Personal Finance

Your Money Now / Insurance

What to look for in long-term care policies

 

Here’s what to look for when you’re looking into long-term care insurance.

Resources

http://elderaffairs.state.fl.us/shine/longtermcare.html: Florida Department of Elder Affairs SHINE (Serving health insurance needs of elders) program

http://www.aaltci.org/: American Association for Long-Term Care Insurance

www.longtermcare.gov: U.S. Dept. of Health and Human Services site


How much does long-term care insurance cost?

Here are sample Florida quotes from Sande Kaskel with Kaskel and Associates in Hollywood for an A-rated company for someone with “standard” health. Quotes are based on a $180 daily benefit, three-year benefit period, 90-day elimination period for nursing home and zero-day elimination period for home care.

• Age 50, with a 5 percent simple inflation option: $1,500 annual premium; with a 5 percent compound inflation option: $2,200 annual premium

• Age 60, with a 5 percent simple inflation option: $2,300 annual premium; with a 5 percent compound inflation option: $2,800 annual premium


Special to The Miami Herald

When Barry and Debbie Kay of Plantation reached their early 50s, they took a step to lock in their future independence: They bought long-term care insurance.

The parents of three grown children, Barry Kay said he and his wife wanted to make sure they had the freedom to make their own decisions about future care, if needed.

“We didn’t want to have to count on anybody else stepping in,” said Kay, 57, an optometrist. “We wanted to be independent.”

Freeing family members of the burden of being caregivers, protecting assets and maintaining independence are three common reasons that people buy long-term care insurance.

The insurance typically steps in when a person has cognitive impairment, or cannot perform “activities of daily living,” such as bathing, dressing, feeding and walking. It can be used after an acute illness, injury or surgery, and can cover care at home, an assisted living facility or nursing home.

At age 65, seniors have a 40 percent lifetime chance of a nursing home stay, according to the U.S. Department of Health and Human Services. For about 10 percent of the seniors, the stay will last five years or longer.

The average annual cost of nursing home care is $50,000 or more, according to America’s Health Insurance Plans. In South Florida, average costs are $16 to $19 an hour for home care, $1,850 to $4,400 monthly for assisted living, and $195 to $225 daily for a nursing home, according to the American Association for Long-Term Care Insurance.

“When we are doing a comprehensive financial plan for someone in their 50s, we examine long-term care to see if it’s right for them,” said Ana Maria Martinetti-Katz, a certified financial planner with Cathy Pareto and Associates in Coral Gables.

Individuals should expect to pay 5 to 10 percent of their income on long-term care insurance, and premium costs are rising, she said. In the past year, long-term care insurance policy premiums rose 6 to 17 percent, according to the American Association for Long-Term Care Insurance.

The rule of thumb is that people with assets of $250,000 to $2 million need to buy long-term care, Martinetti-Katz said. The thinking is that those with fewer assets can’t afford the insurance, and those with more can afford to pay for their own care.

“But that’s just a rule of thumb. If you have more than $2 million, you can afford to pay for your own care, but is that really how you want to spend your assets?” she said.

For the Kays, it was watching Debbie’s grandmother, who did have long-term care insurance and was cared for comfortably in her own home, that helped make their decision.

“We’d had advice from older people, who had been through it. We were at the right age, and we thought it made sense,” said Kay, whose wife, Debbie, 57, is a project manager for Family Central. “We knew the time was right.”

Sande Kaskel, owner of Kaskel and Associates in Hollywood, has sold long-term care insurance for more than 20 years. She began selling it in 1989 after her grandmother, who was in her 80s, needed care and the family had trouble finding qualified caregivers to go to her home.

“Look at healthcare costs, figure out how much you can afford to pay and go to a long-term care specialist or financial planner to help you find a policy that fits your needs,” Kaskel said. “Having a policy that pays 50 percent is better than nothing.”

Read more Personal Finance stories from the Miami Herald

  • The color of money

    Michelle Singletary: Calculating the real cost of that speeding ticket

    For many drivers, the fear of rising auto insurance rates keeps them from driving too fast or leaving their license at home.

  • The week ahead

    Tom Hudson: Can Jaime Dimon hold onto both jobs?

    A fortress balance sheet may not be enough to protect JPMorgan’s CEO from the building chorus of criticism. Jaime Dimon has guided JPMorgan since 2005, navigating through the financial crisis, serving as the de facto spokesman for big banks and becoming the poster boy of the arrogance in high finance. He has survived a multi-billion dollar trading scandal and now faces regulators’ questions over actions of its energy traders and credit card collection procedures. No fewer than eight government agencies have launched investigations into JPMorgan.

  • Investing

    Andrew Menachem: Debunking the myths about volatility

    When the stock market goes up, most investors feel good. They’re happy with their investment decisions and start counting all the money they’ve made on paper. Of course the opposite occurs when the market goes down. Investors get scared and wonder why they ever bought stocks in the first place.

Miami Herald

Join the
Discussion

The Miami Herald is pleased to provide this opportunity to share information, experiences and observations about what's in the news. Some of the comments may be reprinted elsewhere on the site or in the newspaper. We encourage lively, open debate on the issues of the day, and ask that you refrain from profanity, hate speech, personal comments and remarks that are off point. Thank you for taking the time to offer your thoughts.

The Miami Herald uses Facebook's commenting system. You need to log in with a Facebook account in order to comment. If you have questions about commenting with your Facebook account, click here.

Have a news tip? You can send it anonymously. Click here to send us your tip - or - consider joining the Public Insight Network and become a source for The Miami Herald and el Nuevo Herald.

Hide Comments

This affects comments on all stories.

Cancel OK

  • Videos

  • Quick Job Search

Enter Keyword(s) Enter City Select a State Select a Category