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In addition to regular health insurance, long-term care insurance, or LTC insurance, is worth considering as part of senior care, whether for yourself or your parents.
When you need this type of insurance, it can be too late to get it, so it is critical to consider it in advance when planning for the future.
This guide answers the question, ‘What is long-term care insurance?’ and provides more information for your planning process.
Table of Contents:
Generally, regular health insurance plans do not cover long-term care services. This is where long-term care or LTC insurance comes in. It can cover services that help you with activities of daily living (ADLs), like assistance with showering and eating.
This insurance helps cover personal and custodial services whether you or your loved one still lives at home or has moved to a community, such as a nursing home or assisted living community. It could also cover some services provided by a human services community organization.
There are newer types of LTC insurance, including combination, hybrid, asset-based, and linked benefit options. It may be worth looking into your options and seeing whether a certain type could suit your needs and situation.
When you use care services that support activities of daily living, long-term care insurance coverage can pay you back a daily amount to cover some or all the costs of the services. The reimbursement amount depends on the pre-selected limit of your policy, like how you have certain limits and guidelines associated with a regular health insurance plan.
Like other types of insurance, your coverage will vary by the insurance company you choose, the policy, and the terms of that policy. When you use the coverage, it will have maximum amounts for how many days/years it will cover and how much it will cover each day. There is also a lifetime maximum amount that reflects the two numbers together.
Generally, your policy will have a waiting period. You must pay for the care up front, often for a waiting period of 30 to 90 days, and then the policy will reimburse you.
Long-term care insurance often does not cover the costs of care indefinitely. Policies tend to have limits, including coverage for a limited number of years or the amount covered. Nonetheless, some policies cover long-term care costs for the rest of your life. It is essential to consider the type of plan and coverage when comparing providers. Be aware that policy premiums can increase over time.
Long-term insurance is beneficial for individuals who need to hire a professional to help with activities of daily living, such as bathing, going to the bathroom, getting dressed, and eating.
When applying for LTC insurance, it is not enough to want this kind of support; you must show that you actually need it. This might be due to a chronic condition or an impairment that prevents you from being able to care for yourself.
Some avoid long-term care policies because they think they are for living in a nursing home, and many people do not plan to live in one or hope to avoid it. However, you or your loved one can use LTC insurance to stay in your own home and receive extra assistance.
LTC insurance can also help with other options if your family needs them, including assisted living, community services, or a nursing home if that indeed is something you end up needing even though you did not plan for it.
You may not benefit from this kind of insurance if you do not need professional assistance with activities of daily living. Maybe your parents can still do these activities independently, or they may have a spouse’s support to help them daily.
Alternatively, there may be family members or friends who can help. In this case, your family may not need to hire anyone and, therefore, will not need long-term insurance to help cover costs.
If your loved one does not have the conditions or diseases covered, they might not need or qualify for this insurance.
You cannot just get or use long-term care insurance. You must qualify to buy the initial plan and use its coverage.
You must get LTC insurance coverage when you are still healthy, so you must sign up before you need it. Ideally, you need to sign up when you are still healthy, active, and independent.
If you need extra support in the home or need to move to a facility, it is often too late to get coverage. You may not qualify for long-term care insurance if you wait until you need it.
You need medical underwriting to get one of these policies, so the state of health impacts whether you qualify. Policies even look at health history.
The chance of being declined for LTC coverage is about 12.4 percent from ages 40 to 45 and 47.2 percent from ages 70 to 74. Further, most people won’t get approved past age 75. Most people with long-term care insurance buy it in their mid-50s or mid-60s.
If you can find a policy that covers you despite poor health or older age, it may be limited or cost more as the price is determined by your age when you sign up; the older you are when you first sign up for the policy, the more it will cost.
While long-term care insurance does not make sense for everyone, it provides numerous benefits to many people. Here are a few benefits to consider:
This insurance can help your family feel better about having your needs met as you age and have more difficulty caring for yourself. It can even take some of the burden of care away from your family members.
Caring for an aging loved one can be difficult financially, physically, mentally, and in other ways. Hiring professional in-home care can reduce the burden on your family and ensure you have the right level of care you need, which may even help you have a better relationship.
This kind of insurance generally gives you more options for the care you can receive. Without this insurance, you could be limited by your private finances or the restrictions of what Medicaid will cover. Having this coverage could open your options and even help you stay in your home, which many people want as they age.
In addition, having long-term care insurance can come with tax benefits. On your federal taxes and even some state taxes, you can include long-term care insurance premiums on your itemized deductions as medical expenses.
Of course, this requires filing your taxes with itemized deductions and following other limitations. A tax professional can help you determine whether you could file these expenses as deductions, how much you can file, and whether it is beneficial to do so.
Talking with an estate planning or elder law attorney can help you and your family learn more about LTC insurance and how it fits into your planning.
When you are ready to sign up for a plan, apply through an insurance company offering long-term care coverage. Like regular health insurance, you can look for policies through an employer, the insurance company, or an insurance broker or agent.
As with other insurance, compare quotes and policies from different companies. If applicable, you may be able to get a better group rate and easier qualification process through an employer, but it is worth comparing it to independent plans.
After you apply, you go through an interview that covers your needs and personal information, such as health history and personal finance information. An insurance professional or company provides a custom policy to fit your unique situation.
At this point, there is a medical underwriting process that includes contacting your physicians’ offices and reviewing their medical records. This part of the process can take weeks.
How else can you pay for support if you do not have long-term care insurance? If you are of age to qualify for Medicare, it can cover a portion of long-term care. Nonetheless, its coverage is extremely limited. Beyond that, you can pay for care out of pocket.
Further, Medicaid is an option if you meet the qualifications, which can happen after people spend their savings on care.
You may have heard that the government program Medicaid can help with the cost of long-term care, and that is true. Nonetheless, it has limits, as does long-term care insurance. What are the pros and cons of each type?
To use Medicaid, you must meet financial requirements. These vary by state, but you must use your personal financial assets until they are spent down to a certain level.
Medicaid will check how you used your assets over the previous 60 months, so you cannot give them away to others. Learn more about these limitations in your state and the amount a healthy spouse can keep in that state.
You should also investigate whether your state has a “partnership” program. A “partnership policy” helps people use up their long-term care benefits and then switch to Medicaid coverage while keeping more of their assets.
This kind of policy enables you to keep a higher amount of personal assets while using Medicaid to cover long-term care, as well as qualify for Medicaid sooner than you normally would have.
Medicaid only provides coverage for certain skilled nursing care facilities and some community-based care options, such as an adult day care center. Long-term care insurance, on the other hand, tends to cover care in your own home or an assisted living facility.
If you need a skilled nursing care facility, you will find more options available to you with long-term care insurance than with Medicaid.
Long-term care insurance can help cover the cost of senior care, which is a critical component, but selecting the right senior care solution is equally important. CarePatrol’s Local Senior Care Advisor can help you determine the best senior care option for you when that time comes.
Whether that means receiving home health care or transitioning to the support of assisted living, memory care, or a nursing home, our advisors will help you find the best option. Contact a CarePatrol Local Senior Care Advisor today to get started.
What Long-Term Care Services Does Medicaid Cover in Colorado? Navigating the complexities of long-term care can be overwhelming, especially for seniors and caregivers. If you're in Colorado and exploring options, Long-Term Care Medicaid offers essential support for seniors needing extended care services. Here's what it typically covers:Services Covered by Long-Term Care Medicaid: Nursing Home Care, Assisted Living, or Memory Care: Comprehensive medical and personal care for those in living communities. Home and Community-Based Services (HCBS): Assistance with daily tasks, such as bathing, dressing, and meal preparation, provided in the comfort of your home or community. Adult Day Care: Structured programs that offer supervision, social interaction, and activities for seniors needing daytime assistance. Real-Life Example:One of our clients, with $100,000 in cash, a home, 2 cars, and a monthly income of $4,000, successfully qualified for Long-Term Care Medicaid. With professional assistance, they were able to access these vital services without exhausting their resources.Colorado's Medicaid program is designed to ensure seniors receive the care they need while protecting their financial well-being. If you're considering applying for Long-Term Care Medicaid, dont hesitate to explore how you, too, can qualify. Take the questionnaire to see if you qualify! www.doinggoodforothers.com/questionnaire
This chilling scene from The Beekeeper is a dramatic yet realistic example of a type of phishing scam directed at seniors: Eloise, a retired schoolteacher, is on her computer looking over charity accounts that she manages when a virus warning pops up. She calls the provided number, which unknowingly to her connects to a call center operated by a phishing scam operation.The call center rep portrays a support desk tech and during his conversation with Eloise, he lies about the source of the virus warning. She falls into his trap by installing fake antivirus software, which links to all the charity accounts. The connected malware drains over $2 million from the charities Eloise runs. She realizes too late what has happened and is left in despair.Among the fastest-growing cybercrimes targeting seniors today are phishing or smishing scams. In phishing/smishing scams, criminals send fake messages to trick seniors into giving away personal information, such as passwords, credit card numbers, or even one-time passwords (OTP) for account verification.Why are seniors often preferred targets for these scams, and how can they stay protected? Heres a comprehensive guide to help you and your loved ones stay safe from smishing.Why Are Seniors a Preferred Target for Phishing/Smishing Scams?Seniors are often targeted by scammers for several reasons:Less Familiarity with Technology: Many seniors arent as familiar with new digital threats, making them more vulnerable to smishing and phishing techniques.Trusting Nature: Scammers exploit the trusting nature of seniors, knowing that they may be more likely to believe the legitimacy of a message.Isolation: Scammers often prey on seniors who may be isolated or lonely, making them more willing to respond to messages, even from unknown numbers.Financial Independence: Many seniors control their own finances or have access to retirement funds, which makes them valuable targets.Keep reading for more about the different types of phishing and smishing scams and how to recognize and avoid them.Common Types of Phishing and Smishing ScamsOne-Time Password (OTP) ScamOne-time passwords (OTPs) are security codes sent to your phone to verify your identity when logging into accounts or making transactions. Scammers try to trick seniors into giving up these codes, allowing them to take control of their accounts.Example Your Venmo account login is suspicious. Please verify your identity by providing the OTP sent to your phone.In this case, the scammer is pretending to be a trusted company and trying to get the OTP that was sent to you for your own security. Never share your OTP with anyone, especially through text messages or phone calls. If you receive an unexpected OTP request, its a red flag that someone may be trying to access your account.Bank Account and Credit Card ScamsThese messages often warn of suspicious activity on your bank account or credit card and ask you to take immediate action by clicking a link or providing your details.Example Your account at Bank of America has been temporarily locked due to unusual activity. Click here to unlock your account: www.fakebanklogin.com.Banks will never ask you to verify your account through a text link. Always contact your bank directly using the phone number from your card or statement if you suspect an issue.Delivery ScamsScammers will send messages claiming that you have a package waiting for delivery, but they need additional information to process it.Example UPS: We tried to deliver your package but need additional information. Please provide it here: www.fakedelivery.com.These messages are often designed to capture your personal information or steal credit card details. Always check with the delivery service directly through their official app or website.Fake Tech Support ScamsScammers impersonate tech support from well-known companies, claiming that your device has been compromised.Example: Microsoft: Your device has been infected with malware. Click here to install antivirus software immediately.Legitimate tech support will never contact you this way. These scams aim to trick you into downloading malicious software that can steal personal data.Government or Tax ScamsScammers impersonate government agencies like the IRS, warning about unpaid taxes or offering refunds in an attempt to steal personal information.Example IRS: You have an overdue payment of $1,500. Please pay immediately to avoid legal action.Government agencies will never ask for personal information or payments via text. Contact the agency directly if youre ever unsure.How to Report a Phishing/Smishing ScamIf you or a loved one encounters a suspicious text message, its important to report it to help stop the scammer from targeting others.Heres what you can do:Forward the Scam TextIn the U.S., you can forward scam texts to 7726 (SPAM). This service is provided by most major mobile carriers, and they will investigate suspicious messages.Report Scam to the FTC (Federal Trade Commission)You can report smishing and other frauds to the FTC by visiting their website at ftc.gov/complaint. Reporting these scams can help law enforcement track and shut down fraud rings.Report Scam to the Company Being ImpersonatedIf the scam text appears to be from a well-known company (like Amazon, your bank, or the IRS), you can report it directly to their fraud department.Block and Delete the Number from Suspicious MessageIf you receive a suspicious message, block the sender immediately and delete the text. Never engage with the message, as scammers can collect information based on your replies.Tips for Seniors to Protect Yourself from Smishing ScamsBe Skeptical of Urgent RequestsSmishing messages often create a sense of urgency, pressuring you to act quickly. Dont let the panic take overslow down and think it through.Verify with the Company DirectlyIf a message seems to come from a known company or institution, contact them using their official phone number or website. Never use the contact information provided in the suspicious message.Look for Red FlagsCommon red flags include poor grammar, generic greetings, and unsolicited offers. Trust your instinctsif something feels off, it probably is.Never Share Personal Information via TextLegitimate organizations will never ask for your passwords, credit card numbers, or OTPs via text. Always keep this information private.Install Security SoftwareThere are security apps that help detect and block phishing or smishing attempts. Consider installing one to safeguard your mobile device.Educate Your Loved OnesTalk to seniors about these common scams, and make sure they feel comfortable asking for help if they receive a suspicious message. Staying connected and informed can make all the difference. Keep Alert for New Scams Targeting SeniorsBy educating yourself and your loved ones about smishing and other scams, you can reduce the risk of falling victim to these harmful schemes. Always be cautious, never share personal information through text, and report suspicious activity immediately. Remember: when in doubt, dont click, dont reply, and always verify.
Aging is a journey that brings wisdom, grace, and the opportunity to thrive in new ways. While aging brings new joys, it also brings certain vulnerabilitiesespecially when it comes to emergencies. Whether facing a natural disaster, medical emergency, or sudden need for evacuation, preparedness is key to ensuring seniors stay safe, confident, and empowered.A solid emergency preparedness plan is essential to thriving during this stage of life. FEMAs Disaster Preparedness Guide for Older Adults provides a practical checklist for assessing your unique needs as a senior and creating an actionable plan.Keep reading for a short list of ideas on how you can help yourself or your senior loved one build a plan that brings peace of mind and a sense of security.Start with the Essentials: Your Senior Health InformationEmergencies dont wait for anyone, so having easy access to vital health information is crucial. Create a comprehensive list of: Medications (including dosages) Allergies Medical conditions Primary care physician contact details Insurance information Emergency contactsPlace these documents in a waterproof, portable folder that can be easily accessed in the event of an emergency. Ensure that caregivers and family members also have copies.Emergency Kit Essentials for Senior NeedsBuild an emergency kit tailored to the seniors specific needs. This kit should include: Extra prescription medications (at least a weeks worth) Over-the-counter medications (pain relievers, antacids, etc.) First aid supplies Flashlights, batteries, and phone chargers Non-perishable food items and bottled water (enough for 72 hours) Personal hygiene products Copies of important documents and identificationFor those with mobility challenges, consider adding additional supplies, such as assistive devices, extra hearing aid batteries, or any special dietary items.Plan for Senior Mobility and Transportation NeedsIn an emergency, getting out of the home or to a safe location can be difficult for seniors with mobility challenges. Have a transportation plan in place: Identify neighbors or caregivers who can assist with transportation. Explore local emergency transportation services or dial-a-ride programs. Arrange for backup power if mobility aids, such as electric wheelchairs, are used.Caregivers and family members should familiarize themselves with how to operate any mobility devices in case assistance is needed during an evacuation.Stay Informed and ConnectedStaying connected is vital during an emergency, and its especially important for seniors. Create a communication plan that ensures your loved ones know how to reach you, and vice versa. Set up regular check-ins with family, caregivers, or neighbors. Ensure the seniors phone or alert system is always charged and within reach. Sign up for local emergency alerts and weather notifications, which can often be sent via text or email. Consider using an in-home personal emergency response system like Amada Connect that alerts a designated responder to reach you within minutes.Many cities and towns offer specific resources or registries for seniors who may need extra help during an emergency. Registering in advance can make a significant difference.Tailor the Emergency Plan to the Seniors EnvironmentWhether living independently, with family, or in a senior living community, the emergency preparedness plan should reflect the seniors specific living situation. In independent living situations, ensure that the home is equipped with: Smoke detectors, carbon monoxide detectors, and fire extinguishers Ramps, grab bars, and accessible exits Clear communication with local emergency services about any special medical or mobility needsFor seniors in assisted living or other care facilities, ensure the facility has a clear emergency plan, and that the senior and family are familiar with it.Involve the Whole Senior Support NetworkCaring for seniors is a community effort. Make sure that the seniors caregivers, family members, and friends are part of the emergency preparedness plan. Discuss each persons role in the event of an emergency, from helping with evacuation to ensuring medical supplies are in order.A well-rounded plan not only provides safety but also reinforces the seniors support systemleading to greater peace of mind.Practice the Emergency Plan with Caregivers and FamilyJust like any other emergency drill, its essential to practice the plan. Schedule regular check-ins with caregivers and family to review the emergency plan and make sure all necessary supplies are up to date.Run through the steps of the plan with the senior to ensure they feel comfortable and confident. This practice can ease anxiety and ensure that in a real emergency, everyone knows their role.Seek Professional Senior Care Support if NeededAt Amada Senior Care, we understand that emergencies can be overwhelming, and were here to help. Our non-medical senior care team can assist with developing, organizing, and implementing emergency preparedness plans specific to your needs.In-home care services can also provide regular wellness checks, assistance with mobility, and help maintaining your emergency kitensuring that you or your loved one can focus on thriving, not just surviving, as you age.Having a comprehensive emergency preparedness plan isnt just about being ready for the worstits about thriving while aging. When seniors feel confident in their preparedness, they can continue living their lives with dignity, independence, and peace of mind.At Amada, were here to help in every step of the way, ensuring that senior clients are safe, cared for, and empowered to thrive in every stage of life. Lets work together to create a plan that supports their well-being today and for the years to come. CLICK HERE to find an Amada office near you.
At CarePatrol we help families find Assisted Living, Independent Living, Memory Care, and In-Home Care. We review the care and violation history of the communities we work with. We are a free service and exist to provide the safest care options for seniors across America.