Life Insurance Keeps a Business in the Family

In 2015, Americans spent $225 billion on long-term care. That’s 7 ½ times what was spent 15 years prior, in 2000. With the great advances we have made in medicine and medical technology, people are living longer. The downside to that is that it means people are more likely to need care and need it longer. In fact, over half of people turning 65 will need long-term care at some point in their lives.(1)

Types Of Long-Term Care

When you think of long-term care, skilled nursing facilities are probably what comes to mind. However, that is actually the last step in the long-term care journey. Most long-term care is not medical; it is simply assistance with basic activities of daily living like bathing, dressing, eating, and going to the bathroom.

Even without serious medical problems, most people become less and less capable of taking care of themselves as they age. Traditionally, people would turn to family for help with such things. However, in our modern era where families live far apart and adult children are already overburdened with careers and children, more and more people have to pay for long-term care services.

The most basic, and least expensive, form of care is homemaker services. Homemaker services do not involve anything medical, but rather things like meal preparation, cleaning, and running errands. The next step up, which does have a medical component, would be a home health aide.

Once basic in-home assistance is not enough, specialized facilities are needed. Care outside of the home can be in the form of adult day healthcare, assisted living facilities, and nursing homes.

Costs Of Long-Term Care(2)

Costs vary depending on the type of care needed and the part of the country in which you live. On an annual basis, the national average goes from just under $48,000 for homemaker services to over $97,000 for a private room in a nursing home, and that number is growing about 3-4% a year.

Things change drastically when you look at specific locations. In San Francisco, homemaker services are more than 150% the national average and growing twice as fast. A private room in a nursing home averages $171,185 a year. Even downgrading to a semi-private room still costs over $141,000 a year. Twenty years from now, that same semi-private room is expected to cost over a quarter of a million dollars.

As you can see, long-term care can be very expensive, especially with the rise of dementia, where people can live a long time while needing care. In 2018, the estimated lifetime cost of care for someone with dementia is $341,840,(3) and it’s probably much higher in a state like California.

Ways Of Paying For Long-Term Care

Because of the high cost, it is important to plan ahead for long-term care. There are a number of ways to pay for care, each with its advantages and disadvantages.

Medicaid

The vast majority of Americans turn to Medicaid for their long-term care expenses. However, it’s not because it’s a great option. Rather, it’s their only option. In order to qualify for Medicaid, you have to have a low income and low assets, so it’s not really something people plan for intentionally.

Self-Insure

On the opposite end of the spectrum from the people that can qualify for Medicaid are those who have amassed enough wealth to self-insure. If you have $50 million in assets, you can afford to pay $170,000 a year for a nursing home and it won’t have a significant impact on your finances.

The danger is that sometimes people take too great a risk thinking they can self-insure. Often, care is needed later in retirement when savings have already been spent down significantly. Having $500,000 in the bank may seem like a lot of money, but long-term care expenses can eat through it very quickly. Unfortunately, it’s not uncommon for a couple to spend all of their savings on the husband’s care only to leave the wife destitute at his passing.

Life Insurance With A Long-Term Care Rider

One option for those that find themselves in between broke and very wealthy is adding a long-term care rider to their life insurance. If you have, or are planning on purchasing, permanent life insurance, your policy may allow you to add a rider that would help pay for your long-term care costs. Using the long-term care option will often lower your death benefit, but many people appreciate knowing they will receive a benefit even if they never need long-term care.

Premium Paying Long-Term Care Insurance

Another option is buying pure long-term care insurance. Like with most kinds of insurance, you pay a regular premium in exchange for receiving a benefit when you need long-term care. One downside to this for many people is that you will only receive a benefit if you end up needing long-term care. As with car insurance where you have to get into an accident in order to get money out of it, if you never need care, you never see your money again.

Asset-Based Long-Term Care Insurance

The final option has been the fastest growing long-term care option over the last decade.(4) It is a combination of long-term care insurance and single premium life insurance, commonly called asset-based insurance.

The way it works is that you pay a large amount up front and then low annual premiums. You have several times your initial deposit available tax-free for long-term care needs. If you never use it or cancel your plan, you usually get your deposit back plus interest. Some plans even include tax-free death benefits.

Choosing A Long-Term Care Option

Looking at the statistics, you can tell that planning for long-term care is an important thing to do. Failing to do so can be a costly mistake. Because the multitude of options available can be complex and confusing, it’s important to work with an experienced financial professional.

An experienced advisor can explain all of your options to you, help you consider the pros and cons of each, and decide which is the best solution for your particular situation. If you want that kind of help choosing a long-term care option, call my office at (949) 221-8105 x 2128, or email me at michael.loo@lpl.com to set up a no-strings-attached meeting.

(1) https://www.morningstar.com/articles/879494/75-mustknow-statistics-about-longterm-care-2018-ed.html

(2) https://www.genworth.com/aging-and-you/finances/cost-of-care.html

(3) https://www.morningstar.com/articles/879494/75-mustknow-statistics-about-longterm-care-2018-ed.html

(4) https://www.525longtermcare.com/asset-based-ltci/

As someone who works directly with clients on helping them with their financial plans and investment decisions, it wouldn’t be too far off to think that I might not do too bad on my own personal investments. Well, truth be told, I have indeed made some high-return investments over the years. The funny thing about that is when I think about “the best investments I ever made”, they are not stocks, bonds, mutual funds, real estate, venture funds, or the like. The best investments that I have ever made came from investing in myself and/or my practice. The returns may be harder to quantify, but I would venture to guess that it has been exponential. Below are my top three “best investments I ever made”:

Going Back To School For An MBA

I’ve always been someone who wants to constantly improve, both as a person and as a professional. In an article that I had previously written, I discuss how an MBA prepared me for my career as a financial advisor. This was a both a huge gamble and a big-time winning investment for me, especially since I initially entered business school without a clear roadmap of where the advanced degree would take me. After going through the MBA program at USC’s Marshall School of Business, the greatest value I gained came from improving my qualitative skills, such as working with people, networking, effective communication, work ethic, and time management. While I already had these skills at a basic level, it wasn’t until after obtaining my MBA that I realized a deeper level of utilizing those qualitative skills in my career.

Hiring A Personal Trainer

Without our health, we will not be able to enjoy all of the great opportunities at our disposal today or in the future. Because of this fact, I strongly believe that hiring a personal trainer was one of my best investments. In this article, I draw several parallels between personal trainers and financial advisors, ultimately discussing the value that both can bring, respectively, to your health and finances.

Investing in my health by hiring a personal trainer is one of my best investments for several reasons:

Education

For most, it may not make sense to have a personal trainer for their entire life. However, the knowledge and education around the body, nutrition, exercises, etc. that you will gain from hiring a personal trainer will reap returns for the rest of your life. By being more aware and knowledgeable than you were before, you may miss out on potential future injuries or poor food choices that can lead to debilitating diseases.

Consistency

We are more likely to stick to certain regimens when we are simply told what to do. By being on a plan and schedule with my personal trainer, I did not have to worry about anything except for showing up and working hard. We were on a consistent regimen, and I saw results; in fact, I lost more than 15 pounds over the course of several months when I compared my heaviest to my lightest weight!

Decreased Future Medical Costs

By being consistently active and doing exercises that I would not normally do on my own, my personal trainer made sure that my comprehensive training program would benefit me in the realm of longevity. Because of that, I decrease my chances of needing to undergo major surgeries that someone who lives a sedentary life may have to undergo. This means less money spent on future medical needs and long-term care.

Spending Time To Imagine And Dream About The Future

Sometimes work, family, and social events take up all of our time. However, if we never stop and take time to plan, strategize, and dream, we will never accomplish our goals, let alone have something to work towards. While it may not seem like an investment, “spending time to imagine and dream about the future” may be the lowest-cost, highest-yielding investment there is.

In this article, I talk about planning ahead and setting financial goals. It is important to be proactive in planning for the future that you want. The key here is to write your goals down, break them into smaller goals, and find someone (or a community) that will hold you accountable. Your success lies heavily in setting “meaningful” goals. When you set goals that are meaningful, you will be much more likely to reach them.

For me personally, I’ve found that in those times that I dedicate to imagining and dreaming about the future, I’m able to create a reinvigorated excitement for what’s ahead. The return from spending time planning for your future should not be discounted. The yield is immeasurable, and all it costs is your time, creativity, and dedication.

The investments discussed above are not what you’d typically discuss with your financial advisor. However, I hope you were able to see how much of a return each of those items have provided me. With that said, if you are contemplating post-secondary education, different ways to invest in your health, how to map out your future goals, or anything else, please do not hesitate to get in touch. You can always call my office at (949) 221-8105 x 2128, or email me at michael.loo@lpl.com.