AIM

Older adult’s hands resting on a cane, symbolizing need for long-term care support and planning.

Long-Term Care Insurance

Understanding Long-Term Care Insurance: What You Need to Know

Long-term care insurance (LTC insurance) is an important safety net for older adults or individuals with disabilities who may one day need help with daily living or medical support. Unfortunately, many people wait until it’s too late to explore their options and miss out on the benefits this coverage can provide. Planning early is the key to protecting your independence and finances.

What to Consider Before Buying Long-Term Care Insurance

Before purchasing a policy, take time to consider a few essential factors:

1. Your Age and Health

The younger and healthier you are when you apply, the more affordable your premiums will be. Older adults or those with existing health conditions may find it harder to qualify, and premiums tend to increase significantly with age.

2. Your Support System

Ask yourself: Will my family be able to help meet my care needs in the future?
If you have a strong family support system, you may require less coverage or a different type of plan. This is a great time to have open discussions with your loved ones about your long-term care goals and preferences.

3. Your Savings and Investments

Evaluate your current and projected financial situation. A financial advisor or elder law attorney can help you determine whether long-term care insurance makes sense for you and explore other options for funding future care.

How Much Does Long-Term Care Insurance Cost?

There is no one-size-fits-all answer. Costs vary depending on several factors, including:

  • Age – Younger applicants pay lower premiums.

  • Gender – Women often pay more because they generally live longer and file more claims.

  • Marital status – Married individuals typically pay less than singles.

  • Insurance company – Each insurer sets its own rates and coverage terms.

  • Coverage amount – The more comprehensive the policy, the higher the premium.

When shopping for a policy, compare rates and benefits from multiple providers. A financial professional or elder law attorney can help you evaluate options to find the best balance between cost and coverage.

What Long-Term Care Insurance Covers

Once you’re eligible—typically when you have a cognitive impairment (such as dementia) or can’t perform at least two of six activities of daily living (ADLs)—your LTC policy can cover a wide range of services, including:

  • Nursing home care and assisted living

  • Home health care to help with daily tasks in your own home

  • Adult day care services for daytime support

  • Home modifications, such as ramps or grab bars

  • Care coordination services to help plan and manage ongoing care

Every policy is different, so it’s important to read the details and understand exactly what’s covered and under what conditions.

The Bottom Line

Long-term care insurance can feel complicated, but professional guidance makes a big difference. Talking with a financial advisor and an elder law attorney will help you make an informed decision that protects your health, assets, and peace of mind.


Need help deciding if long-term care insurance is right for you?
Contact Aging in Maine Law Offices today at (207) 848-5600 to schedule a consultation with an elder law attorney.

 

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