Lone Star College
              L    St C ll

Long-Term Care Outreach & Education™ Program

Heidi New-Crockford         Regina W. Davis
Long Term Care Specialist   Long Term Care Specialist
713-857-9476                713-854-6773
Heidi@ltcfp.net             Regina.Davis@ltcfp.net
Our mission: to educate
    business owners, their
    employees and retirees
    about long-term care
    planning




2
Who is LTC Financial Partners?


    • Nation’s largest agency
                  g     g   y
    • Specializes in long term care planning
    • Leading provider of no cost educational seminars
    • Over 600 agents nationwide
    • Average agent experience minimum 8 yrs
    • Represent top insurance carriers
    • Allows objective comparison



3
What is Long-Term Care?


    Assistance and Care for Chronic Illness or Disabilities
    Can be Physical or Cognitive Impairments
    Caring versus Curing




4
Types of Long-Term Care


    Skilled Care
    •   Nursing Care & Therapies
    •   Trained Professionals

    Personal Care
    •   Activities of Daily Living
         Bathing             Eating     Transferring
         Toileting
         T il ti             Dressing
                             D     i    Continence
                                        C ti

    Supervisory Care
    •   Monitoring and Support




5
Where is long-term Care Provided?



          home1
     Your h
     Y
                                                                                      20%
     Adult day care centers
     Assisted living facilities
                                                                   80%
     Nursing homes                                                     Your Home1
     Hospice facilities



    1U.S.Department of Health and Human Services, National Clearinghouse for Long-Term Care,
6   www.longtermcare.gov, September 2008.
Who Needs Long-Term Care?


    More than 12 million people in the United States
    need some kind of long-term care1
       d       ki d f l     t
    •   Average age 66
    • 41% are working adults




        Source: 1The Caregiving Project for Older Americans, "Caregiving in America" 2007
7
        http://www.ilcusa.org/media/pdfs/Caregiving%20in%20America-%20Final.pdf
Risk of Needing Long-Term Care


    70% of people age 65+ will need some type of long-term
                                         1
    care services during their lifetime!

                     This makes long-term care one of the single
                                  long term
                     biggest financial risks Americans face today!




Source: 1 U.S. Department of Health and Human Services, National
Clearinghouse for Long-Term Care Information, www.longtermcare.gov.
8
Growing Need For Long-Term Care

    An Aging America
    • 37.9 million Americans are over 65, 88.5 million by
      20501
    • By 2040 the population age 75+ will exceed that of age
      65-742
    • Centenarians are the fastest growing age group1

    Families in Transition
    • Family’s demographics?
    • L
      Love-Legacy?
           L     ?
    1US  Census Bureau, Facts, Older Americans Month: May 2009!
    2National Center for Health Statistics, Health, United States, 2006 With Chart book, Hyattsville, MD: 2006
9
Growing Need For Long-Term Care




     1US  Census Bureau, Facts, Older Americans Month: May 2009!
     2National Center for Health Statistics, Health, United States, 2006 With Chart book, Hyattsville, MD: 2006
10
Costs outside of Nursing Homes


     Home Care
     $20-$25
     $20 $25 per hour – Home Health Aide

     Assisted Living Facility
     $3,000-$6,000
     $3 000 $6 000 a month/ $36 000 $72 000 annually
                            $36,000-$72,000

     Nursing Home
     $200 a day/$72 000 a year private room
            day/$72,000 year–
     $172 a day/$62,000 a year - semi-private room




     Source: 2008 John Hancock Cost of Care Survey, conducted by CareScout,
11   June 2008
Who Pays For Long-Term Care?



     54% of Baby Boomers believe Medicare will pay
     for long-term care services, 44% said they
     believe ‘other health insurance’ will pay.1
     b li    ‘ th h lth i           ’ ill




      1 StrategyOne   for America’s Health Insurance Plans (AHIP), National Survey, October 2007
12
Medicare


     Health insurance for senior Americans age 65+
     Eligible regardless of economic status
     Covers short term acute conditions – cure vs
            short-term                         vs.
      care
     May cover up to 100 days with a co-payment for
      80 of these days.
     Not designed to cover long-term care costs


13
Medicaid


     Means tested - health insurance for the indigent
     Does cover long-term care services
     Covers primarily nursing homes
     Must spend down state required limits to qualify
     Deficit Reduction Act has made it more difficult
     to qualify for Medicaid by hiding assets




14
Won’t the Veterans Administration
     take care of me?

     The VA has a priority system
     •   Service-connected disabilities / income and asset criteria
     •   If priority ranking not met, on case by case, space available, basis

     If you do qualify
     •   First 21 days are free
                    y
     •   Co-pay charges vary on income / as high as
             $97 per day.
                       y
     •   Limited to a VA facility




15
Understanding The Class Act?
     Community LIVING Assistance Services and Support


     • Not fully implemented until 2012
               y p
     • Voluntary government plan
     •   Working adults 30 hours a week
     •   Pay premiums for 5 years and waiting 5 years before eligible for
         benefits
     •   Administered by Secretary of Health and Human Services
     •   Daily Benefit amount estimates $50.00; premium varies



     Costs are increasing, will the public plan pay
       enough?

16
Why Planning is Necessary


     The likelihood of needing LTC is high
     The cost of care will increase
     Other Health Care Plan Limitations
     Risk of Depleting Retirement Assets




17
Paying For Long-Term Care


     Spend Personal Assets (BE RICH)
     Family Pays
     Government
      Medicare
      Medicaid (BE POOR)
     Transfer the risk (BE INSURED)



18
Designing an Insurance Policy




            The F
            Th Four Components
                    C       t

                         of a
          Long-Term Care Insurance
                        Policy
                        P li


19
Designing Your Plan

     Monthly Benefit (how much)
     •   How much does the insurance company p y per month?
                                        p y pay p
     •   $1,500 - $15,000 per month


     Plan Duration (how long)
     •   Plan designs available: 2, 3, 4, 5, 6, 10, Unlimited
     •   Pool of money

     Elimination Period
     •   30, 60, 90, 100, 180 day elimination
     •   Time Deductible

     Inflation Protection
     •   Keeps your p
            p y     policy current with rising costs of care
                         y                   g
     •   Future dollar values

20
Total Coverage


     Home Care
     Assisted Living
     Adult Day Care
     Nursing
     N rsing Home Care
     Hospice Care

              Comprehensive Coverage

21
What Does LTC insurance Cost?


     Premiums based on
     • Age and health at time you apply for LTC insurance
     • Policy design
     • Discounts1




      1 Discountsmay vary by state.
22     Discount available: Preferred Health Class, Marital/Partner and Family Discount
Triggers to Benefits


     2 of 6 Activities
     1. Bathing
     2. Eating
     3. Continence                       Cognitive
     4. Toileting
                               OR
                                        Impairment
                                          p
     5. Dressing
     6. Transferring




                    90 D C tifi ti of N d
                       Day Certification f Need
23
What is Important to You?



     Affordability
     Aff d bilit
     Simplicity
     Choice and Flexibility
     Asset Protection




24
Trust the Strength of the Top LTC
     Insurance Carriers

     John Hancock Life Insurance Co.
     MedAmerica Insurance Co.
     Prudential Life Insurance Co
                               Co.
     United of Omaha Life Insurance Co.
     Life Secure Insurance
     United S
     U it d Security Assurance
                 it A


     1LifeInsurance Management Research Association (LIMRA) Year-End 2008
25   Information is available upon request from John Hancock.
In Summary…….
               y

     • Comprehensive plans
     • Guaranteed renewable
     • Coverage is portable
     • Discounts available for marital status,
       good health, & professional affiliations,
       and Employer (work-place) discounts
     • Available to employees and family
       members

26
Next Steps…LTC Planning


     1. Care Support Network – Free Online tools,
        resources & i f
                     information on Care giving, long
                            ti      C     i i    l
        term care, in-home care, and more!
     2. Questions & Answers
     3.
     3 Evaluations
     4. Available to schedule a personal appointment

                     Thank you!
27

LTC Presentation

  • 1.
    Lone Star College L St C ll Long-Term Care Outreach & Education™ Program Heidi New-Crockford Regina W. Davis Long Term Care Specialist Long Term Care Specialist 713-857-9476 713-854-6773 Heidi@ltcfp.net Regina.Davis@ltcfp.net
  • 2.
    Our mission: toeducate business owners, their employees and retirees about long-term care planning 2
  • 3.
    Who is LTCFinancial Partners? • Nation’s largest agency g g y • Specializes in long term care planning • Leading provider of no cost educational seminars • Over 600 agents nationwide • Average agent experience minimum 8 yrs • Represent top insurance carriers • Allows objective comparison 3
  • 4.
    What is Long-TermCare? Assistance and Care for Chronic Illness or Disabilities Can be Physical or Cognitive Impairments Caring versus Curing 4
  • 5.
    Types of Long-TermCare Skilled Care • Nursing Care & Therapies • Trained Professionals Personal Care • Activities of Daily Living Bathing Eating Transferring Toileting T il ti Dressing D i Continence C ti Supervisory Care • Monitoring and Support 5
  • 6.
    Where is long-termCare Provided? home1 Your h Y 20% Adult day care centers Assisted living facilities 80% Nursing homes Your Home1 Hospice facilities 1U.S.Department of Health and Human Services, National Clearinghouse for Long-Term Care, 6 www.longtermcare.gov, September 2008.
  • 7.
    Who Needs Long-TermCare? More than 12 million people in the United States need some kind of long-term care1 d ki d f l t • Average age 66 • 41% are working adults Source: 1The Caregiving Project for Older Americans, "Caregiving in America" 2007 7 http://www.ilcusa.org/media/pdfs/Caregiving%20in%20America-%20Final.pdf
  • 8.
    Risk of NeedingLong-Term Care 70% of people age 65+ will need some type of long-term 1 care services during their lifetime! This makes long-term care one of the single long term biggest financial risks Americans face today! Source: 1 U.S. Department of Health and Human Services, National Clearinghouse for Long-Term Care Information, www.longtermcare.gov. 8
  • 9.
    Growing Need ForLong-Term Care An Aging America • 37.9 million Americans are over 65, 88.5 million by 20501 • By 2040 the population age 75+ will exceed that of age 65-742 • Centenarians are the fastest growing age group1 Families in Transition • Family’s demographics? • L Love-Legacy? L ? 1US Census Bureau, Facts, Older Americans Month: May 2009! 2National Center for Health Statistics, Health, United States, 2006 With Chart book, Hyattsville, MD: 2006 9
  • 10.
    Growing Need ForLong-Term Care 1US Census Bureau, Facts, Older Americans Month: May 2009! 2National Center for Health Statistics, Health, United States, 2006 With Chart book, Hyattsville, MD: 2006 10
  • 11.
    Costs outside ofNursing Homes Home Care $20-$25 $20 $25 per hour – Home Health Aide Assisted Living Facility $3,000-$6,000 $3 000 $6 000 a month/ $36 000 $72 000 annually $36,000-$72,000 Nursing Home $200 a day/$72 000 a year private room day/$72,000 year– $172 a day/$62,000 a year - semi-private room Source: 2008 John Hancock Cost of Care Survey, conducted by CareScout, 11 June 2008
  • 12.
    Who Pays ForLong-Term Care? 54% of Baby Boomers believe Medicare will pay for long-term care services, 44% said they believe ‘other health insurance’ will pay.1 b li ‘ th h lth i ’ ill 1 StrategyOne for America’s Health Insurance Plans (AHIP), National Survey, October 2007 12
  • 13.
    Medicare Health insurance for senior Americans age 65+ Eligible regardless of economic status Covers short term acute conditions – cure vs short-term vs. care May cover up to 100 days with a co-payment for 80 of these days. Not designed to cover long-term care costs 13
  • 14.
    Medicaid Means tested - health insurance for the indigent Does cover long-term care services Covers primarily nursing homes Must spend down state required limits to qualify Deficit Reduction Act has made it more difficult to qualify for Medicaid by hiding assets 14
  • 15.
    Won’t the VeteransAdministration take care of me? The VA has a priority system • Service-connected disabilities / income and asset criteria • If priority ranking not met, on case by case, space available, basis If you do qualify • First 21 days are free y • Co-pay charges vary on income / as high as $97 per day. y • Limited to a VA facility 15
  • 16.
    Understanding The ClassAct? Community LIVING Assistance Services and Support • Not fully implemented until 2012 y p • Voluntary government plan • Working adults 30 hours a week • Pay premiums for 5 years and waiting 5 years before eligible for benefits • Administered by Secretary of Health and Human Services • Daily Benefit amount estimates $50.00; premium varies Costs are increasing, will the public plan pay enough? 16
  • 17.
    Why Planning isNecessary The likelihood of needing LTC is high The cost of care will increase Other Health Care Plan Limitations Risk of Depleting Retirement Assets 17
  • 18.
    Paying For Long-TermCare Spend Personal Assets (BE RICH) Family Pays Government Medicare Medicaid (BE POOR) Transfer the risk (BE INSURED) 18
  • 19.
    Designing an InsurancePolicy The F Th Four Components C t of a Long-Term Care Insurance Policy P li 19
  • 20.
    Designing Your Plan Monthly Benefit (how much) • How much does the insurance company p y per month? p y pay p • $1,500 - $15,000 per month Plan Duration (how long) • Plan designs available: 2, 3, 4, 5, 6, 10, Unlimited • Pool of money Elimination Period • 30, 60, 90, 100, 180 day elimination • Time Deductible Inflation Protection • Keeps your p p y policy current with rising costs of care y g • Future dollar values 20
  • 21.
    Total Coverage Home Care Assisted Living Adult Day Care Nursing N rsing Home Care Hospice Care Comprehensive Coverage 21
  • 22.
    What Does LTCinsurance Cost? Premiums based on • Age and health at time you apply for LTC insurance • Policy design • Discounts1 1 Discountsmay vary by state. 22 Discount available: Preferred Health Class, Marital/Partner and Family Discount
  • 23.
    Triggers to Benefits 2 of 6 Activities 1. Bathing 2. Eating 3. Continence Cognitive 4. Toileting OR Impairment p 5. Dressing 6. Transferring 90 D C tifi ti of N d Day Certification f Need 23
  • 24.
    What is Importantto You? Affordability Aff d bilit Simplicity Choice and Flexibility Asset Protection 24
  • 25.
    Trust the Strengthof the Top LTC Insurance Carriers John Hancock Life Insurance Co. MedAmerica Insurance Co. Prudential Life Insurance Co Co. United of Omaha Life Insurance Co. Life Secure Insurance United S U it d Security Assurance it A 1LifeInsurance Management Research Association (LIMRA) Year-End 2008 25 Information is available upon request from John Hancock.
  • 26.
    In Summary……. y • Comprehensive plans • Guaranteed renewable • Coverage is portable • Discounts available for marital status, good health, & professional affiliations, and Employer (work-place) discounts • Available to employees and family members 26
  • 27.
    Next Steps…LTC Planning 1. Care Support Network – Free Online tools, resources & i f information on Care giving, long ti C i i l term care, in-home care, and more! 2. Questions & Answers 3. 3 Evaluations 4. Available to schedule a personal appointment Thank you! 27