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Beyond Medicare: Who will take care of you when you’re old?

by on Jan. 16, 2012, under Health

I received and email from the SCAN Foundation with a list of “10 things you should know about aging with dignity and independence”.  The list is an eye-opener… and a real bummer.

Here are some of the very interesting points from the email which will make you think about your plans for getting old…. or make you want to join the Hemlock Society.

70 percent of us who reach the age of 65 will need some form of care or services for an average of three years.

Research shows that 43 percent of Americans over the age of 55 have less than $25,000 saved for retirement.

In 2011, nursing home care cost an average of $78,110 a year for a semi-private room.

Assistance at home, such as a visit from a home health aide, costs on average $21,840 a year.

Only short-term rehabilitative care at home or in a nursing home is covered by Medicare. [note: Long-term care is not covered by Medicare.]

Medicaid pays for about half of all nursing home or home care services. However, should you need care, the only way to qualify is to spend nearly all of your assets. The nest egg you’ve worked hard all your life to build must be spent to qualify for help.

In 2010, spending on supportive services for adults age 65 and older was estimated to be $182 billion, and projected to increase to $684 billion by 2050. Such projections threaten both state and federal budgets.

Today, over 12 million Americans rely on these services and supports, with 58 percent of those individuals over the age of 65.  By 2050, it is predicted that this number will more than double, with 27 million Americans relying upon long-term services and supports.

Less than 10 percent of adults actually have purchased a long term care insurance policy.  According to experts, few people purchase it because it is expensive, rates have historically increased rapidly, and potential buyers can be denied coverage due to pre-existing conditions.

Despite the recognition of a looming crisis in caring for aging Americans, little has been done in the past 40 years to address this problem and create a healthy network of supports and services allowing Americans to age with dignity in the place we call home.

The federal health reform law created a number of opportunities to help older people and adults with disabilities remain in their homes and communities. It includes programs to help states provide more in-home care to low-income adults in need and ways to help those living in nursing homes to return to their homes and communities.

This last statement refers to one part of the Affordable Care Act which is actually on its deathbed. The Community Living Assistance Services and Supports (CLASS) program was to be a voluntary long-term care insurance plan which working people could pay into through deductions from their paychecks.  The money would  go into a government trust and could be used by CLASS participants to pay for in-home help when they are old and infirm.  The idea is to get people to put money aside for their long-term care needs so they don’t end up in a state-supported nursing home.

Sorry for the bummer news.  Enjoy your day!


  • jeffryjwoo

    When my husband and I planned for an early retirement we were both in our 50′s. Not only were we retiring, but we were moving to Nashville, TN. Since we resigned from our jobs, we knew we would have to buy health insurance and dental insurance in Tennessee. We purchased a PPO family plan, for just my husband and me, through “Penny Medical” . We paid for the family plan ourselves, initially, the cost was a little less than $400 a month for both of us. Our co-pay was very reasonable at $25 each per office visit.

  • http://www.healthcaretownhall.com Jeremy Engdahl-Johnson

     We’ve talked before about combination LTC/annuity products http.  Now Bloomberg examines this approach.  http://www.healthcaretownhall.com/?p=2098 

  • Scott

    Most people overestimate the cost of a good long-term care policy.  A healthy, married couple in their mid/late fifties, can share a policy that starts off with over a half million in benefits for about $100 per month per spouse.  
    There’s a new type of government-approved long-term care policy that can protect your assets from Medicaid even after the policy runs out of benefits.  Here’s an explanation of how these policies work:
    http://bit.ly/How-Partnership-Policies-Protect-Assets

    Scott

  • danielleR

    This is a great strategy using the partnership program. My parents needed long term care and unfortunately we burned through all of their assets until medicare kicked in. We were too late to apply for insurance. So my husband and I invested in a ltc plan. That was difficult because some brokers, we found out, were not selling us enough or too little insurance to cover the costs where we live.  We found this to be very helpful when determining how much insurance we should pay for http://longtermcareinsuranceinfo.com/long-term-care-costs/. We also added on inflation protection since were only in our fifties and dont expect to use it for another 20-30 years.

  • medicareblogger

    Danielle:  Medicare doesn’t cover long term care. Medicare covers medical expenses.