“But other than that, I am in perfect health!” I heard these words from my 95-year-old grandmother when I called her recently. She is, in fact, in remarkably good health for her age, but her diagnosis of macular degeneration about 20 years ago and her acute hearing loss have dramatically changed how she now lives her life. She lived independently into her 80s, but when she began to experience more issues with her vision, our family knew we would need to make some adjustments and plan for her care in the future.
According to Johns Hopkins Medicine, low vision and blindness are the leading causes of disability in the United States. Nearly 500,000 people were diagnosed with low vision this year, and a recent JAMA Ophthalmology study reports that low vision and blindness are expected to double in the next 30 years, with 2.3 million people expected to be blind and more than 9.5 million living with low vision.
What do you do when you or a loved one are diagnosed with a health condition — such as low vision, severe hearing loss or a physical impairment — that is not terminal but can dramatically alter the way life is lived in the future? Not surprisingly, making changes in your physical environment are usually involved, but changes to your financial plan may also be necessary to properly manage a long-term chronic health condition or expected diminished physical capabilities.
Sign up for Kiplinger’s Free E-Newsletters
Profit and prosper with the best of expert advice on investing, taxes, retirement, personal finance and more - straight to your e-mail.
Profit and prosper with the best of expert advice - straight to your e-mail.
Whether it’s planning for future in-home care services or working together as a family to prepare and budget for long-term health care costs, creating an updated financial plan is a critical component of managing long-term health conditions.
1. Look for resources.
For many conditions, there may be aid available that can be used to help improve or cope with limitations. To help my grandmother, we found a low-vision specialist in her community who outfitted her with high-magnification glasses and ordered a table-top magnification device, along with a very bright desk lamp, that allowed her to continue to both manage her own bills and read books for several years.
After reading became too challenging, she turned to audiobooks available from the public library. We worked on her budget to accommodate the cost of the glasses and devices, which were not covered by insurance, but improved her worsening vision for an extended period and were worth the added costs.
2. Make living spaces safer.
The biggest risk to my grandmother was that she might fall if she couldn’t see something on the floor or ran into something in her way. We looked at the most frequent pathways she walked between rooms in her home and realized that a decorative half wall in her entry was a hazard.
We hired a contractor to remove the half wall and replace the flooring to remove the obstacle and give her more space to walk. Again, it was an additional expense, but it made it possible for her to be safer in her home.
3. Adjust lifestyle expenses.
It was clear that it was not wise for my grandmother to be driving, so we sold her car and used the funds in her budget that she had earmarked for auto maintenance and gas to be used instead for rideshare services to maintain her independence for spontaneous trips and connected her with the community senior center bus service for planned outings with friends.
4. Modify timelines and expected costs for future care.
My family knew that it was highly likely that my grandmother would require skilled care at some point. When her vision limitations began to surface, we adjusted our plan from having her move to a live-in health care setting in the future to implementing in-home assistance right away. We started with having a caregiver come a few times a week to help with general household tasks like grocery shopping, cooking and laundry.
After my grandmother started to have trouble navigating her home in the evenings due to lower light levels, we had a family meeting, and she decided to move in with one of my uncles. She is still fairly independent and is able to handle her own personal care, such as getting dressed and eating, but simply having other people in the house with her makes the situation safer and easier for her.
When she can’t handle her personal care any longer, we plan to have her move to an assisted living facility and will use the money she is saving by living with my uncle to help fund those future costs.
A health diagnosis that is life altering can be difficult to accept at first, but with careful financial planning and research on what alternatives may be helpful to enhance your lifestyle and needs, you can make the best of the situation. Your financial adviser can be a valuable resource as you make any transitions needed.
Kara Duckworth is a CERTIFIED FINANCIAL PLANNER™ professional at Mercer Advisors. The opinions expressed by the author are her own and are not intended to serve as specific financial, accounting, or tax advice. They reflect the judgment of the author as of the date of publication and are subject to change. The information is believed to be accurate but is not guaranteed or warranted by Mercer Advisors. Mercer Global Advisors Inc. is registered with the Securities and Exchange Commission and delivers all investment-related services. Mercer Advisors Inc. is a parent company of Mercer Global Advisors Inc. and is not involved with investment services.
Related Content
- What Gen X Needs to Know About Their Aging Parents' Finances
- No Long-Term Care Plan? Here’s What to Do About It
- Long-Term Care Insurance Quandary: Keep Paying or Let It Go?
- Are You Afraid to Retire Even Though You Can Afford To?
- Financial Planning Now That Your New Baby Has Arrived
-
What About Those ‘Guaranteed’ Life Insurance Ads?Guaranteed life insurance policies can sound tempting if you've been declined for insurance elsewhere. Here are four downsides and one alternative.
-
13 Answers to Pressing Social Security QuestionsFrom smart claiming strategies for couples to tips on maximizing your monthly check, we have advice that can help you.
-
Eight Tips From a Financial Caddie: How to Keep Your Retirement on the FairwayThink of your financial adviser as a golf caddie — giving you the advice you need to nail the retirement course, avoiding financial bunkers and bogeys.
-
Just Sold Your Business? Avoid These Five Hasty MovesIf you've exited your business, financial advice is likely to be flooding in from all quarters. But wait until the dust settles before making any big moves.
-
You Were Planning to Retire This Year: Should You Go Ahead?If the economic climate is making you doubt whether you should retire this year, these three questions will help you make up your mind.
-
Are You Owed Money Thanks to the SSFA? You Might Need to Do Something to Get ItThe Social Security Fairness Act removed restrictions on benefits for people with government pensions. If you're one of them, don't leave money on the table. Here's how you can be proactive in claiming what you're due.
-
From Wills to Wishes: An Expert Guide to Your Estate Planning PlaybookConsider supplementing your traditional legal documents with this essential road map to guide your loved ones through the emotional and logistical details that will follow your loss.
-
Your Home + Your IRA = Your Long-Term Care SolutionIf you're worried that long-term care costs will drain your retirement savings, consider a personalized retirement plan that could solve your problem.
-
I'm a Financial Planner: Retirees Should Never Do These Four Things in a RecessionRecessions are scary business, especially for retirees. They can scare even the most prepared folks into making bad moves — like these.
-
A Retirement Planner's Advice for Taking the Guesswork Out of Income PlanningOnce you've saved for retirement, you'll need your nest egg to support you for as many as 30 years. For that, you need a clear income strategy, not guesswork.
