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Bar Bulletin

May, 2003

Top 10 List of Objections to Purchasing
Long-Term Care Insurance
By Sally H. Leimbach

My professional mission since 1992 has been to educate advisors and consumers about how to plan for the potential need for long-term care. With proper planning, long-term care can be a definable expense in much the way health expenses are defined for many consumers. Planning for these needs should also be an integral part of the financial planning process.

The long-term care problem has been referred to as “the Sleeping Giant of all U.S. social issues.” It is vitally important that advisors such as attorneys, CPAs and financial planners understand the facts and issues surrounding long term care and be ready to incorporate this important area into their discussions and when planning work with clients.

This article deals with a “Top Ten List of Objections” people often have to the purchase of long-term care insurance and some insights on how to answer those objections.

Top Ten List of Objections
to the Purchase of
Long-Term Care Insurance

#10:  “I’m covered by other insurance.” Unless your other insurance is long-term care insurance, you’re probably not covered. Long-term care isn’t covered by familiar forms of insurance like health insurance, retiree health plans, Medicare and Medicare supplement plans, to name a few. These plans only pay for skilled medical care, but most long term care is just maintenance – helping someone bathe, dress, move around, use the bathroom, etc. Additionally, you must be at least 65 years old to be eligible for Medicare.

#9  “It won’t happen to me.” Forty percent of Americans needing long-term care are between the ages of 18 and 64. By 2030, it is estimated that 2.7 million seniors will need assistance with two or more activities of daily living. How can you predict that you will not be one of these?

#8  “I can pay for the cost myself.” The annual cost of long-term care in the Baltimore area can easily be more than $70,000 per year for either nursing home care or home care. The cost is escalating at about 5 percent compounded per year. Long-term care insurance allows you to pay a pre-set premium that fits your budget and helps offset the risk of much larger out-of-pocket expenses.

#7  “I’d rather invest the money than use it to pay premiums.” This may be some peoples’ answer to #8. If so, consider the unpredictability of returns on investments for the last three years. And don’t forget the unpredictability of when someone might need care. People of all ages may suddenly need long-term care as a result of auto or sports accidents or a debilitating disease.

This strategy is close to saying that you should invest the amount of medical insurance premiums to cover medical expenses instead of paying them to the insurance company.

#6  “If I don’t need the care, I’ve wasted the money spent on premiums.” Is this how you feel about premiums spent on medical, homeowners, personal property and automobile insurance? Among these, purchasing long-term care insurance is most similar to purchasing medical insurance. Would you have peace of mind if you had no medical insurance?

#5  “I don’t want to go to a nursing home.” Long-term care insurance can pay benefits at home, in an assisted living facility, as well as in a nursing home. In fact, you are less likely to have to go to a nursing home if you have private insurance to purchase care at home.

#4  “My children will take care of me.” Is that what you want for your children?  If you need long-term care, your children should be involved, but their involvement should be to provide you TLC (tender loving care), not LTC (long-term care, assisting you with your activities of daily living). Long-term care insurance provides the funds to help facilitate quality care with minimum family stress.

#3  “I’m too old.” Maybe. However, depending on health and goals, long-term care insurance can be a viable planning option through your 70s. But remember, cost over time is substantially less if you purchase it at younger ages.

#2  “I’m too young.” Maybe. The majority of my clients are now couples in their early 50s. There certainly can be reasons to purchase at earlier ages, especially if there are family medical history considerations. Remember, you lock in your premium age at your age at the time of initial purchase.

#1  “It’s too expensive.” Have you really looked at the premium cost for insurance that is appropriate for you? Most people are surprised at the affordability of the premiums considering the value that having the insurance brings to a solid financial plan. The real danger may be that people underestimate the costs of long-term care and are often faced with insurmountable costs that quickly deplete their life savings.

Additionally, don’t forget that there can be state and federal tax savings for purchasers of long-term care insurance.

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