Taking The Mystery Out Of Long-Term Care Insurance

Here's the good news: with improvements in medical technology and healthier lifestyles, people are living longer. Life expectancy today has increased to 83 years, up from 78 years in 1940 (The Shopper's Guide to Long-term Care Insurance from the National Association of Insurance Commissioners).

However, the longer people live, the greater the chances they will need assistance due to chronic health conditions. Today, about 12.8 million Americans of all ages require some type of long-term care (National Academy on Aging, 1997). This number is expected to climb as the baby boomer generation moves into retirement. Over a lifetime, nearly 50 percent of all people will require some type of long-term care assistance.

One way to pay for some or all of your long-term care expenses is insurance. First introduced in the 1980s, long-term care insurance was originally designed as nursing home insurance. Today's long-term care policies now cover much more. They include home health care, assisted living facility care, adult day care, Alzheimer's facility care, respite care and hospice care.

So how does long-term care insurance work? Long-term care insurance is not health insurance, and long-term care expenses are not covered under private health insurance, Medicare or Medicare supplement policies.

However, long-term care insurance is similar to health insurance in that an individual must apply for coverage by going through medical underwriting. The insurance company decides whether to offer long-term care coverage based on your current health conditions and age. In most instances, a person's medical records will be reviewed by the insurance company. Additionally, some applicants may be required to have a face-to-face or a telephone interview. Not everyone is insurable. People who already have health problems are likely to need long-term care but won't be able to buy a long-term care insurance policy. Your money may pay for long-term care insurance coverage, but it's your health that buys it.

Once a long-term care policy is issued, the insured individual becomes eligible to receive benefits once a healthcare professional certifies the insured is "chronically ill" -- unable to perform two of the Activities of Daily Living (ADLs) for a period of 90 days or longer; or be severely cognitively impaired. ADLs include bathing, eating, dressing, toileting, transferring (moving into or out of a bed, chair or wheelchair) and continence.

"At what age should I apply for long-term care insurance?" Generally, experts suggest you apply between ages 50 and 55. The younger you are when you apply, the better the chance you will be healthy enough to qualify. It's also during these years prior to retirement that your income is normally at its highest and you're better able to pay the insurance premiums.

Long-term care insurance policies vary widely. A professional specializing in long-term care insurance can be a great resource to consumers in considering the many options available today.

Brent Dees, president of Brent Dees Financial, is a small business coach and financial planner who teaches the Focus Four system. He helps business owners in the Carolinas set business and personal goals so they can work less and make more. Brent Dees Financial can be found on the web at http://www.brentdees.com.

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President-elect Barack Obama speaks about the economy at George Mason University in Fairfax, Va.,  Thursday, Jan. 8, 2009. (AP Photo/Charles Dharapak)AP - Pushed by fellow Democrats, President-elect Barack Obama agreed to modest changes in his proposed tax cuts on Friday after inviting lawmakers to "just show me" ideas for fixing an economy shedding jobs at an alarming rate. Democratic congressional officials said that Obama aides came under pressure in closed-door talks to jettison or significantly alter a proposed tax credit for creating jobs.



Illinois Gov. Rod Blagojevich makes a statement  Friday,  Jan. 9, 2009 in Chicago, after he was impeached by the Illinois House on a wide array of offenses including criminal corruption and wasting taxpayers money. The two term Democrat becomes the first governor in the history of Illinois to be impeached. (AP Photo/Paul Beaty)AP - Gov. Rod Blagojevich was impeached Friday by Illinois lawmakers furious that he turned state government into a "freak show," setting the stage for an unprecedented trial in the state Senate that could get him thrown out of office.



A Palestinian youth uses a sling-shot to hurl a stone from behind a burning tire barricade during clashes with Israeli troops at a protest against Israel's military operations in the Gaza Strip, in the West Bank village of A-Ram, on the outskirts of Jerusalem, Friday, Jan. 9, 2009. Israeli jets and helicopters bombarded Gaza Friday and Hamas responded with a barrage of rockets on two cities as both sides defied a U.N. call for an immediate cease-fire. (AP Photo/Kevin Frayer)AP - Israeli jets and ground troops hammered at Hamas targets in the Gaza Strip and Islamic militants fired barrages of rockets at southern Israeli cities Friday, ignoring a U.N. resolution calling for an immediate cease-fire after two weeks of combat.



AP - Authorities say five people have been shot at a high school on Chicago's South Side.

This image taken from video, supplied by Magnolia Pictures, shows the Rev. Ted Haggard  preaching in the documentary film 'Jesus Camp'. Speaking out two years after being embroiled in a gay sex scandal, former evangelical pastor Ted Haggard said Friday, Jan. 9, 2009 his sexual identity is complex and can't be put into 'stereotypical boxes,' but that his relationship with his wife is stronger than ever. (AP Photo/Magnolia Pictures,File)AP - Speaking out two years after being embroiled in a gay sex scandal, former evangelical pastor Ted Haggard said Friday his sexual identity is complex and can't be put into "stereotypical boxes," but that his relationship with his wife is stronger than ever.



Texas death row inmate Andre Thomas is shown in this undated handout file photo released Friday, Jan. 9, 2009 in Huntsville, Texas. Thomas, who has a history of mental problems is being treated at a prison psychiatric unit after authorities said he pulled out his only good eye and ate it.  He similarly had plucked out his right eye before his trial in 2004. (AP Photo/Texas Department of Criminal Justice, FILE)AP - A Texas death row inmate with a history of mental problems pulled out his only good eye and told authorities he ate it. Andre Thomas, 25, was arrested for the fatal stabbings of his estranged wife, their young son and her 13-month-old daughter in March 2004. Their hearts also had been ripped out. He was convicted and condemned for the infant's death.



This photo released by Bruce Sherman of Rockport, Texas, shows a Pine Flycatcher photographed at the Choke Canyon State Park, Texas, Jan. 4, 2009. (AP Photo/Bruce Sherman)AP - Birders with binoculars and cameras are flocking to a remote state park in search of a small yellow-chested bird that apparently crossed the U.S. border for the first time from its high-mountain habitat to the south.



In this Nov. 28, 2005 file photo, actor Patrick Swayze poses for the photographers, prior to the premiere of his new film 'Keeping Mum' at a Leicester Square cinema in central London. (AP Photo/Lefteris Pitarakis, file)AP - Patrick Swayze has checked himself into the hospital for observation after contracting pneumonia, A&E President Abbe Raven announced Friday at a meeting of the Television Critics Association. Swayze was scheduled to appear to discuss his upcoming drama "The Beast."



In this photo released by the People for the Ethical Treatment of Animals, 'George,' a live 20 pound lobster rests on a plate at City Crab and Seafood in New York, Friday, Jan. 9, 2009. City Crab and Seafood has spared the lobster, which is expected to be released Saturday, Jan. 10, near Kennebunkport, Maine, in an area where lobster trapping is forbidden. PETA and the restaurant gauged George's age at about 140, using a rule of thumb based on the creature's weight. (AP Photo/P.E.T.A.)AP - A new lease on life — at 140? That's what a Manhattan lobster got Friday, when the 20-pound crustacean named George was released from a swanky Park Avenue restaurant's tank. City Crab and Seafood agreed to a request from People for the Ethical Treatment of Animals to let the lobster return to the Atlantic Ocean.



AP - Baseball authorized nearly 8 percent of its players to use drugs for ADHD last season, which allowed them to take otherwise banned stimulants. A total of 106 exemptions for banned drugs were given to major leaguers claiming attention deficit hyperactivity disorder from the end of the 2007 season until the end of the 2008 season, according to a report released Friday by the sport's independent drug-testing administrator.

Former Treasury Secretary Robert Rubin participates in a panel discussion about Poverty Alleviation at the Clinton Global Initiative, in New York, September 20, 2006. (Chip East/Reuters)Reuters - Citigroup Inc is in advanced talks to sell its Smith Barney brokerage unit to Morgan Stanley, a person familiar with the matter said on Friday, in a move that would further dismantle the financial supermarket that has been bailed out by the U.S. government.



Illinois Gov. Rod Blagojevich speaks during a news conference in Chicago, Illinois January 9, 2009, as he points to Illinois residents that he clamed have been helped by the issues that are now being used as the Illinois House voted to impeachment him. (Stephen J. Carrera/Reuters)Reuters - The Illinois House of Representatives impeached Gov. Rod Blagojevich on Friday for abuse of power, including a charge that he tried to sell President-elect Barack Obama's former U.S. Senate seat.



Palestinians shout anti-Israel slogans during a protest in the West Bank village of Baqa Ash-Sharqiya, near Tulkarm January 9, 2009. (Mohamad Torokman/Reuters)Reuters - Israel pressed on with a punishing Gaza offensive and Hamas sent more rocket salvoes into southern Israeli towns in a two-week-old war that continued to defy international efforts to stop it.



US President-elect Barack Obama speaks on the economy at George Mason University in Fairfax, Virginia. US economic conditions are Reuters - President-elect Barack Obama and a key Democratic lawmaker revealed plans on Friday to overhaul the government's $700 billion financial rescue fund as a way to aid struggling homeowners and speed the flow of credit.



Reuters - Minnesota health officials issued a product alert for peanut butter on Friday after finding a jar that was contaminated with a strain of salmonella linked to an outbreak across the United States.

Employers slashed payrolls by 524,000 in December, driving the unemployment rate to its highest level in almost 16 years, a government report showed on Friday, suggesting that the year-long recession was deepening. (Graphic/Reuters)Reuters - The unemployment rate surged to the highest in nearly 16 years last month as a deepening year-long recession forced companies to axe more than half a million jobs, government data showed on Friday.



Voters fill their ballots during the U.S. presidential election in West Hollywood, California November 4, 2008. (Mario Anzuoni/Reuters)Reuters - The U.S. Supreme Court said on Friday it would consider a challenge to a central provision of the 44-year-old voting rights law aimed at preventing states and local governments from making it harder for minorities to vote.



A foreclosed home is seen in Stockton, California in this May 13, 2008 file photo. A top bank industry group said on Friday that it opposes an agreement between financial giant Citigroup Inc  (Robert Galbraith/Files/Reuters)Reuters - A top bank industry group said on Friday that it opposes an agreement between Citigroup Inc and Democratic senators that would rewrite U.S. bankruptcy law to help troubled mortgage borrowers avoid foreclosure, saying it could make home loans more expensive.



A relative of Palestinian journalist Ihab al-Wihedi and his wife mourns prior to their funeral in Gaza City. Tanks and warplanes pounded Gaza on Friday after Israel defied a truce order from the UN Security Council as the death toll from the two-week-old conflict against Hamas passed 800.(AFP/Mahmud Hams)AFP - Israel's offensive against Hamas in the Gaza Strip was set to enter its third week on Saturday, with both sides brushing off a UN appeal to halt devastating attacks that have claimed over 800 lives.



This US Navy photo shows the MV Sirius Star as it is observed at anchor by the US Navy. Somali pirates said Friday they had freed a Saudi-owned supertanker, whose capture nearly two months ago caused panic in international shipping and spurred the world into tougher anti-piracy action.(AFP/NVNS/David B. Hudson)AFP - Somali pirates said Friday they had freed a Saudi-owned supertanker, whose capture nearly two months ago caused panic in international shipping and spurred the world into tougher anti-piracy action.




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