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Life expectancies have increased significantly and are expected to continue to increase in the future. As people age, however, they're more likely to develop conditions that limit their ability to live independently. It's a good idea to review your options for dealing with these costs before you need care. Some considerations:
 Health insurance policies usually don't pay for nursing home care.
Medicare only pays for 100 days of skilled nursing home care if admission follows a hospital stay.
Medicaid pays a significant portion of all nursing home costs, but the government has enacted tougher rules to qualify for assistance. Typically, you need to deplete most of your assets before you qualify.
Many elderly individuals move in with family members and rely on them for help, but the personal toll can be huge.
Currently, long-term-care insurance pays a small percentage of all long-term-care costs. That percentage may increase in the future as more people become aware of the risks and look to insurance as a way to fund those costs.
What Policy Options Should You Look for?
The benefit amount should be adequate. Most policies pay a specified amount per day, so you will have to pay the difference.
Benefits should increase with inflation. You may not receive benefits for many years, so it's important to make sure that your benefit amount increases with inflation.
Covered services should include skilled care, intermediate care, custodial care, home health care, and adult day care.
There should not be a requirement that you must first be hospitalized to receive benefits. There should also be no requirement that you must first receive skilled nursing home care to receive intermediate or custodial care, or that you must first receive nursing home care to receive home care.
Benefits should be payable when you can't perform two or three activities of daily living such as bathing, dressing, eating, walking, transferring from a bed to a chair, using the bathroom, or remaining continent. Another condition that should qualify is cognitive impairment.
Specific coverage should exist for Alzheimer's disease and other organic-based mental illness.
The policy should be guaranteed renewable, meaning the policy can't be canceled due to age or deterioration in health.
Select a reasonable waiting period and a benefit period you are comfortable with. The longer you wait before benefits begin, the lower your premiums.
Determine if the policy is "qualified," which means it meets certain IRS conditions. With a qualified policy, you can deduct a certain percentage of the premium as a medical expense on your tax return. The exact amount depends on your age. Medical expenses are deductible to the extent that they exceed 7.5 percent of your adjusted gross income. Another benefit: Payouts from qualified policies are federal income tax free.
This article is provided as a service by: L.S. Sherman Litigation Consulting.
LSSLC is a group of complex litigation specialists helping attorneys prepare successful complex litigation through the management of detailed technical information and engagement of experienced testifying experts of unsurpassed quality.
Contact Linda Sherman: 610-642-7755
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LSSLC, LLC provides the information in this newsletter for general guidance only, and does not constitute the provision of legal advice or professional consulting of any kind. The information provided herein should not be used as a substitute for consultation with professional tax, accounting, legal, or other competent advisers. Before making any decision or taking any action, you should consult a professional adviser who has been provided with all pertinent facts relevant to your particular situation.
The information is provided "as is," with no assurance or guarantee of completeness, accuracy, or timeliness of the information, and without warranty of any kind, express or implied, including but not limited to warranties of performance, merchantability, and fitness for a particular purpose.
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