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Protection

Long-Term Care

Plan for care before you need it.

Most Americans over 65 will need long-term care — and Medicare doesn’t cover it. A plan protects both your retirement and your family.

A grandmother embracing her granddaughter

There are three big misunderstandings about long-term care.

What you assume about care — who needs it, where it happens, and who pays — is often the opposite of reality. Getting the facts straight is the first step to a plan.

Start here

Three things most people get wrong.

Medicare doesn’t cover it

Long-term care isn’t covered by Medicare — a costly surprise for many families.

It’s usually not a nursing home

About 95% of people receiving long-term care are not in a nursing home.

Most care happens at home

Most Americans receive care in their own home — where they’d prefer to be.

70%
Chance an American 65+ will need care (CBO)
1 in 5
Chance of needing care into a fourth year (ALTCI)
~120 days
Of care costs to plan for out of pocket

Figures are from third-party sources (U.S. Congressional Budget Office; Association of Long-Term Care Insurance) and are general estimates that vary by individual circumstances.

What does it mean to “qualify”?

Care begins when daily life needs help.

You’re generally considered to need long-term care if you have a cognitive impairment (such as dementia or Alzheimer’s), or you need help with at least two of the six IRS-recognized “activities of daily living.”

Talk to an advisor

The six activities of daily living

Help with two or more typically qualifies.

  • Eating
  • Bathing
  • Dressing
  • Transferring (in and out of bed)
  • Toileting
  • Continence
The cost of care

What long-term care actually costs.

Think about paying for care in two ways: money and time.

You can pay for someone’s time to care for you, or a family member can take their time away from work, family, and life to do it. Either way, there’s a cost — and care tends to grow in steps, from a few hours a day to round-the-clock or facility care as needs increase.

According to the Genworth Cost of Care Survey, hiring an agency home health aide runs about $30/hour (with a 4-hour daily minimum). The national average for an assisted-living facility is roughly $64,000/year for a private room, and a semi-private nursing-home room about $104,000/year — with long-term-care costs rising faster than general inflation.

How people pay for it

Plan for the gap, not just the policy.

There are really two problems to solve: the first 120 days, and everything after.

Many coverage strategies don’t begin paying until the 91st day of care — an “elimination period” that works like a deductible, but measured in days instead of dollars. Even then, it can take another 30–40 days for a first claim to be processed and reimbursed. From a cash-flow standpoint, plan on roughly 120 days of care costs out of pocket, on top of your normal living expenses.

There are many strategies to manage this risk — and helping you choose among them is exactly what we do. The goal is simple: you don’t want to be a burden on your family, and your family would rather oversee your care than be the ones providing it.

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Related planning.

Cost figures are national averages drawn from third-party sources (e.g., the Genworth Cost of Care Survey) and vary by location, provider, and year; the figures cited may not reflect the most recent survey. Guarantees on insurance products depend on the issuing company’s claims-paying ability. This page is general information, not advice.

Don’t leave care to chance — or to your family.

Let’s build a plan to manage long-term-care risk before you need it.