The Odds Say Long-Term Care May Be in Your Future: Are You Prepared?

Someday, as your body, your mind or both begin to fail you, you could require some form of long-term care, whether that means a home health aide, an assisted living facility or a nursing home.

Yet, understanding the problem is not the same as preparing for it. Too often, people set aside thoughts about long-term care and aging’s potentially debilitating effects. They figure they will make plans for how to address it some other day, but that day always gets shoved further into the future.

The reticence is understandable. Even some financial professionals are not that fond of talking about long-term care, because they know it is an expensive proposition that can affect someone’s retirement nest egg. They skim over it quickly or don’t address it at all.

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You should neither skim over the subject nor continue to procrastinate because as you age, the odds can increasingly be against you. About 70% of Americans who reach age 65 will require long-term care at some point in their lives, according to 3in4 Need More (opens in new tab), a national awareness campaign that dedicates itself to educating people about long-term care.

So, what should you do to prepare? Here are a few suggestions to get you started:

Look at the risk exposure in your portfolio

One of the first and simplest things you can do to prepare yourself to handle long-term care costs is to review your investment strategy and assess your risk exposure. As you approach retirement, you should consider moving a portion of your portfolio into less-risky investment options. You don’t want to be flattened by a sudden market drop right at the same time you are facing health issues that could drain your savings.

Check out alternatives to traditional long-term care insurance

One of the downsides of traditional long-term care insurance is that, if you never use it, your beneficiaries get nothing when you die. Instead, you could consider some of these possibilities:

• There are asset-based life insurance products that allow you to put money aside for long-term care. Some products may double or triple the monies that are used to fund the policy, and if you don’t need the money for care, your premium is paid to your heirs.
• Another example: These days many people are converting their traditional IRAs into a Roth IRA because of the potential tax savings involved. You can also convert an IRA into an indexed life insurance policy that has long-term care benefits attached. That allows you to access the benefit while you are still living, if you are diagnosed with a chronic illness and in need of long-term care. If you never use the chronic illness rider, your heirs receive the life insurance benefit tax-free.
• Similarly, some annuity products have long-term care benefits that can be added as a rider. Once again, if you need the benefit, you can access it immediately. If you never need it, you can leave it to your heirs.

Be aware of resources in your community

Look around and you may find free resources in your community that can help with long-term care needs. In my home county in Florida, for example, our firm supports a not-for-profit group, Transitions of Marion County (opens in new tab). They provide assistance to people with serious illnesses, such as Alzheimer’s and dementia, by helping them stay in their homes. Military veterans should also find out what services are available through the VA.

The cost of long-term care can seem so overwhelming that it is tempting to continue to ignore the problem and leave everything to fate. That is no solution. You need to plan as best you can with what you have, and if you are worried about going it alone, seek out a financial professional who can help you consider all the options.

Create a written plan that lays out how you want things handled, what assets you have set aside to pay for long-term care, and what community resources are available to help you out. If that plan ever needs to be put into action, it can help both you and your family feel more confident as you navigate a difficult time together.

Ronnie Blair contributed to this article.