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Long-term Care: An Essential Component Of A Sound Retirement Plan

According to the American Council of Life Insurers, 70% of people over the age of 65 will need long-term care services.1 While family members may be able to provide some of these services, paid care may be needed to supplement family-provided care as we age or in case we become disabled and cannot care for ourselves.

That’s why having a plan that accounts for the possibility of needing long-term care is essential. Long-term care services can be provided at home, at a nursing home, in an assisted living facility, or an adult day care center. These services can include help with daily living tasks like eating, dressing, bathing, and performing household chores.

Why Should It Matter To You?

Quality long-term care can be expensive. For example, the average cost of a private room in a nursing home was $105,850 per year in 2020 and home care averaged $4,576 per month.2 To make matters worse, the rate of inflation on things like healthcare can easily exceed the usual rate of inflation—which according to the Bureau of Labor and Statistics, has averaged 2.89% since 1925.3

For example, from 1996 to 2021, the cost for hospital services experienced an average yearly inflation rate of 5.25%. That means that the same hospital services which cost $500 in 1996 would cost $1,795 in 2021.4

A common mistake people make when planning for retirement is to use current prices for healthcare when they formulate their plan for handling these costs in the future. However, once you factor in the effects of inflation, it means that if you retire today in your 60s and live 30 years or longer in retirement, the cost of healthcare could double or even triple by the end of your retirement.

It’s important to note that Medicare will pay for skilled care, nursing home care, or care in a rehabilitation facility for a limited time following a hospital stay but will not cover most long-term costs. Medicaid does provide long-term coverage but only to those with limited income and resources.

Usually, before a person can qualify for Medicaid, they must exhaust most of their personal financial resources. Additionally, most private health insurance plans do not cover long-term care.

Planning for these expenses is an essential component of a sound retirement plan that is often overlooked. The good news is that an advisor who is experienced in helping clients navigate the complexities of planning and saving for retirement can help identify insurance policies that can help you be prepared for the likelihood of needing long-term care.

1. Who Will Pay for Long-Term Care, American Council of Life Insurers, 2015
2. Cost of Care Survey, Genworth Financial, Inc., 2020
3. Based on BLS Consumer Price Index from 12/31/1925 to 12/31/2019
4. https://www.in2013dollars.com/Hospital-services/price-inflation#:~:text=Between%201996%20and %202021%3A%20Hospital,2021%20for%20an%20equivalent%20purchase

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Within Ten Years of Retirement

Risk Management:
How prepared is your portfolio for a market downturn?

I haven’t thought about what a big market drop would do to my savings.

I know a downturn would hurt, but I’d probably recover over time.

I’ve already adjusted my investments, so a downturn won’t derail me.

Optimization of Income:
How clearly do you know the income you’ll need in retirement?

I’m not sure what I’ll need or where it will come from.

I have a ballpark number, but no detailed plan.

I’ve calculated my income needs and know exactly how I’ll fund it.

Unexpected Expenses:
If something happened to you tomorrow, how prepared would your dependents be?

They’d be financially lost without me.

They’d manage for a little while, but eventually struggle.

They’d be more financially secure because I’ve planned ahead.

Tax Efficiency:
How well do you understand the taxes you’ll pay on retirement accounts?

I have no clue how retirement withdrawals are taxed.

I know the basics, but I’m not sure how it affects me.

I fully understand and have strategies in place to help minimize taxes.

Estate Planning:
How prepared are you with wills, directives, and estate plans?

I don’t have anything written down.

I’ve started, but my plan is incomplete or outdated.

I have a complete and current estate plan in place.

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Risk Management: How prepared is your portfolio fora market downturn?
Optimization of Income: How clearly do you know the income you’ll need in retirement?
Unexpected Expenses: If something happened to you tomorrow, how prepared would your dependents be?
Tax Efficiency: How well do you understand the taxes you’ll pay on retirement accounts?
Estate Planning: How prepared are you with wills, directives, and estate plans?
Thank you for taking our risk assessment quiz! Please fill out this form, so we can help tailor a more risk-free retirement plan suited for your needs.

At Retirement Age

Risk Management:
How would a market swing affect your lifestyle right now?

It could force me to delay or change my plans.

I might need to tighten my budget for a while.

It wouldn’t change my retirement lifestyle.

Optimization of Income:
How certain are you about your retirement income sources?

I don’t really know where the money will consistently come from.

I know the main sources, but I haven’t planned how to use them.

I’ve mapped out all income streams and how they work together.

Unexpected Expenses:
How prepared are you for long-term care costs?

I haven’t planned for them.

I’ve thought about them, but I haven’t secured coverage.

I have protection and funding strategies in place.

Tax Efficiency:
How well do you understand taxes on your withdrawals and RMDs?

I don’t understand them at all.

I have a general idea, but not a detailed strategy.

I fully understand and have a tax-efficient plan.

Estate Planning:
How prepared is your estate plan?

I don’t have one.

I’ve started, but it’s incomplete.

I have a complete, updated plan in place.

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Risk Management: How would a market swing affect your lifestyle right now?
Optimization of Income: How certain are you about your retirement income sources?
Unexpected Expenses: How prepared areyou for long-term care costs?
Tax Efficiency: How well do you understand taxes on your withdrawals and RMDs?
Estate Planning: How prepared is your estate plan?
Thank you for taking our risk assessment quiz! Please fill out this form, so we can help tailor a more risk-free retirement plan suited for your needs.

ALREADY RETIRED

Risk Management:
How do you feel about market volatility?

It makes me anxious that I’ll run out of money.

It worries me sometimes, but not always.

I feel secure no matter what the market does

Optimization of Income:
How secure do you feel about sustaining your income?

I’m worried I’ll outlive my money.

I think I’ll be okay, but I’m not fully certain.

I’m confident my income will last.

Unexpected Expenses:
If you faced a major medical expense today, what would happen?

It would devastate my finances.

It would hurt, but I could manage.

I’d be covered without stress.

Tax Efficiency:
How prepared are you for taxes on withdrawals, RMDs, and Medicare penalties?

I haven’t planned for them at all.

I know about them, but I don’t have a strategy.

I’ve implemented tax strategies to help reduce their impact.

Estate Planning:
How updated is your estate plan?

I don’t have one.

It exists, but it needs updates.

It’s current and clearly protectsmy wishes.

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Risk Management: How do you feel about market volatility?
Optimization of Income: How secure do you feel about sustaining your income?
Unexpected Expenses: If you faced a major medical expense today, what would happen?
Tax Efficiency: How prepared are you for taxes on withdrawals, RMDs, and Medicare penalties?
Estate Planning: How updated is your estate plan?
Thank you for taking our risk assessment quiz! Please fill out this form, so we can help tailor a more risk-free retirement plan suited for your needs.

Retirement Readiness Self-Assessment Survey

____ RISK MANAGEMENT

My retirement accounts have been stress-tested for various market conditions.

My investments are safeguardedagainst market crashes.

Fear won’t stop me from enjoying retirement when the market drops.

My current investments match my risk tolerance.

____ OPTIMIZATION OF INCOME

I know how much income I need to support my retirement goals.

I know how much I can spend without touching my principal.

I have calculated inflation into my need for retirement income.

I don’t fear running out of money because I have a solid income plan.

____UNEXPECTED EXPENSES

If I were not here tomorrow,my dependents would be fine financially.

I’m prepared for the cost of future medical events.

I can handle long-term care expenses without running out of money.

My current investment strategy will keep up with rising medical costs.

____ TAX EFFICIENCY

I understand how retirement accounts are taxed,and I’m paying the minimum.

I have a plan to help minimize taxes on RMDs from my 401(k)s and IRAs.

I have implemented a conversion strategy to help maximize my tax savings.

I have a plan in place to help minimize IRMAA penalties.

____ ESTATE PLANNING

My estate plan establishes proper distribution of my assets.

My estate will not have to payprobate fees.

I have POAs for healthcare, medical,and a living directive.

I’m protected from anyone contesting my last wishes.

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____ RISK MANAGEMENT
_____ OPTIMIZATION OF INCOME
_____ UNEXPECTED EXPENSES
_____ TAX EFFICIENCY
____ ESTATE PLANNING