Posts Tagged ‘Long term care’

Plan for Long Term Care… Now… or Else

Friday, May 29th, 2009

Fredrick Niemann, New Jersey Long Term Care Insurance Attorney

“According to some sources, 60% of us will need long term care sometime during our lives. It is important for all of us to prepare for that day when we will need to help loved ones with elder care or we will need elder care for ourselves.”

“It is simply a fact of life to prepare financially for unexpected disasters by covering our homes, automobiles and health with insurance policies and to provide funding for our retirement. But no other life event can be as devastating to our lifestyle, finances and security as needing long term care. It drastically alters or completely eliminates the three principal retirement dreams of elderly Americans, which are:

  1. Remaining independent in the home without intervention from others
  2. Maintaining good health and receiving adequate health care
  3. Having enough money for everyday needs and not outliving assets and income

Yet, it is our experience that the majority of the American public does not plan for the devastating crisis of needing elder care. This lack of planning also has an adverse effect on the older person’s family, with sacrifices made in time, money, family lifestyles and even affecting the family’s or caregiver’s medical and emotional health.

Because of changing demographics and potential changes in government funding, the current generation — more-than-ever — needs to plan for long term care.

If you have spent time helping a parent or loved one cope with a disability resulting from aging, you know the frustration of balancing what you feel they need to do and what they want to do. Communication is strained at times, because after all, you are the child and they the parent, yet physically and mentally the rolls have changed.

When you make directives, assignments and arrangements in advance of needing elder care, then everyone involved can follow the prearranged care plan.

As an example, Jefferson Simpson wrote in his care plan that if dementia or Alzheimer’s inhibited his mental abilities to communicate or recognize his surroundings, he wished to be in a respectable facility and only asked that he be visited and brought chocolates. To his children this request seemed silly at the time, but when his mental capacities did diminish, the instructions were there. No one had to wonder if they should try to take care of Father Jefferson at home and how they would do it. Without quilt or question they placed him in a respectable facility that took care of his needs. All they had to do was make loving visits, and of course they brought chocolates.

In order for Jefferson’s simple request to happen, he had made financial, legal and personal long term care plans years before.

What do you want your children or friends to do on your behalf?

When it comes time for them to help, what if you can’t say what you want because of a physical or mental disability? This is where a written long term care plan comes into effect.
 
Do you have a financial plan or long term care insurance? Retirement savings can disappear quickly when used for care services.
 
Where is your paperwork; insurance policies, living will, medical directives, Armed Services discharge or disability papers? Is there someone designated to know the location?
 
What are the legal documents that are needed for power of attorney, estate planning and disbursement of assets? When do they have to be completed?
 
What types of care services and facilities are available and what are the costs?
 
What will government programs pay for and how do you qualify?
 
There is a lot you can do now to put together a plan for your own long term care. You may have limited resources in the future or health problems that will inhibit your ability to take care of things you could do now. For example.
 
James and Cindy want to be able to stay in their home as they age. In order to do this, when they were in their 40’s they took out a long term care insurance policy that will pay for home care if it is needed. The policy will also pay for nursing home costs as a care option. With taking the policy at a younger age and in good health the monthly payments are low. Extra funds can now be put away for retirement without worries of having to deplete savings for care costs.
 
Or consider Sarah’s following experience:
 
After taking care of her own parents for many years, Sarah realized the importance of making, in advance, a plan and preparations for herself. She saw all of her parents’ assets dissipated in order for her father to qualify for Medicaid nursing home coverage. She didn’t want the same thing to happen to her. She took the time to create her own plan on paper– expressing her wishes for her own care. A trip to her attorney provided all the legal documents and estate planning she wanted to be in place to insure care for her and an inheritance for her children.
 
There is much to learn about long term care and there are a lot of new services and programs available to draw from.
 
The National Care Planning Council has gathered together an overall review of government and private long term care services both on the Council website, www.longtermcarelink.net and in their book The 4 Steps of Long Term Care Planning.

The 4 Steps of Long Term Care Planning provides comprehensive information about long term care planning. The design also allows you to record personal information, family agreements and directions on 20 planning sheets at the back of the book. Using this book as a single-source repository for information and directions makes it much easier for you or your care coordinator to carry out your wishes when the need for care occurs.

For further information and advice in any elder law matter, do not hesitate to contact me at 732-863-9900 Ext. 101 or 105, or fniemann@hnlawfirm.com.

Cost of caring for aging parents is looming financial crisis for many adult children

Friday, September 26th, 2008

63% of survey respondents don’t have a plan to pay for their aging parents’ care

Many people find themselves responsible for paying for the care of their parents in old age. The parents did not plan it that way and the children did not see it coming. According to a just-released survey, these adult children of aging parents have found themselves vastly unprepared.

The survey found: 

  • 63% of caregivers have no plan as to how they will pay for their parents’ care over the next five years.
  • 62% say the cost of caring for a parent has impacted their ability to plan for their own financial future.

“With an estimated 34 million Americans providing care for older family members, the survey’s results indicate a financial crisis in the making,” says Joe Buckheit, Publisher of AgingCare, a website and online forum for family caregivers.

“Medicare only covers long-term care for a short time, and only under strict rules. Medi-gap insurance helps, but does not cover all costs. The burden of paying for long-term care often rests with the family,” Buckheit says.

“The caregivers’ lack of planning is impacting their own financial future.”

Long-term care costs are not the only expenses caregivers bear.

“Family members responsible for ailing loved ones provide not only hands-on care but often reach into their own pockets to pay for many daily expenses, including groceries, household goods, drugs, medical co-payments and transportation,” says Buckheit.

“Americans who are already strapped for cash by the rising price of gas and food are unable to afford these additional expenses.”

The survey found: 

  • 34% spend $300 or more per month out of their own pocket for caregiving expenses.
  • 54% have sacrificed spending money on themselves to pay for care of their parents.

Work Issues
Making matters worse, caring for aging parents often impacts adult children at their workplace as well. The survey found: 

  • 43% have had to take time off work due to caregiving responsibilities.
  • 48% say they are earning less money at work as a result of caregiving.
  • 25% have been fired or had to quit their job as a result of caregiving.

Physical and Emotional Toll
Despite potentially making less money and doling out more, more than half of the caregivers surveyed are spending what equates to a full-time work week   • 40 hours or more  •  on caregiving duties  •  many in addition to their full-time careers outside the home. 

  • 53% of caregivers provide care 40 or more hours per week.
  • 37% provide care more than 80 hours per week.
  • 21% say they never get a break from caregiving.
  • 36% get a break of 5 hours or less a week.

The survey indicates that today’s caregivers face a triple financial threat: unplanned-for caregiving expenses, less money for their own needs and reduced time in the workplace.

Cost of Long-Term Care Continues to Rise, 2008 Survey Finds

Friday, May 16th, 2008

Costs for nursing homes, assisted living facilities and some in-home care services have risen for the fifth consecutive year and might continue to rise unless more long-term care workers can be found, according to a new survey by Genworth Financial.

A private room in a nursing home now costs $76,460 a year or $209 daily, a 17 percent increase since 2004, Genworth’s 2008 Cost of Care survey found. A semiprivate room in a nursing home is now $68,408.

The cost of assisted living facilities is shooting up even faster, having risen 25 percent since 2004 to a current average of $36,090 a year for a one-bedroom unit. Assisted living costs ranged from a high of $4,921 a month in New Jersey to a low of $1,981 a month in Arkansas.

While the cost of in-home care by workers who are not certified by Medicare remained about the same, at an average hourly rate of $18 for homemaker services and $19 for home health aide services, the cost of a Medicare-certified home health aide rose to an average $38 an hour.

The survey also priced adult day care for the first time, finding that the daily cost is averaging $59, or about $15,000 a year for five days a week of care.  Adult day care facilities provide care and companionship outside of the home and give the elderly a chance to interact with peers. Sometimes based in a community center, the facilities can provide social or therapeutic activities and provide supervision for participants with cognitive problems.

The study, which was conducted by CareScout on behalf of Genworth, surveyed more than 40,000 providers in all 50 states and the District of Columbia between December 2007 and February 2008.

Genworth Financial sells long-term care insurance policies. Buck Stinson, president of Genworth’s long-term care insurance unit, said the results of the Cost of Care survey indicate that “the expense of just a few years of long-term care in a facility or at home can very quickly wipe out a lifetime of savings.”

In a companion report, Genworth says that the nation faces an impending caregiver shortage that could drive costs even higher.

Genworth’s Cost of Care survey features an interactive map allowing consumers to see long-term care costs and trends in their state. For both the survey and caregiver report, click here.

Genworth: LTC Costs Continue To Rise

Friday, May 2nd, 2008

The average annual price of a private U.S. nursing home room has increased to $76,460 this year, up 2% from the 2007 average.

Researchers at Genworth Financial Inc., Richmond, Va., have published that finding in a summary of results from their latest survey of nursing homes, assisted living facilities, home care providers and, for the first time, adult day care providers.   A total of about 10,000 providers participated.

The cost of a semiprivate nursing home rose 4%, to $68,408, while the cost of an hour of care from a non-skilled home health aide held steady at about $19, the Genworth researchers report.

The hourly cost of care by a skilled, Medicare-certified provider increased 18%, to $38.
Adult day care cost about $59 per hour.