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Home > Alzheimer's Resources > Alzheimer's Disease Resources > Paying For Healthcare > Long-Term-Care Insurance

Long-Term-Care Insurance

What is long-term-care insurance?
Why should I buy long-term-care insurance?
When should I buy long-term-care insurance?
Can life insurance help pay for long-term care?
Where can I buy long-term-care insurance?
What should I look for in a long-term-care insurance policy?
What if Medicare has denied coverage of medical services for a person with Alzheimer's?
Facts to consider before applying for long-term-care insurance
Will Medicare pay for the cost of long-term nursing care?


What is long-term-care insurance?

Long-term-care insurance is an insurance policy that you buy in the event you ever need some type of long-term care and/or assistance with activities of daily living.

Some examples of the types of care that might be covered under such a policy are:

  1. Personal care in the home
  2. Home-healthcare service
  3. Assisted living
  4. Adult day care
  5. Nursing-home care

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Why should I buy long-term-care insurance?

Some statistics show that about 60 percent of Americans may need long-term care at some point in their lives. To help put this into perspective, consider the following:

  • Your risk of a major fire in your home is 1 in 1,200.
  • Your risk of a major auto accident is 1 in 50%.
  • Your risk of spending more than $30,000 in a hospital is 1 in 15.

Most people carry insurance policies to cover expenses associated with home fires, automobile accidents and hospitalization. Yet, many people never consider buying insurance to help pay for the costs of long-term care. This is so in spite of the fact that, at age 65, the risk of needing long-term care that could cost tens of thousands of dollars a year is almost 1 in 2. At age 75, the risk is even higher.

According to a 2002 survey of nursing-home and home-care costs, the average yearly cost of a nursing home is $52,195 for a semi-private room, and residence at an assisted-living facility averages $25,908. Home-care expenses can range from $90 to $150 a day. The effects of inflation over the next 20 years could triple these costs.

According to the U.S. Health Care Financing Administration, nearly one-third of all bills for long-term care are paid by individuals and families out of their own pocket. As a result, 70% of single people and 50% of married couples who require long-term care become impoverished within one year.

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When should I buy long-term-care insurance?

You can actually purchase long-term-care insurance at any age after 18. Though the average age of a person buying long-term-care insurance is 68, monthly premiums are based on how old you are at the time of application, so the sooner you apply, the less expensive premiums will be. Once you're approved, your rate should not increase as you get older. Eligibility for long-term-care insurance is based on your health at the time of application, so applying when you are still healthy is critical. Sadly, one in four applicants is turned down for health problems.

NOTE: A diagnosis of Alzheimer's disease will trigger an automatic denial of long-term-care insurance.

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Can life insurance help pay for long-term care?

Click here for more information about how life insurance policies might be used to help pay for long-term care.

Keep in mind that premium costs may increase in the future.

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Where can I buy long-term-care insurance?

A financial planning advisor or independent insurance broker can help you sort through the various policies available to you and help you find one that suits your needs. The National Association of Insurance Commissioners offers a "Shopper's Guide to Long-Term-Care Insurance" that can help you sort through the options; it can be obtained by calling the organization at 1-816-783-8300, or visiting www.naic.org.

Federal employees and their spouses are eligible for coverage under the Federal Long-Term-Care Insurance Program. For more information, call 1-800-582-3337 (1-800- 843-3557 for TDD/hearing-impaired), or visit www.ltcfeds.com.

Also see "What should I look for in a long-term-care insurance policy?" and "Facts to consider before applying for long-term-care insurance."

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This project was supported, in part, by a grant, number 90AZ2791, from the Administration on Aging, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration on Aging policy.