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The "golden years"
after retirement - a time to enjoy the fruits of a life well
lived, unencumbered by commitments and free from worry. Well,
that's the sales pitch anyway. The truth is, in order to enjoy
the "golden years" without worry, one needs to protect oneself
against possible complications during this period. And the
complications associated with this late stage in life are
mostly health-related.
Few people age
without some kind of illness. For the majority of retirees,
a major illness or accident will pose sudden financial hardship.
With medical and health care costs skyrocketing, an illness
or health condition requiring long-term care (LTC) can challenge
even the deepest pockets. Those fortunate enough to live with
family may need home health aides. For others, to continue
living in one's own home may become infeasible. Continuing-care
retirement communities, where residents have their own apartments,
require an entrance fee followed by a monthly fee. Nursing
homes, often the choice of last resort, can deplete one's
life savings.
With nursing homes
costing between $800 and $3,600 per month, an extended stay
could quickly wipe out one's income and savings. CPF's Medicare
scheme typically begins to provide benefits at age 60, but
only for some skilled care for a short time period, certainly
not for the ongoing assistance that many elderly people need.
Increasingly, people are buying LTC insurance to guard against
such eventualities. LTC policies can cover many types of extended
care: at home with an aide (or family member), in an assisted-living
facility, or in a nursing home.
Before you take
the plunge, consider the following:
- Generally, LTC
insurance is for people with enough assets to need protection
but that are still inadequate for covering years of care.
The general rule is that if you can't afford the premium
with ease, you can't afford long-term care insurance. It
is the first thing you are going to drop.
- Most experts
believe the best time to buy LTC insurance is at age 60.
Premiums are much lower if you buy in at age 40, but you
will be paying them longer. Also, the earlier you buy, the
harder it is to forecast what you'll need and what the facilities
will be. Healthcare delivery may have changed dramatically
by the time you need the benefits at age 75 or 80. You don't
want to wait too long, however. The cost of any policy quickly
accelerates after age 65. Worse, once you have a serious
pre-existing condition, you may be denied coverage.
- You need to
read the fine print carefully. Whichever insurance company
you choose, look carefully at what must happen to trigger
your benefits and make sure it's well defined. The best
LTC policies today require that you be cognitively impaired
or unable to perform two out of six acts of daily living
(ADLs) to trigger benefits. The six ADLs are bathing, dressing,
moving from bed to chair, using the bathroom, eating, and
taking medication. The good news is that with most policies,
once you are eligible for benefits, you stop paying premiums.
- There are a
variety of features you can add to your LTC policy (called
riders), most of which cost more. You may perhaps consider
purchasing a lifetime policy if you have a family history
of Alzheimer's (on average, Alzheimer's patients require
eight years of aided care). If you've decided to buy a LTC
policy even though you're only in your 40s, find one that
can be upgraded to accommodate a changing healthcare delivery
system. Younger buyers should consider inflation protection,
even though it can double policy costs. Consider purchasing
LTC insurance with a spouse or partner, as you may be able
to derive some savings there.
LTC insurance is
a product that requires some research and comparison shopping.
Due to their complexity, it is recommended that potential
buyers consult their financial planner, or an insurance agent
specialising in LTC policies, on which policies are most suitable
for them.
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