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Life & Retirement
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Long-Term-Care Insurance
What it protects against
The financial consequences of needing help with daily living: bathing, preparing and eating meals, getting into and out of beds or chairs, dressing, using a toilet. Long-term care insurance also covers Alzheimer's Disease.
How it works
LTC insurance designs are numerous. They are available through group and individual policies; benefits are paid daily, as needed, or in greater amounts; some pay static benefits, while others are inflation-protected. Most individual policies are stand-alone and have no cash value. A few are sold as riders on life insurance policies or annuities.
Who needs it
Basically, everyone but the poor and the wealthy. Many financial planners believe TLC insurance should be part of most people's plans.
Who may not need it
There is plenty of uncertainty. The cost of long-term care can be staggering - $50,000 a year for a private room in a nursing home; $46,000 a year for daily home care. If your assets are low, you would quickly spend through them and qualify for Medicaid. For the affluent, how much do you need to self-insure? Estimates range from $2 million to $5 million, not counting real estate. You'll need to consider how much you own, how much your portfolio will earn each year, and how high inflation will be. Americans have trillions of dollars of equity in homes, so many experts believe reverse mortgages may be appropriate for paying LTC expenses.
When to buy it
If you are likely to want a policy, buy it soon to lock in lower premiums.
How to pay for it
Annual or monthly premiums for stand-alone policy. Payroll deductions for worksite policy. Lump-sum payment for combined life/long-term-care policy.
Terms to Know
Activities of Daily Living
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Bathing, preparing and eating meals, moving from room to room, getting into and out of beds or chairs, dressing, using a toilet.
Benefit Period
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In health insurance, the number of days for which benefits are paid to the named insured and his or her dependents. For example, the number of days that benefits are calculated for a calendar year consist of the days beginning on Jan. 1 and ending on Dec. 31 of each year.
Guaranteed Renewable
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A policy provision in many products which guarantees the policyowner the right to renew coverage at every policy anniversary date. The company does not have the right to cancel coverage except for non-payment of premiums by the policyowner; however, the company can raise rates if they choose.
Inflation Protection
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An optional property coverage endorsement offered by some insurers that increases the policy's limits of insurance during the policy term to keep pace with inflation.
Qualified Versus Non-Qualified Policies
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Qualified plans are those employee benefit plans that meet Internal Revenue Service requirements as stated in IRS Code Section 401a. When a plan is approved, contributions made by the employer are tax deductible expenses.
Waiting Period
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See elimination period.