When you are looking at purchasing long-term care insurance, you
should remember that retirement income is often fixed. It rarely
keeps pace with inflation. If you buy too much insurance now, you
may not be able to afford the premiums when you are retired.
You need to decide two things: the policy's fixed dollar amount
and the length of time your benefits will run. There are four major
steps in calculating how much insurance you need to buy.
1. The benefit amount
The benefit amount is the maximum fixed dollar amount your policy
will pay for each day of care. This figure is used to determine the
policy's total value.
For example, if you purchase a policy that pays $200 a day for
three years of care, your total policy value is $219,000.
When looking at a possible benefit amount, call a reputable
nursing facility in your area and ask what it charges for residents
per day. Your insurance agent should also be able to provide you
with the average nursing home cost in your area. Decide how much of
your personal income you can afford to spend per day to stay in a
nursing home.
The difference between the cost and what you can afford is the
benefit amount you need.
However, if you are married, you shouldn't count on contributing
any of your fixed income to your nursing home costs. The spouse who
does not need care will likely need the entire fixed income to pay
for bills and living expenses.
2. Inflation adjustments
Remember, costs go up over time. Increase the benefit amount you
have arrived at enough to cover inflation. This is essential when
buying long-term care insurance. Be wary of any insurance sales
pitches that claim that your policy will keep pace with inflation.
No one can predict the medical inflation rate - it has a mind of its
own.
You can be assured that even with the best and most expensive
inflation adjustments, which usually increase your benefit by 5% a
year, the increases in your benefits will not completely cover your
increased medical costs.
3. Benefit period
The benefit period is the length of time your policy will pay for
covered services. According to the Health Insurance Association of
America, the average length of a stay in a nursing home is 2 ½
years. Most people choose a two- or three-year benefit period. The
more years you choose, the higher your premiums.
There are policies that offer unlimited benefit periods.
Remember, the longer your benefit period, the higher your premiums.
4. Deductible
The deductible is often known as the elimination period. This is
the number of days you pay for care before your policy begins your
coverage. The standard deductible period is between 20 and 100 days
of self-paid care. Some policies have longer waiting periods with
lower premiums. However, you will have to pay for any needed care
until you reach your deductible. How much you can reasonably afford
to pay in premiums depends on your retirement income and assets.