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The Downside of
Long-Term Care Insurance

Anyone who cares to do a little research on the subject will easily find information about the valuable benefits of long-term care insurance. A $2000 annual premium will often pay for care that could exceed $60,000, $80,000 or more annually. It sounds like a "no-brain" decision. For many, it has been.

As our government begins to push long term care insurance as a partial solution to our national budget problems, it's important to also know the risks and downsides of these products.
 

What Your Insurance Agent May Not Tell You About Long Term Care Insurance:

Your Premiums Will Go Up

Your individual premium may be "locked in," but the insurance company can raise the rate for an entire "class" of purchasers. Rates will probably go up every year on your birthday. Rates may also go up for everyone in a particular ZIP code or other geographic area. As rates go up, a policy that was affordable when you bought it may become too expensive to maintain.

You certainly won't want to pay premiums for 20 years and then find your policy to be unaffordable as you reach the age when you are more likely to need it. Sadly, it is true that insurance companies count on a certain number of people allowing their policies to lapse, because that reduces the number of potential future claims.

In Most Cases You Will Still Pay A Lot For Care

Almost every policy will include a period during which you must pay for care before coverage begins. While home care today may average $17 an hour, depending on where you live, it may well be $35 per hour when you need it. While today your insurance agent may talk about an out-of-pocket risk of $6,000 to $10,000, in 20 years this number could easily more than double.

Nursing homes today average between $4,000 and $10,000 per month today (again, depending on where you may live). In 20 years, if this number only doubles (and that's conservative), the annual cost of nursing care could be as much as $240,000 or more.

Inflation riders (at extra cost) are presented as just the way around this problem. Unfortunately, the rate of inflation in the health and long term care arena is forecast to be much higher than the standard 5% inflation rider offered by most carriers. You will be responsible for all costs above the limits of your chosen policy.

Paying Premiums Reduces Your Available Investment Dollars

You can only spend each dollar in your pocketbook one time. Every dollar that you remove from your investment pocketbook to buy insurance reduces the number of dollars you have earning (compound) interest for your future needs. Inflation will eat away at our purchasing power as we age. An item that costs $1 today may cost $3 or more when we're in retirement.

While it's important to plan for our future care needs, it's also important to insure that our retirement nest egg continues to grow at a rate at least equal to the rate of inflation. If you can't purchase long-term care insurance without jeopardizing your other retirement needs it may be a very bad investment for you. If cat food tastes like it smells, you surely don't want to be eating it to afford your insurance.

For the right person, long-term care insurance can be priceless when care is needed. It can help preserve individual independence, and for many it provides access to a life quality that would be unaffordable without it. However, most LTC information ignores the potential financial speedbumps associated with these products. Before you purchase long-term care insurance you would be wise to consult with a strong financial advisor who can review your particular situation and advise you accordingly. Of course, in order to get unbiased advice, you will want to be sure that your advisor does not have a personal financial interest in whether or not you buy.
 

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