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Do We Really Need Long-Term Care Insurance?

6 min readBy Pauline Githara

An honest look at who benefits from LTC insurance, who doesn’t, and the hybrid options most families overlook.

Long-term care is the one cost most retirement plans forget to plan for. About 70% of people over 65 will need some form of long-term care. The bill can erase a lifetime of saving.

Three ways to plan for LTC - Traditional LTC insurance. Use-it-or-lose-it, but potentially the most protection per dollar. - Hybrid life/LTC or annuity/LTC. Your premium always produces a benefit — care during life, or a death benefit to your heirs. - Self-insuring. Setting aside earmarked assets you’d only tap for care.

Who should seriously consider coverage - Couples with $500K–$2M in assets where a long care event would upend the survivor’s plan. - Singles with no one to coordinate unpaid caregiving. - Families where longevity runs in at least one bloodline.

Who can often self-insure - High-net-worth households with dedicated care assets. - Very-low-asset households who would rely on Medicaid eventually.

The conversation worth having Long-term care is as much a family conversation as a financial one. Who would help? Where? For how long? Planning the money without planning the people leaves the hardest part undone.

Happy to walk through the options with you — no agenda.

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