Is Your Retirement Plan Long-Term Care Proof?

May 16, 2024


Anytime someone mentions long-term care, the costs seem astronomical. Is it your imagination? No. Just a decade ago, costs of in-home, assisted living and nursing home care were rising at a rate of 5% to 8% annually. Since the pandemic, however, increases have gotten much worse. According to the Genworth Cost of Care Survey, these costs are now surging by an astonishing 10% to 20% each year.[i] We’ll explore how to plan for this cost so these expenses don’t derail your retirement.

Will You Need Long-Term Care?

A survey by Age Wave and Edward Jones found that 72% of Americans fear becoming a burden to their family. [i] That's why planning ahead is critical. But will you actually end up needing long-term care?

Research estimates that about 70% of Americans will require some long-term care. [ii] However, with Alzheimer's and dementia rates on the rise, the odds of needing extended care are likely increasing.

What Will Your Care Cost?

Advanced planning is critical with these rapidly escalating costs. Prefer to age in place? Non-medical in-home care rates have jumped from $18 per hour to as much as $38 depending upon region.[iii] That's just for basic care, not for medical needs. In March 2024, the median cost of a skilled nursing facility was $10,025 per month for a private room. [iv]

Won’t Medicare Pay for That?

People sometimes think that Medicare covers or helps with these costs. Unfortunately, that's not true. Medicare can cover short-term nursing home stays designed for rehabilitation after an illness or accident, but these are limited to 60 or 100 days.

Another program, Medicaid, does help with long-term care costs, but this is essentially welfare. If you run out of assets, these state-administered programs can step in and pay for assisted living or nursing home care. But here's the problem: not all Medicaid-approved facilities accept new Medicaid patients, and higher-quality facilities are increasingly avoiding it. That means you may have far fewer choices, and you may put yourself at risk of getting inferior care. Plus, these programs kick in only after your resources are spent.

Clearly, this is not ideal unless it is truly your last resort.

What about Long-Term Care Insurance?

Long-term care insurance was developed specifically to help protect against this unpredictable expense. However, with the spiking costs of care, fewer insurers are offering it. When they do, they don’t offer fixed rates, so adjustments happen frequently. Unfortunately, increases have shocked many policyholders, with premiums doubling or tripling in cost in one year. [v] These spiraling increases are making many of these policies no longer economically viable.

How to Plan for Your Long-Term Care Cost

Planning in advance can help avoid long-term care derailing your finances or wiping out your legacy. Here are two options that may be worth considering:

1.    Riders on Annuity and Insurance Policies.

Enterprising insurance companies have found other ways to fill this need. One is offering riders on other contracts, such as annuities or life insurance. While these are usually limited to a few years of coverage, they can offer some protection without the high costs of a full-blown policy.

2.    Health Savings Accounts.

If you are younger and still working, a health savings account (HSA) can provide a tax-advantaged way to self-fund future long-term care costs. Health savings accounts are very tax efficient in that you can deduct the annual contribution. Then, your money grows tax-deferred. Finally, withdrawals are completely tax-free as long as it is used for the costs of healthcare or long-term care for you or a family member. The downside of HSAs is time: you need time for the account to grow to create a meaningful dent in future costs.


Key Takeaway


Planning for long-term care can be a difficult task for most retirees. While there may be other options available in the future to address this growing need, it's always wise to hope for the best but prepare for the worst.

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