Protect your Health and Wealth: Long Term Care Considerations for Spouses and Surviving Spouses
Suppose you might suffer a debilitating accident or a devastating stroke (these affect both young and old) and you are unable to care for yourself, temporarily or permanently. You may think “How would I handle that”? First, with God’s grace and family involvement; second with pre-planning. Consider the information that follows.
- Long Term Care can be expensive and location dependent. The USA average in year 2024 was:
- In-home care $30-$40 per hour,
- Assisted living $4,000 to $6,000 per month, and
- Nursing home care close to $100,000 per year.
Most likely these will be higher for 2025. This is not petty cash. Outlays, such as these, require careful planning.
Fortunately, there are some ways to handle these expenses. Start early if you can.
Ways to Pay
Insurance products
A Long Term Care insurance policy may cover home care, adult day care, assisted living, and nursing facilities. Your age, health metrics, and amount of coverage desired establish the premium base. Both the premium and the coverage can have inflation increments built in. These premiums are much more affordable in the mid-40’s or 50’s ages.
Hybrid Life Insurance with a long term care rider may be purchased. The policy accelerates the death benefit as you use it. The any remaining policy value passes to beneficiaries as a death benefit.
Self -funding
An annuity you own may offer a long term care payout, or a guaranteed income stream that can be applied to health costs.
Use your personal savings, investment accounts, or retirement accounts to pay for care.
Convert your homestead and/or vacation home to a rental to create an income stream. These are emotional decisions. BUT, your home or vacation home may no longer be suitable for the new reality of your living needs. Use a professional to establish the lease, price, and conditions. It may be possible to preserve that family reunion tradition by carving out that time frame from the leases. Review any income tax complications this action may pose.
Reverse Mortgages are a possibility for those over 62. These convert your home equity into tax free income which you can use to pay for care. These products are extremely complicated depending on your long term housing needs and financial situation. Ask a lot of questions.
Your assets are your tools to finance your new life situation. Most state and federal programs require you to spend them down before you use their aid. Please seek the advice of your family, a financial planner, or trusted advisor before you act.
Safety nets
Medicaid is a federal government program administered by the states. It covers long term care for those with limited income and assets. States have their unique guidelines but most require a spenddown of assets before applying for aid. Speak to an Elder law attorney or advisor. They may be able to help preserve some of your estate before qualifying for eligibility. The states have different requirements on assets, income caps, and state residency. Also, not all Nursing facilities accept Medicaid.
Aid and Attendance is a means tested benefit available to Qualifying veterans and their spouses. This assistance should be explored with a Veteran Service Officer.
Thoughtful analysis of preparations and solutions for life’s possibilities can help you ask intelligent questions, make informed decisions, and attend to needs. Your actions will benefit you and your family.
Surviving Spouse Corner
Patricia Green, Surviving Spouse Liaison