Long Term Care

Protect your Assets, Get Quality Care, and Prepare for the Future.

Today, Long Term care comes in many forms. There are Assisted Living Facilities, Home Health Care, and Adult Day Care.

What is it?

Long-term care insurance helps you pay for your extended medical needs in a nursing home facility or in the comfort of your own home.

Who needs it?

Long-term care insurance should be an important part of every family’s planning. While we’d like to think that we will never need long-term care, or that we could easily afford it the statistics suggest otherwise:
  • 70 percent of people over age 65 will need some type of long-term care services during their lifetime.
  • 3 years is the average duration of long-term care needed per individual.
  • $91,250 is the average annual cost of private nursing home care.
  • $80,300 is the average annual cost of at-home nursing care.
Traditional medical insurance programs and government medical insurance programs don’t usually provide enough help. According to the Department of Health and Human Services, Medicare only pays for long-term care services for a maximum of 100 days, with a copay after the 20th day, and only if you meet certain criteria. Medicaid does pay for long-term care, but only if your income is below a certain level, and you meet state requirements.
Long-term care generally refers to non-medical care (ie, custodial care) for patients who need assistance with basic daily activities such as dressing, bathing and using the bathroom. Long-term care may be provided at home or in facilities that include nursing homes and assisted living.

Medicare, generally, does not pay for custodial long-term care, whether it’s in a nursing home or provided in-home. Medicare will pay for medical care provided in addition to long-term care (for example, if a nursing home resident suffers a heart attack, Medicare will pay for the treatment necessary for the heart attack, despite the fact that Medicare is not paying the monthly nursing home bill).

And Medicare will also pay for physical therapy, occupational therapy, or other medical care received in a skilled nursing facility, provided the patient meets certain criteria (including at least a three-day stay as a hospital inpatient prior to the stay in the skilled nursing facility).

Medicaid, which is a separate program for low-income Americans, administered jointly by the states and the federal government, does cover long-term care for people who have exhausted their resources. Nearly two-thirds of nursing home residents in the US have Medicaid coverage. Seniors who qualify for both Medicaid and Medicare are called dual-eligible.