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.
Keep in mind that many receive some kind of long term care before or after their stay in a nursing home or an assisted living facility. 40% of residents in acute-care hospital or a short-stay nursing facility move to assisted living facilities. About 34% of assisted living facility residents move to a nursing home after their stay.
Before moving to nursing homes many received care in their own homes first. On an average a 65 year old today will need some kind of long term care services for at least three years according to studies. Because of the statistics provided above a LTCI policy with a three year coverage is most popular.
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.
The rule of thumb is to buy a policy with benefits that are ‘short and fat’ rather than ‘tall and thin’. For example if you buy a short and fat policy with a $200 maximum daily benefit for three years, you are actually buying a policy of $219,000 worth of long term care. Since your daily maximum is $200, you can not use more than $200 per day. You extend your coverage for more than three years if you use less than your daily maximum amount (i.e. $200).
Your daily maximum benefit is $100 for a 6 year benefit maybe an example of a ‘tall and thin’ policy. You can not receive more than $100 for your daily care with this policy. You will be forced to pay $50 out of pocket for every day of long term care if your daily care cost is $150.
As very often care is first received in the home look for a policy which has a longer waiting period for nursing home care, but with a zero day waiting period for home care. Consider paying extra for a rider to eliminate the waiting period for home care, instead of lowering the waiting period for all types of care, which can increase your premiums significantly.
A good idea to reduce premiums if you are married is to buy 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. For example, one can use the remaining one year if the spouse has already used up 5 years of coverage.
Learn more about long term care insurance. Stop by Maria Smith’s site where you can find out all about long term care health insurance and what it can do for you.