Long Term Care: What’s it all About?

Long term care costs have a heavy impact and most people don’t know how to pay them. Long term care insurance and a well crafted estate plan can help.

Many people are scared about the prospect of needing help in a long term care setting, and they are right to be worried. For many people, a spouse or adult children will become the go-to caregivers, but not everyone will have that option, says Market Watch’s article “This is how much long-term care could cost you, and don’t expect Medicare to help.”

If that’s not worrisome enough, here are facts to consider:

  • More than a third of people will spend some time in a nursing home, where the median annual cost of a private room is well over $100,000, says Genworth’s 2018 Cost of Care Survey. Don’t expect those numbers to go down.
  • Four of ten people will opt for paid care at home, and the median annual cost of a home health aide is more than $50,000.
  • Half of people over 65 will eventually need some kind of long term care costs, and about 15% of those will incur more than $250,000 in costs, according to a joint study conducted by Vanguard Research and Mercer Health and Benefits.

Medicare and even private health insurance don’t cover what are considered “custodial” expenses. That’s going to quickly wipe out the median retirement savings of most people: $126,000. With savings completely exhausted, people will find themselves qualifying for Medicaid, a government health program for the indigent that pays for about half of all nursing home and custodial care.  See our website for more information https://galligan-law.com/practice-areas/elder-law/.

Those who live alone, have a chronic condition or are in poor health have a greater chance of needing long term care. Women in particular are at risk, as they tend to outlive their husbands, may not have anyone available to provide them with unpaid care and the burden of caring for their spouses affects their own health. If a husband’s illness wipes out the couple’s savings, the surviving spouse is at even greater risk with fewer options.

The best hedge against long term care costs is to purchase a long term care insurance policy, if you are eligible to purchase one and it is cost effective. Wait too long, and you may not be able. One woman persuaded her parents to purchase a long term insurance policy when her father was 68 and her mother was 54. Five years into the policy, her father was diagnosed with Parkinson’s disease. The policy covered almost the entire cost of his 24-hour care in the final months of his life. Her mother lived to 94, so the investment in the policy was well worth it.

Everyone approaching retirement needs a plan for long term care costs. That may be purchasing long term care insurance or purchasing a hybrid life insurance product with long term care benefits.  If such products aren’t available, we can craft an estate plan which facilitates using government benefits in the future, like Medicaid, so that you and your loved ones get appropriate care while preserving as much of your legacy as possible.

Reference: Market Watch (July 19, 2019) “This is how much long-term care could cost you, and don’t expect Medicare to help.”

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Scam Alert: Is It Real or a Robocall?

Robocallers target seniors with phone scams
Robocallers target seniors with phone scams.

AARP recently put out an alert to seniors with advice on how not to fall for robocall scams. Robocalls are a daily annoyance at best and, at worst, a way for criminals to wipe out your savings. Law enforcement officials working on catching these crooks face daunting challenges because telephone scammers are highly organized and operate out of many different countries. However, there are some key phrases and tactics these con artists use. This information can help you answer the question: Is it a robocall?

Experts advise people not to answer any phone call, if you do not recognize the number of the caller. This advice used to be more useful before the scammers found ways to hijack Caller ID and mask their calls, as coming from people or organizations you know or trust.

The scams tend to follow certain patterns, depending on the type of fraud the crooks are trying to perpetrate. Here are some examples:

Social Security Scam

You might get a phone call in which the caller tells you that someone has stolen your Social Security number and is using your number to commit crimes. This is a scam. The Social Security Administration notifies people of essential information by regular mail, not by calling people on the phone.

The caller will try to get you to give private information. Again, this is a scam. The Social Security Administration does not call people and ask for personal information.

These callers often threaten people that there is a warrant for their arrest and the only way to keep from getting arrested and thrown into jail, is to give them the personal information they want. Only con artists make these threats. The Social Security Administration does not call people and threaten to arrest them and throw them into jail.

For your peace of mind: if you get a call like this, hang up right away, then contact your local Social Security office to make sure that there are no issues with your Social Security number. If you make the call to the Social Security office yourself, you will know you are talking to the right people.

Jury Duty Scam

You get a phone call from someone pretending to work at the police department or sheriff’s office. The caller accuses you of missing jury duty and says that there is a warrant for your arrest. You must pay a fine to people who pretend to be the police.

This is a scam. Jury duty notifications are by mail, not by phone. Courts also do not telephone people to demand payments. Courts send notices of fines by mail. The police and sheriff’s department do not call people to collect fine payments.

If someone calls you with this scheme, hang up right away. For your peace of mind: Contact the jury administrator of your county, city or local federal courts to see if you missed jury duty.

These scam artists prey on your fear of getting arrested, even when you know you did nothing wrong. The fraudsters will bully, harass, and threaten you to try to steal your money. You cannot talk them out of what they are doing or get them to admit that they are committing a crime. Your best option is to hang up immediately, then contact the relevant legitimate government agency to verify that what the caller said was false.

References:

AARP. “How to Recognize a Robocall.” (accessed May 2, 2019) https://www.aarp.org/money/scams-fraud/info-2019/recognize-a-robocall.html

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Should Elder Care Benefits Be Part of Employees’ Compensation?

More young and middle-aged workers find themselves in the role of family caregiver.
More young and middle-aged workers find themselves in the role of family caregiver.

As employees’ parents and family members grow older, many young and middle- aged employees are asked to be caregivers. More than one in six Americans working full-time or part-time report assisting with the care of an elderly or disabled family member, relative or friend. Of this group, nearly 50% say they have no choice about taking on these responsibilities. That’s why many struggle in silence, deciding not to share their situation with employers out of fear for the impact on their career or a desire for privacy.

Benefits Pro reports in the article “Elder care benefits: A growing need for the U.S. workforce” that under the federal Family and Medical Leave Act (FMLA), “family leave for seriously ill family members” is required by law. However, the law offers unpaid job protection and the definition of family member is restricted to spouse, child or parent. This has resulted in an increase in demand for elder care benefits. There are a variety of options that businesses can offer.

Many employers now offer an employee assistance program (EAP), which provides employees and household members with educational and referral services for elder care. These services often include free and confidential assessments, short-term counseling, referrals and follow-up services. These EAPs also address a broad body of mental and emotional well-being issues, like alcohol and substance abuse, stress, grief, family problems and psychological disorders.

In addition, some employers also have Dependent Care Assistance Plans (DCAP), commonly referred to as the “day care benefit,” allowing employees to set aside tax-free dollars for qualified elder care. While DCAPs don’t cover the entire cost of elder care, they can provide up to $5,000 per calendar year in assistance and lessen employees’ federal tax burden.

Respite care provides short-term relief for primary caregivers and can be arranged for just an afternoon or for several days.

Caregiving has shown to reduce employee work productivity by 18.5% and increase the likelihood of employees leaving the workplace. Offering elder care benefits to employees can help with retention and efficiency, as well as with businesses’ bottom line. A study by the Center for American Progress found that turnover costs are often estimated to be 100 to 300% of the base salary of the replaced employee.

As the demand for these benefits continues to increase, employers are recognizing the diverse needs of their workforce and are creating programs that have benefits to help at all stages of life.

Learn more about what health care documents a caregiver needs to be able to make medical decisions for an elderly or disabled family member.

Reference: Benefits Pro (April 30, 2019) “Elder care benefits: A growing need for the U.S. workforce”

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