Knowing the average stay at a nursing home and at an assisted living facility will help you decide the coverage and the benefit period of your LTCI. This factor will also help you figure out ways to minimize your LTCI Premiums. 28 months is the average stay for nursing-home residents and 27 months for assisted-living residents.
After their stay in a nursing home or an assisted living facility keep in mind that many receive some kind of long term care before or after it. 40% of residents in short-stay nursing facility or an acute-care hospital move to assisted living facilities. 34% of the residents moving to a nursing home come after a stay in an assisted living facility.
Many received care in their own homes first before moving to nursing homes. According to studies, on an average a 65 year old today will need some kind of long term care services for at least three years. A LTCI policy with three year coverage is most popular because of the statistics provided above.
When there is a family history of Alzheimer’s disease and other such long-lasting conditions a longer benefit period is suggested. 20% of today’s 65 year olds need long term care for more than 5 years. Longer benefit periods result in higher premiums. Generally benefits for a lifetime cost more than twice the premiums of a three year benefit period.
Most popular is the policy with benefits that are ‘short and fat’ rather than ‘tall and thin’. A $200 maximum daily benefit for three years is an example of a ‘short and fat policy’ where you are actually buying a policy of $219,000 worth of long term care. As your daily maximum is $200, you can not use more than $200 per day. When you use less than your daily maximum amount (i.e. $200) you actually extend your coverage for more than three years.
A ‘tall and thin’ policy maybe one in which your daily maximum benefit is $100 for a 6 year benefit. This policy will not pay more than $100 for care. If your daily care cost is $150, then you will be forced to pay $50 out of pocket for every day of long term care.
Look for a policy which has a longer waiting period for nursing home care, but with a zero day waiting period for home care as very often care is first received in the home. Instead of lowering the waiting period for all types of care, which can increase your premiums significantly, consider paying extra for a rider to eliminate the waiting period for home care.
If you are married buying a shared benefit policy where each spouse buys a three year benefit, but each can use from the other’s benefit period if one needs a longer period than the other, is a good idea to reduce premiums. For example, if one needs 5 years of coverage the spouse can use the remaining one year.
Want to find out more about long term care insurance, then visit Maria Smith’s site on how to choose the best long term care insurance policy for your needs.