Erickson Tribune

Health Secrets

UPDATED: Wednesday, December 27, 2006

Getting the best long-term care for the best price takes planning

Posted on Wednesday, December 27, 2006
 

By Annette Kornblum
THE ERICKSON TRIBUNE

Planning ahead can both help you comparison shop and give you peace of mind that you can afford the escalating cost of long-term care.

“In 15 years, today’s 60- year-old can expect to pay $80,000 - $120,000 for a single year of care. For those who are uninsured, the cost of long-term care for even two or three years can wipe out one’s retirement savings,” says Jesse Slome, executive director of the American Association for Long Term Care Insurance.

Marilee Driscoll, author of the Idiot’s Guide to Long Term Planning,  personally faced the challenge of coordinating long-term care for several relatives, including her mother, says it’s never too early to get started. “Do your legwork while you are still healthy. If you have made provisions for how to pay for the care, you have lifted a tremendous burden off those who care about you,” she advises.

Easier said than done
Beginning the process can be challenging. When the Roper/WellPoint Survey on Life, Health and Aging polled more than 1,000 older parents and their adult children, it found 60% of these children reported talking regularly to their  parents about health matters, except for ticklish later-in-life issues.

The survey found only 32% of these parents confer with their children about nursing homes and longterm care. While nearly four in ten older parents and their adult children reported they would like to discuss health issues more often, about the same number said they didn’t want to be the one to bring it up first.

Spouses also are uncomfortable about confronting the future. Driscoll says couples often think they will “take care of each other.” This only applies to the first spouse, not the widow(er) who often cannot independently assume the responsibility for his or her own long-term care once the time comes.


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Not wanting to impose
A recent survey conducted by Mutual of Omaha revealed more than 41% of people who bought insurance for nursing, assisted living, and other long-term needs, said their main concern was not to be a burden on their family.

“Past generations have relied upon family members to provide care,” said  James Blackledge, senior vice president and product line officer at Mutual of Omaha. “Many boomers who have experienced caring for their own parents do not want to impose the same burden on their children.”

Think ahead
Many people who need long-term care are in no shape to tour facilities or call agencies. It is their children, or doctor, or a hospital discharge planner, rather than themselves who make the big decisions. Inform your family, friends,  doctor, or financial or legal advisor in advance where you want to live if you need long-term care outside of your house.

Getting the best long-term care often boils down to convenience and choice. Finding a facility that is close to home is ideal.

A long-term care insurance agent also can provide cost of care information and often knows a plan’s pluses and minuses. For instance, the agent knows  whether your long-term care planning can be changed or reversed. I

If your loved one is financially vulnerable, buy a prepaid, irrevocable burial plot and funeral service, while the funds are available. This spares friends and family the expense.

A durable power of attorney enables someone else to legally sign for you, in the event you become unable to manage your own affairs. This can help your long-term care plan to be executed. Make sure the person named is trustworthy and has your best interests in mind.

You can’t anticipate all your long-term care needs, such as the type of care needed, your support system, and the services that will be available. The best plans offer flexibility. They let you make changes along the way, such as shifting from independent living to assisted care.

Making it easier
To help older adults and their families start talk ing and proactively plan for the future, WellPoint has launched “Connecting the Generations”—a new long-term  educational initiative designed to close the communication gaps revealed by the Roper Survey.

“Living a secure and healthy retirement takes more than a good health care plan—it requires a life plan that has been thoughtfully discussed and  ommunicated with family,” said Joan E. Herman, president and chief executive officer of Specialty, Senior and State- Sponsored Business for WellPoint.



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