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An Introduction to Long Term Care Insurance

By John Grobe

Thursday, December 20, 2007

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John Grobe is a retired federal employee with over 25 years of experience in federal human resources and President of Federal Career Experts, a training and consulting firm that specializes in federal employee retirement and career transition issues.

If retirement is on your mind, you should review your need for Long Term Care (LTC) insurance.  Most people know that LTC covers nursing home stays.  But it can also cover a wide range of services such as unskilled home care, home health care, adult day care and even assisted living facility care.

LTC benefits kick in when you can no longer perform specific basic activities of daily living due to age or infirmity.  These basic yet essential activities include eating, dressing and bathing.  Benefits can also kick in if there is a cognitive impairment such as dementia or Alzheimer's.

Like any other significant purchase, you should shop around and compare variables such as the elimination period and the list of covered services.  Elimination periods are typically anywhere from 0 to 180 days.  A shorter elimination period means services will be covered sooner, but will have a higher premium than coverage with a longer elimination period.  Think of the elimination period as your ‘deductible.'  It's the period you have to pay out-of-pocket for the services you need.
 
Benefits under a LTC policy are measured in dollars per day.  Typical benefits range from $50 to $250 dollars per day of coverage.  In many cases, policy-holders can expect to ‘self-insure' a certain part of their daily coverage through their own resources.  For example, a needs assessment might find you require $150/day of LTC coverage.  If you know your retirement income can safely provide $50/day of income, you can consider buying only $100/day of coverage to meet your LTC needs.

Let's talk about what LTC really covers: LTC protects your life savings.  When you buy LTC insurance, what you are really buying is protection for your assets.  It covers the risk to your (and your spouse's) financial security from the enormous expenses associated with medical, personal and social services you might need as you age.

Most federal employees have access to an excellent voluntary LTC program called the Federal Long Term Care Insurance Program (FLTCIP).  For more details,  click here.  In general, anyone eligible for the Federal Employees Heath Benefits (FEHB) program, you are probably eligible for FLTCIP.  Contact your HR department for your particular situation. 

© 2009 John Grobe. All rights reserved. This article may not be reproduced without express written consent from John Grobe.

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Readers' Comments

  • I joined at age 51 my wife at age 48- that is why I pay so much...
    Posted: April 23, 2008 7:51 AM
  • I think with LTC you are buying much more than protection for your assets. You are buying control over what and where you would be cared for. In California, if you do not have LTC insurance, Medicaid will take care of you (after you have spend down), but ON THEIR TERMS. For example, I have a frie...
    Posted: March 7, 2008 10:12 AM
  • My brother-in-law was covered by an LTC plan, medicare and BC/BS tie in plan. When the LTC coverage ran out after three years, it could not be extended because of his age and many conditions. For the last three years of his life, my sister paid up to $8000 per month out of pocket to care for him i...
    Posted: January 10, 2008 7:05 AM

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