get progressively worse the older you are when you do this), they decide to reposition $114,400 with the insurance company. When either of them need long term care and cannot perform two of the six activities of daily living, the insurance company will reimburse them for $6,000 of monthly cost. However, if they never trigger the long term care benefit, the insurance company will pay their children $150,000 after both spouses pass away.
People who tend to own long term care insurance like the peace of mind they get from knowing that coverage is in place. Insureds also like the fact that if they need long term care services, they can receive those services in their home or in the facility of their choosing - they will not be bound to a Medicaid facility under Medicaid conditions. Many believe that it makes smart financial sense to own long term care insurance - particularly if they can reposition non-performing cash and know that they (or their heirs) will receive a significant return either in the form of long term care benefits or a death benefit.
People who choose not to own long term care insurance often do so because they are choosing to either rely on Medicaid or self-fund those expenses. They may something like, "Well, Momma never needed long term care. Me and my sibling took turns taking care of her and she went down fast. If Momma would have had long term care insurance, she would not have used it. So, I'm not gonna get long term care insurance."
The key here is to plan ahead. Get educated and informed. Make good informed decisions while you are relatively young and healthy. Waiting too long or waiting until the last minute significantly limits your options.
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.
Louisiana Estate Planning Attorney
Phone: (225) 329-2450