Proactive or Procrastination - Avoiding the Crisis of Long-Term Health Care

Aging is a reality. With aging comes declining health, illnesses, mobility problems, and even memory problems. Most of us will procrastinate but being proactive in long-term health care planning will save you money and keep you in control.

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Proactive or Procrastination - Avoiding the Crisis of Long-Term Health Care
9 Min Read April 7th, 2022

When you were young, did you wait until the last minute to complete that assignment or study for a final exam? Many of us procrastinate from time to time despite knowing there could be unfavorable consequences for doing so. Often, we delay acting on things we deem to be unpleasant. 

Thinking about the consequences of declining health and aging is a good example of something that, if left unplanned, can be challenging for our families and finances. 

We rationalize why we can delay or ignore future long-term health care planning. Maybe you have made some of these statements:

  • I'm healthy; I don't need Long-Term Care Insurance. 
  • I'll die before I would ever need long-term health care. 
  • My spouse or family would take care of me if I needed care in the future. 
  • I have good health insurance now, and later Medicare will pay for long-term care. 
  • The government will solve this problem in the future; I don't need to buy insurance now. 
  • Long-Term Care Insurance is too expensive; I can't afford it. 
  • I don't trust insurance companies; they won't pay claims. 
  • I can wait until I get older or when my health deteriorates, and then I'll buy LTC Insurance. 

These statements are false. We make these rationalizations because we want to procrastinate and avoid taking positive action. There are serious consequences when we delay planning for the costs and burdens of declining health and aging. 

Family Crisis

People need long-term health care due to an illness, accident, mobility problems, memory loss, or general aging and frailty. When a person avoids planning, we have planned to fail, resulting in a crisis within our families. 

The need for long-term health care happens at all ages but increases as we get older. When we are older, our spouse is also older. An older spouse will not be able to either be a caregiver or a manager of professional care. 

Your adult children will have a career and their families to be concerned with, and juggling responsibilities is difficult, if not nearly impossible.

"I've worked with hundreds of families through the transition to care for a loved one – and most of the time, it's a crisis situation. That's not the time to start your research. Families get 'sticker-shock' when they learn the costs of care, either in the home or in a community – and don't have a plan in place to pay for it," said Cindy Paige CSA, MBA.

Cindy Paige, CSA, MBA

Cindy Paige, CSA, MBA

Paige is a senior advisor, advocate, and author who works with Oasis Senior Advisors where they help families during these times of crisis to help them find senior housing and care.

She explains that researching the costs and options available before a person requires long-term health care will eliminate much of the stress when a parent or loved one needs help with daily living activities or supervision due to memory loss. 

Since so many older people will experience an age-related decline in health or a disease-related condition, preparing for such events will ease the family and financial stress.

"Families also need information on how to pay for long-term health care. I find that many adult daughters and sons in the early stages of arranging in-home care don't know their parents' financial situation.' I encourage families to sit down and find out what kind of funds are available – the earlier in the senior care journey, the better," said Josh Zuieback, owner of Amada Senior Care franchise in Northern Colorado

Even though more people own Long-Term Care Insurance than ever before, Zuieback says some families don't know when to start using their parent's policy benefits. Most Long-Term Care Insurance policies cover in-home care, which most care recipients and their families prefer.

"I run into policyholders all the time who think they have to hold on to their policies so that they have resources later. They don't realize that their benefits go away unused should they pass away. Using their LTC Insurance policy early is the smartest and most affordable way to fund care needs," said Zuieback.

Care coordinators, which many Long-Term Care Insurance policies pay for, can help the family make decisions and explain available options. Without insurance, these responsibilities often also fall on adult children who don't know where to turn to for help and assistance. 

Soaring Costs Create Financial Burden

Long-term health care costs are soaring for many reasons. There is a greater demand for services in all sectors of long-term care. This demand for long-term health care will continue to increase as there are now 55 million Americans aged 65 and older. 

Baby boomers have changed the face of the U.S. population for more than 70 years and continue to do so as more enter their senior years. The 2020 U.S. Census estimates at there are about 73 million baby boomers in the United States. This demographic shift is often referred to as a "gray tsunami."  

Baby boomers are those who were born from 1946 to 1964. The tail end of the boomers has not yet reached age 65! There is a younger group that is also rapidly getting older. Generation X (GenXers) were born between 1965 and 1980. This group of people now in their 40s and 50s are actively planning for retirement and often considering the need to plan for the costs and burdens of aging.

All these people are putting pressure on professional caregivers and long-term care facilities. The greater demand for services and higher labor costs have resulted in ever-increasing costs for all types of long-term health care.

There is financial pressure on families as health insurance, including Medicare and supplements, will not pay for most long-term health care services beyond a handful of days for skilled care services. Medicaid will pay for long-term health care, but you must have little or no income and assets, and the care is often delivered in Medicaid nursing facilities.  

Long-Term Health Care Costs Vary Depending on Location 

The LTC NEWS Cost of Care Calculator illustrates the financial problem that long-term health care can have on families. Costs vary depending on where you live and the type of care you or a loved one will need. Long-term health care costs are more expensive in, for example, Boston or Seattle compared to Tuscaloosa, Alabama, or Jackson, Tennessee. 

These costs are increasing rapidly every year. You can find the current and future cost of care services and other state-specific information where you live by using the calculator - Cost of Care Calculator - Choose Your State | LTC News.

Better Awareness 

Tafa Jefferson is the founder and Chief Executive Officer of Amanda Senior Care, one of the nation's leading home health care agencies. He says that more people today are aware of the consequences of changing health and aging. 

Tafa Jefferson, CEO of Amada Senior Care

Tafa Jefferson, CEO of Amada Senior Care

"Families are now preparing for future long-term health care unlike never before. The COVID-19 crisis has brought health care in general and long-term health care specifically to the forefront," Jefferson said.

Jefferson says the post-pandemic environment should cause grave concern for many of our aging Americans. The costs are increasing. More long-term health care is being delivered in a person's home. Being prepared for long-term health care has become a vital part of retirement planning. 

States Taking Action for Additional Revenue

The government is rethinking its role. States are considering following the State of Washington's lead in taxing those without Long-Term Care Insurance. Several states, including California and Minnesota, are actively looking at implementing such a tax. 

Medicaid is the top payor of long-term health care in the United States but is only available for those with little or no income and assets. States must find ways to come up with additional financial resources to pay for the ever-increasing costs.

"We anticipate, as demonstrated by residents in Washington State, to set off panic purchases of Long-Term Care Insurance products in the very near future," Jefferson explained.

These new taxes on those who do not own LTC Insurance may happen quickly, and it is unknown whether states will give much time for their residents to buy Long-Term Care Insurance before the new taxes take effect.

"Families do not have the luxury to procrastinate if they intend on avoiding a tax or planning to age in place, access quality care, and protect savings," he said. 

Many Long-Term Care Insurance specialists recommend that if you have income over $75,000 a year to be proactive in obtaining coverage before the tax is enacted. Nobody knows how each state will implement the program and how much time will be allowed for residents to purchase coverage to avoid the tax. 

Long-Term Care Insurance provides guaranteed tax-free benefits to access quality in-home care services or long-term care facilities like assisted living. Many people erroneously assume that Long-Term Care Insurance is too expensive. However, it is much less expensive when you obtain coverage when younger and healthier. 

There are also federal tax advantages for some people when they own a Long-Term Care Insurance policy - some states also have tax incentives in place. 

Some Financial Professionals Not Addressing Long-Term Health Care

Some financial advisors and even insurance agents tell consumers they can't afford LTC Insurance or should try to "self-fund" their future long-term health care. Many of these financial professionals don't even talk about long-term care at all. Some of these professionals lack the understanding of the consequences a long-term health care event has on the family. Long-term care is both a cash flow problem and a family problem.

Bill Comfort, CSA, CLTC

Bill Comfort, CSA, CLTC

"Long-Term Care Insurance does not have a product or pricing issue - it has an agent/advisor issue. Ninety percent of all agents/advisors are either ignoring the subject completely or are not effectively proactively raising the subject," said Bill Comfort, CSA, CLTC, during a session at a recent industry meeting. Comfort is a leading industry expert, Long-Term Care Insurance specialist, and instructor for the industry's CLTC designation program. 

Many experts suggest seeking the help of a qualified Long-Term Care Insurance specialist instead of a financial planner or general insurance agent, who can help you navigate the many available options. 

Specialists can help develop an affordable plan based on your specific needs and the knowledge of how LTC Insurance can ease the burdens otherwise placed on family members. The consequences are real. The impact can be life changing. Being prepared benefits the entire family.

Being proactive is undoubtedly better than reacting to a crisis. Procrastination reduces your ability to stay in control. For those who never planned, adult children can help their parents when the crisis has already started.

Funding a Long-Term Care Insurance Policy

There are several ways to fund a Long-Term Care Insurance policy. Many policyholders use their income to pay for the premium since the premiums are low enough to do so. Some policyholders use money from savings or earnings from investments to pay the premium. There are other ways to come up with the money to pay the premium.

Mike Banner is a nationally known senior expert and host of the TV Show "62 Who Knew." He also is a reverse mortgage expert and runs a firm that provides these products that can help in crisis situations. 

For some people with equity in their homes, a reverse mortgage can help them stay at home and fund quality in-home care. Many Americans have much of their money tied to their home. There are ways to use a small part of that equity to ensure your choice of quality care services without placing a burden on those you love, whether they use the money to buy insurance or, in necessary, pay for in-home care.

Mike Banner

Mike Banner

"Unfortunately, some people have procrastinated just a bit too long. Proceeds from a reverse mortgage can assist with in-home care for their ailing loved one," Banner explained.

Reverse mortgages can also be used to reduce expenses in retirement and pay for Long-Term Care Insurance. 

"My company has secured a reverse mortgage for those aged 55-65 to purchase their Long-Term Care Insurance. Some of those past clients are now using the proceeds of their reverse mortgage to eliminate all their remaining debts, so they can live their retirement years knowing their financial future is secure and, if necessary, the benefits from their Long-Term Care Insurance policy will allow them to afford high-quality in-home care," Banner said.

You can learn more about how reverse mortgages can help you or a loved one by reviewing the LTC NEWS section on Reverse Mortgages | LTC News.

Avoid Denial

Remember those statements many of us will use to avoid planning for long-term health care; some were listed at the top of this article. The facts tell us that the consequences of aging and long-term health care are real. If you are healthy today, you will live a long life and that - on its own - is a risk for needing future long-term health care.

We get all will get older, our bodies deteriorate, we become frail, we get ill, we suffer from accidents, and our minds decline. As a result of these very human frailties, many of us will need help with daily living activities or supervision due to memory loss. 

Long-Term Care Insurance is an affordable solution for many families. However, don't delay until it's too late or options are too expensive. Most people obtain coverage in their 50s.

If you or a loved one already owns Long-Term Care Insurance, don't drop it - it is far too valuable. If you or a loved one needs care, be sure to use the benefits. Do not delay thinking you might be better off saving the benefits for a rainy day. 

LTC NEWS can assist you in getting benefits from a Long-Term Care policy - Filing a Long-Term Care Insurance Claim | LTC News.

Avoid procrastinating - be proactive, and you and your family will benefit.

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About the Author

Linda Kople is a freelance writer with a personal family history in long-term care. She specializes in aging-related topics such as caregiving, health, and retirement planning. Her experiences and interests drive her to explore and write about the various aspects of aging and health issues.

LTC News Contributor Linda Kople

Linda Kople

Contributor since October 31st, 2017

Editor's Note

It is hard to deny that we get older each and every day. This fact of life requires proactive action to safeguard income and assets, access quality care options, and reduce the stress and anxiety otherwise placed on family members. Many of us will need help with daily living activities or supervision due to memory loss, and this care we will need costs a lot of money.

The truth is that Long-Term Care Insurance can be very affordable for many American families if you have good health, and you don't wait too long to purchase coverage. Most people obtain coverage in their 50s when they still enjoy good health, and premiums are much more affordable.

Most states offer Partnership Long-Term Care Insurance that will provide dollar-for-dollar asset protection. These policies shelter part of our estates allowing the policyholder to access Medicaid long-term care benefits without being poor.

Since Long-Term Care Insurance is custom designed, with the help of a specialist, you can obtain the appropriate amount of coverage without spending more than you need.

However, remember that long-term care is more than just a cash flow problem - it is a family problem. Your adult children usually get tagged to become your caregiver without any advance planning. The responsibility of caregiving usually falls on one daughter or daughter-in-law who is untrained and unprepared for this demanding role.

Long-Term Care Insurance safeguards income and assets, ensures access to your choice of quality care services, including in-home care, and reduces the stress and anxiety otherwise placed on those you love. 

Get Expert Help in Planning

Experts recommend seeking the help of a qualified and experienced Long-Term Care Insurance specialist to help you find the right coverage. A specialist will match your age, health, and family history with the right coverage at the right price. 

Long-term care is a very specialized area, and few insurance agents and financial advisors have the expertise. Seek the help of a specialist who represents the top companies. Top specialists will often have over 500 clients with Long-Term Care Insurance, some in the thousands. This experience is necessary as every company has its own underwriting criteria. Plus, premiums can vary over 100% between insurance companies. 

A specialist will save you money, and you will have peace of mind knowing they are making the appropriate recommendations - Work With a Specialist | LTC News.

Planning Tools and Resources on LTC NEWS

You can find many tools and resources on LTC NEWS to assist you in your research for a planning solution or help your family find the appropriate care for a loved one at the time of crisis. 

To help you plan the costs and burdens of changing health and aging, LTC NEWS has put in place several resources, including:

Find all the resources on LTC NEWS - Resources for Long-Term Care Planning | LTC News.

Finding Quality Care for Mom or Dad

Start by reading our four guides -  

If they are lucky enough to own a Long-Term Care Insurance policy, be sure they use it. Sometimes families wait, thinking they can save the benefits for a rainy day. Waiting on using available Long-Term Care Insurance benefits is not a wise idea. 

Get Help in Filing a Long-Term Care Insurance Claim

Quality care obtained early will help provide a better quality of life and reduce the risk of a deep decline and facility care. If you need help in starting the process of a Long-Term Care Insurance claim, LTC NEWS can help.

LTC NEWS provides free assistance with no obligation to help you or a loved one complete the claims process with a Long-Term Care Insurance policy. We have teamed up with Amada Senior Care, who will do all the work, free with no obligation. 

Get help finding quality caregivers or long-term care facilities and get recommendations for a proper care plan, whether a person has a policy. - Filing a Long-Term Care Insurance Claim | LTC News

Benefits of Reverse Mortgages 

Today's reverse mortgages for those aged 62 and older could be an ideal resource to fund a Long-Term Care Insurance policy OR even provide money to pay for care if you, or a loved one, already needs help and assistance.  

Some people have much of their savings invested in their homes. With today's reverse mortgages, you can find ways to fund care solutions, care itself, even help with cash flow during your retirement. 

Learn more by asking questions to an expert. LTC NEWS columnist and host of the TV Show "62 Who Knew" will answer your questions regarding caregiving, aging, health, retirement planning, long-term care, and reverse mortgages. 

- Just "Ask Mike." - Reverse Mortgages | LTC News.

Be A Guest Contributor for LTC NEWS - Share Your Knowledge

LTC NEWS is open to contributors to share their stories with the world. 

You can write a story or ongoing column for LTC NEWS. You can write about many topics, including aging, caregiving, health, lifestyle, retirement planning, and long-term care, to name a few.

Be sure to write for our core target audience of adults aged 40 and older. Our audience is worldwide; however, our primary target is the United States, Canada, the United Kingdom, Australia, and other English-speaking nations. 

Improve your website or blog's SEO and gain exposure and traffic at the same time by being a contributor to LTC NEWS. 

You can even promote yourself, your business, and your website or blog. However, it must have editorial content exclusive to LTC NEWS and not just an advertisement. It can include links to other sites, and you can share the article link once published on your website or social media.

Email your story idea or article: - LTC News Contributors | LTC News

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Use LTC NEWS to drive traffic to your website and help you attract people interested in your products and services. Plus, you can improve your website's SEO so more consumers can find you when they search for your products and services.

There are various marketing options available with LTC NEWS. Traditional advertising, sponsored content articles, strategic alliances, and more are available. 

Learn more about how LTC NEWS can help you market your business, drive traffic, and improve SEO - Advertise With Us | LTC News.

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Let's work together and help consumers who search for us on the web - Site Request | LTC News.

You can also affordably purchase a dofollow link to your website or blog on LTC NEWS. Just contact the advertising department.

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Include LTC NEWS in your press release distribution. If your group, organization, business, political committee, etc., have news to share, send it to LTC NEWS. Email -  

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