I’ve been away a few days and lots of posts! Successfully got DD2 moved home from college on Thursday.
To throw my 2 cents in with post 6201 regarding disability insurance, if you are close to retirement and would not miss the income if becoming disabled (and premium is highish), you may want to stop paying. If I don’t return to work by next year, I will probably drop my private disability policy - premiums are highish, and if I am not working, I have to be 100% disabled to collect - actually insurance considers 80% as totally disabled, which I had to fight for during my very serious stage III cancer treatments…my MD said 8-10 on pain, 8-10 on nausea, and 8-10 on fatigue; that sealed the deal - it was a good company but they tried to bamboozle me/wiggle out w/o paying until I challenged them with contacting an attorney; they called back the next day and approved payment.
A couple of posters on benefits from older LTC ins policies (#6197 with benefit payment of about $90/day; #6214 about LTC paying to supplement person staying at home). The newer policies have to be carefully evaluated - cost versus potential benefit and what determines payment - also want to get with a strong and reputable insurance company. It may be there is not a good enough option and self insuring is the default option.
My sister bought a LTC policy for herself years ago that she thought was affordable (her H is a lot older, so she figured she would care for him at home and with supplemental help if needed) - insurance that would pay $50/day (not sure what inflation rider, but it does hedge some costs).
Even a very good LTC insurance company may dispute the need. That is a terrible story about aunt with lung cancer and not deemed eligible for LTC insurance to kick in due to ability to still do ADL well enough. My private disability insurance tried to pull that one on me - that I could still fold a little laundry, put a few dishes in the dishwasher, wipe the counter etc as a homemaker - however my MD’s scale of pain, nausea and fatigue trumped that argument. Sorry that even a good insurance company will try to pull some tricks. Many people would not have had the comeback I had, and know that you give them indisputable arguments - claim person said ‘our doctor’ and I could say ‘my medical oncologist’ - again specialist trumps.
Back to post 6172 about what qualifies for LTC - the elimination period, the number of ADL absent (or dementia), etc. Very important to understand exactly what the policy will cover.
H and I purchased 10 year rate guarantee policies through CNA (one of the first with LTC ins and in 43 states) in 2003 when we were both 46/47. A few years later, CNA pulled out of all LTC new policies and focused on insuring MDs for medical malpractice. We purchased 90 day elimination, 2 ADL, 5% inflation rider, $150/day. You could have the options for higher elimination period, 3% or 4% inflation, and a lower amount of coverage per day. The last two years and next year we have higher premiums, and then we will be level premium for a while again. They had to have the increases justified and approved by insurance commission. Our initial premium was $1150/yr for each of us; it has climbed to $1403/yr, then $1712, and I would have to look up our final premium next Jan that would then be level premium. Shortly after we secured the 10 year rate guarantee, CNA came out with 20 year rate guarantee, but I didn’t want to change/initiate the new paperwork - and I didn’t check what the premiums would be. I think we did fine with our policies. As another person stated on this thread, the insurance helps us with having that risk ‘covered’. We have very comprehensive coverage that you cannot buy anywhere near that price.
It is true that usually once declines to qualifying for LTC based on ADL or dementia, that they avg less than 3 years of life. However there can be big outliers - BIL’s mother had dementia and was in a nursing home for 12 years (she had very little to start, so almost all her care was by Medicaid). My mother with dementia was able to stay at home with care coming in (was self-insured, but only because my brother would not allow the application for the higher cost LTC insurance policy that may have been approved; the lower cost LTC insurance policy was denied her) - so brother helped manage/coordinate her care. Mom masked her decline as much as she could, but it was ongoing for many years (even before my dad passed, which was 15 years earlier).
We all want to have better options than our image of nursing home care, running maybe at the high end $350/day $130,000/yr ouch. Aging at home or assisted living is surely one’s hope and a happy death.
A house two blocks from us was hit by lightning and totally destroyed. Most of us have smaller homeowner claims like hail on roof, fallen tree on roof, defective dishwasher, leaking water line on refrigerator ice maker, other water damage…In our 22 years we have had 3 claims here (one due to hail with roof replacement, two due to water leaking, first one due to high water pressure blowing out water heater and spilling water throughout first level of home - and need for water pressure regulator which is now required on all area homes), and once a claim in our prior house (burglary). Only would put in a claim for something major. Hope no more claims while we are in this house.
If current LTC insurance policies not cost-effective, just keep an eye out. I think the insurance market will be cautious on their products, but many people are not going to buy crappy policies either. As with anything, buyer beware.