California Long Term Care Insurance Provider
Katie O'Rourke
The Problem
The problem is how to manage an event that is increasingly likely to occur as we age. Because we are likely to live a long life, we are likely to get old. If we get old, we are likely to become sick or injured. If this happens, we are likely to need care. Who will pay for that care? Who will provide it? How can the potentially severe consequences of needing care be minimized for one's family and one's financial plan? An extensive study on aging was published in the New England Journal of Medicine in 1991. This study concluded that 43 percent of people age 65 will enter a nursing home before they die, and, in addition, many more will need home health care. Half of those who will enter will stay for at least one year and their average stay will approach three years.
The average cost of a nursing home in California is now roughly $58,000 per year and is rising yearly at a pace above the rate of inflation. Medicare only covers long-term care for a matter of weeks, if at all, and is now under severe financial pressure. Medicare supplements and other private insurance policies also give minimal benefits. Medi-Cal only covers cost as a welfare supplement for the poor. The Denial
Many Americans still believe that the chances are slight that they will need long-term care. They claim that their family history, or their genes, or their lifestyle, minimizes their risk. Unfortunately, if they believe these factors will enable them to live a long life, they are building a case that they have a higher risk than others of needing long-term care. The longer one lives, the greater the risk. Thus, a healthy 65-year-old may have as high a risk of needing long-term care as another 65-year-old with health problems, because the healthy person has a longer life expectancy.
Others feel that they do not need protection because their spouse, child or close friend can take care of them if necessary. But very often, a long-term care scenario can impose more stress on the caregiver than on the patient. Policies can be designed to pay for other caregivers to relieve the primary caregiver or caregivers, enabling loved ones to retain their own quality of life.
Denial can lead to lack of planning. Better for many to pay for insurance and not need it than to deny their human frailties and have their life's savings depleted. The Purpose
One of the main reasons Americans buy long term care insurance is to avoid becoming a burden to their loved ones. They preserve their independence. They obtain the peace of mind that if they do become sick or injured, they will feel free to utilize the best quality of care available in the marketplace. They can die with dignity and usually without pain. Another important reason Americans buy long term care insurance is to protect their assets, as they didn't work their entire lives to spend their savings on nursing care. They want to preserve their assets to pass to their loved ones. It is now agreed that any motivated person with sufficient assets to easily cover the cost of the insurance should buy protection. The Choices
As there are many factors that determine coverage and cost, clients should realize that it's imperative to choose a good insurance company and a good agent. As yet, there are only a handful of insurance companies and agents that have wide experience in this field. The main factors in choosing an insurance company and an agent are:
1. Is the insurance company highly rated and stable, so that it will be around many years from now to pay a claim?
2. Does the insurance company have a good track record of paying claims?
3. Does the insurance company have competitive rates, give good value, and have a strong presence in the long term care insurance industry?
4. Is the agent trustworthy and a specialist in long-term care insurance?
5. Is the agent part of a larger organization that is available to assist you in time of need?
6. Can the agent offer many plans from top companies and not merely represent one company? Types of policies
Types of Policies
The most common type of policy is comprehensive. It pays benefits for care in one's home or in a facility. This is by far the preferred type of plan due to it's excesixibility. A limited number of insurance companies offer facility only plans. This type of plan pays benefit of care in a nursing home, assisted living or board and care facility. To Get Benefits
In order to receive benefits, first the client's doctor has to certify that he is sick or injured. He must either require assistance in two or more of the previously mentioned activities of daily living, or he must need constant supervision due to cognitive impairment. In a tax-qualified policy, the client's doctor must certify that the illness or injury is expect to last at least 90 days.
Second, he must receive care from a person or facility that meets a definition in his policy. In general, a facility must be licensed, maintain records and have the ability to care for him 24 hours a day. If he needs the care of professional caregivers in his home, they must also be properly licensed. If he only requires personal care and services at home and aides, no licensing is needed. Nor does he have to utilize a licensed home health care agency. Some policies reimburse even if care is given by a family member.
Home health care policies often require a written plan of care, designed by a doctor, nurse or social worker and agreed to by the patient. Benefits cover a very wide range of services performed within the plan of care. A social worker is also able to monitor this plan, change it if conditions change, and aid the patient in procuring caregivers. The best policies pay the costs of the social worker's services. Levels of Nursing Care
There are three levels of nursing care that vary in intensity, and long term care policies cover all of them in the same manner:
1. Skilled care: Rehabilitative, short term, intensive 24 hour care, usually following an illness or injury requiring acute care first. Assuming a three-day hospital stay, Medicare and other health insurance policies cover room and board for skilled care only in a nursing facility. The average stay is less than 20 days.
2. Intermediate care: Rehabilitative care for up to six months which requires less than 24-hour supervision by a nurse.
3. Custodial care: Care necessary due to a chronic or permanent illness or injury, which is less intensive, but which may continue indefinitely. This care helps a person perform activities of daily living or supervises a person if cognitive impairment exists.
The primary need for long-term care insurance is to cover the costs of custodial care, as custodial care accounts for more than 90 percent of nursing care costs. Other types of insurance policies provide no benefits for custodial care. Over half of custodial costs are for people having cognitive impairment. Many custodial care scenarios begin with a mild degree of illness, but slow deterioration sets in. The Variables
There are eight main variables in long term care policies which all influence the premium:
1. Age: The younger you are, the lower the premium. The age is the single largest element in determining the premium. This factor creates a substantial additional cost if one waits to purchase long term care protection.
2. Daily benefit: The maximum amount a plan will pay for one day of care. This can vary from $50 to $400 per day. The cost of a nursing home in California in 2005 averages $180 per day, according to the California Partnership for Long Term Care. Clients may want to protect against all of this cost or only most of it.
3. Benefit limit: This is the number of days or years that a plan will pay a benefit ... not from now, but from the time the client gets sick. Benefit limits can vary from one year to lifetime coverage. The longer the benefit limit, the greater the protection but the higher the cost.
4. Inflation protection: Because nursing care costs are rising, clients need a way for their daily benefits also to increase over time. Otherwise, the policy may not adequately protect your client many years from now if he/she gets sick. Policies normally contain riders offering automatic daily benefit increases of 5 percent each year, either at "simple" or "compounded" rates.
5. Elimination period: This can also be called a deductible, and is a period where clients pay out of their own pockets before a plan begins to pay. This period normally varies from 0 to 100 days, with the 100-day elimination period yielding the smallest premium.
6. Tax benefits of policy. Some or all of the premiums may be tax deductible depending on your filing status. Typically, the benefits of a plan are income tax-free. For specific details contact us and your tax advisor.
7. Partnership: Four major companies in partnership with the State of California have special, tax-qualified policies where in the State pays lifetime benefits in skilled nursing facilities under Medi-Cal after the insurance company benefits run out. The amount of insurance company benefits paid out is preserved in the estate of the client.
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