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Advisors' Forum
Future Considerations
06/01/2007

My wife and I are in good health and have a robust portfolio, so it surprised me when our advisor suggested that we consider buying long-term care insurance (LTCI). He recommended it as a way to hedge risk, but I am confident that we could pay for whatever care we will need in the future. Is this just an unnecessary cost?

It depends. LTCI is not only beneficial in an economic sense, but also in an emotional sense. In your case, it may make more emotional sense. According to a June 2005 LifePlans study, you have a 50 percent risk of needing long-term care during your lifetime. Just because you have the money for this care doesn’t mean you (or your family members) want the responsibility that goes along with it. LTCI can help by offering valuable care coordination.

If you rely on your family for care, you may feel that you are burdening your loved ones. With many LTCI plans, licensed professionals work with your family to organize the best care possible, accommodating both your needs and your family’s needs. This can help avoid conflict among loved ones and subside any feelings of guilt you may have.

As for protecting your assets, LTCI can help you do that as well. The national average rate for a private room in a nursing home is more than $75,000 annually. In addition, the cost of long-term care is expected to increase threefold in the next 20 years. Consider this as you decide whether you are willing—or able—to shoulder this cost on your own.
Matthew Sinclair, New England Financial, Tarrytown, N.Y.

Marital status somewhat affects this decision. If a married couple purchases LTCI for both individuals, the healthy spouse will then be able to continue using the combined income and assets—without the high costs of healthcare and nursing care expenses reducing them. In my experience, very few clients (wealthy or not) are secure with having their net worth diminish as they grow older. The psychological benefits that long-term care insurance provides merit consideration.

If an individual has no spouse but has children, the psychological and financial aspects of medical care become somewhat more complicated. Like it or not, the next generation will try, in good faith, to preserve as much of a parent’s assets as possible for ultimate distribution to them and to their children. In some instances, whether or not medical care costs will significantly diminish the parent’s assets impacts these judgments. Thus, LTCI allows family members to make the best possible choices for their parents—without financial considerations.

All things considered, when compared to the benefits provided by such coverage, the insurance premiums are not a financial burden to the majority of affluent people.
Michael H. Foreman, Cole, Schotz, Meisel, Forman & Leonard Hackensack, N.J.
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