Readers' Comments
Total Comments: 28
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Should You Purchase Long-Term Care Insurance?
Total Comments: 28
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Page 2 of 3
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Should You Purchase Long-Term Care Insurance?
LTC insurance
DOD
Thu May 15, 2008 10:08 AM
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The feds are not the ones who decide who can get the insurance and who can't. OPM has obtained a contract for a group policy, but the government does not pay part of the premiums and makes no decisions about participation - that is done by the insurance company. Those who need insurance the most are always the ones who can't get it, because insurance is a form of gambling: They're gambling that you won't need it, you're gambling that you will. (Lloyd's of London got its start when a group of people who gathered in Lloyd's coffeehouse wagered on whether ships with various cargoes would arrive safely.) This is a new benefit - and a new type of insurance - so it doesn't work like FEHB; in time it may. In the meantime, it is simply sound business practice to reject those who are more likely to cause the company to lose money. We probably need a national program of some kind, but it will be a long time coming.
Re: LTC insurance
SSA
Thu May 15, 2008 3:05 PM
Disabled Federal workers pay the same taxes as anyone else, so they should be able to obtain the same government services and benefits. Or else, disabled Federal workers should get a tax discount for the services they cannot receive.
As I was told, a court case is wending its way through the courts. I hope that the disabled plaintiff prevails.
Re: LTC insurance
DOD
Fri May 16, 2008 8:05 AM
I was in the hospital during the introductory open season. A teenager had crippled me in a head-on collision. During the next open season I found out that I couldn't be considered for the federal LTC.
The point is that if the government had offered the LTC a month or two earlier, I would have been the ideal, athletic, robust individual they were looking for. I find it ironic that the teenager that caused my disqualification will continue to be eligible for the things now denied me.
People who support discrimination are the same people that oppose social solutions to the discrimination.
My husband works for the state labor department. He says that the early results of these policies is showing that the insurers resist payment and it sometimes takes over a year and a lot of lawyer costs to even get part of what is needed and owed. Thorn's comment argues against insurance as a viable solution.
Re: LTC insurance
SSA
Fri May 16, 2008 9:34 AM
Though why should I be surprised?
Medicare Assistance May be Affected by Income
U.S. Department of Labor
Thu May 15, 2008 11:58 AM
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The article discusses the size of an estate in determining the need for LTC insurance. But what about income? A friend's mother had to move out of a nursing home prematurely because her retirement income made her ineligible for Medicare assistance in paying for the nursing home. The mother's very limited estate did not help.
Question for boomers
DOD
Fri May 16, 2008 8:15 AM
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Is anyone but me hoping that the boomer crowd will change the euthanasia laws? I have this nightmare of being unconscious in a nursing home for ten years at megabucks costs for a bed just to vegetate in while a health husband is driven into a conscious life of misery just paying for it with the savings we stored over a life-time. Myself, I find something wrong with that picture. Who wants to pay more per month for the dieing to die than the living is able to pay to live?
Re: Question for boomers
DOD
Fri May 16, 2008 11:01 AM
Re: Question for boomers
DOE
Fri May 16, 2008 11:57 AM
What a waste of resources and how terrible for loved ones to have a 40 year old vegetable living in a nursing home.
LTC coverage
Strategies for Wealth, Rye Brook, NY
Fri May 16, 2008 12:10 PM
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The average cost for LTC in Westchester County has grown from $100K to $140K in 8 years. Therefore; for people who want to live here it is a considerable threat to one's assets. Also, since people are living longer than ever, the chances for a need are greater. Self-insuring is highly difficult and quite risky to depend on. If a person put $150 per month (the reasonable cost for a 45 year old) away from age 45 to 75, and they had a net gain after taxes of 4% they would have a considerable amount of money. Certainly a few hundred thousand to play with. But buying a policy at a later age, let us say 55, with a higher premium and paying for it to age 75 would provide a much greater pool or money. Also if the cost now is $140K for care in the metro area of NY, the cost would maybe be more than double in the next 20 or so years. Therefore your small, after tax pool of money would not be adequate for a 2.5 year need period. Self-insuring for the average person is a myth. It is for the rich!
Paying for care
Cindi Smith & Associates, Inc.
Fri May 16, 2008 6:29 PM
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What about the cost of care increasing in 20 years to over $200,000 per year? Most people have ideas for their hard earned money (retirement) and it's not paying for care! Even if someone has $150,000 or less to protect maybe they don't like the idea of spending down and going on Medicaid. Most claims about 78% are in home, not nursing homes. Your comments are not very informative.
Clarifications to article
GoldenCare USA
Sat May 17, 2008 8:26 PM
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Just a couple of points regarding this article as clarifications.
1. Rules of Thumb are dangerous. If I had an estate worth $2M, but it was tied up in land, it becomes an issue if I can't afford to pay for care. Or, if it is invested but my spouse needs the income, again, I may not be able to afford care. Each case has to be considered individually!
2. If current LTC costs are $150 per day that would be $54,750 a year. At 40, a $150 a day, four year plan, 4% inflation would cost $1,539. Invest that at 6% and you'll have $347K at age 85. If costs go up at just 4%, a year of care would cost $307K. The policy would build to almost $1.3M! Self-insuring is ok as long as you know you're gambling.
3. According to Milliman, at age 65 the average person has a 60% chance that they will need Long Term Care in their lifetime. Over 75% of care is provided in the home instead of a facility. These are the odds a person should consider when considering LTC insurance.
Long Term Care
IRS
Wed May 28, 2008 9:15 AM
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Just a few items.
I found that buying long term care from entities provided by the government was not worth it. For identical policies, the entity from the government would charge me about $4300. State Farm charges me about $3600. This is not much of a government benefit.
You comment that a $2000000 estate should cover the charge by taking out $80000 per year. Does the charge for a nursing home remain static? If so, then your position makes sense. If not, then inflation is a problem. Presently, I have heard that the charge is about $6000 per mointh, or $72000 per year. Obviously, the $80000 per year will not be enough after a few years.
I would also be leery about self insurance. Once the money runs out, you are in trouble.