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Funding Long-Term Care: Exploring Alternatives Beyond Traditional Long-Term Care Insurance

By: Lily Vittayarukskul May 28th, 2023 Meet Sarah, a hypothetical woman in her early fifties. Sarah, like many individuals, is faced with the daunting task of planning for her long-term care needs. The overwhelming nature of this responsibility, coupled with the lack of time, knowledge, and connections, makes it a

Funding Long-Term Care: Exploring Alternatives Beyond Traditional Long-Term Care Insurance
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By: Lily Vittayarukskul

May 28th, 2023

Meet Sarah, a hypothetical woman in her early fifties. Sarah, like many individuals, is faced with the daunting task of planning for her long-term care needs. The overwhelming nature of this responsibility, coupled with the lack of time, knowledge, and connections, makes it a challenging endeavor for Sarah and many others in similar situations. In this thought-provoking article, we will delve into why it is crucial to consider alternative funding solutions beyond traditional long-term care insurance. By understanding the key motivators and embracing a comprehensive approach to long-term care planning, financial advisors can better assist clients like Sarah in achieving financial security during their later years.

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The Emotional Barrier: Going Beyond Care and Resources

Long-term care planning goes beyond the practical aspects of providing care and allocating resources. It encompasses the preservation of independence and personal identity, two essential factors that are closely intertwined. Losing independence is a fear that resonates deeply with individuals facing long-term care decisions as it poses a threat to their sense of self. This emotional barrier is significant and must be addressed to empower families to make informed decisions. In this article, we will explore two key incentives that can help overcome this emotional hurdle: the involvement of a mediator and the financial lens.

Involving a Mediator: Lowering the Emotional Barrier

Long-term care planning is a complex and emotionally charged topic, often too overwhelming for families to navigate on their own. The first incentive is to bring in an outside mediator who is trusted by the family and incentivized to help. This mediator, such as a financial advisor, plays a crucial role in facilitating conversations, providing guidance, and alleviating the emotional burden. Having “a trusted financial advisor review” your plan can also ensure that it is accurate and reasonable (California Health Advocates). By creating a safe and supportive environment, families can make better decisions and overcome the emotional barriers that hinder proactive planning.

The Financial Lens: Motivating Families to Act

Motivation is essential in inspiring individuals to take action, particularly when it comes to long-term care planning. The challenge lies in the fact that many people are not sufficiently motivated to prioritize their health outcomes until they experience a tangible impact. The fear of financial loss, on the other hand, is a more powerful driver for action. Financial advisors have observed that individuals are more likely to take proactive steps when they are made aware of the potential financial consequences associated with long-term care. By quantifying the potential loss of money and emphasizing the financial burden on their household and children, individuals become more motivated to take action.

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The Limitations of Long-Term Care Insurance: Overwhelming, Limited, and Uncertain

Long-term care insurance, while a viable option for some, has inherent limitations that hinder its effectiveness as a comprehensive solution. These limitations can be grouped into three main categories: overwhelming complexity, limited accessibility, and uncertain outcomes.

Overwhelming Complexity: Time, Knowledge, and Connections

One of the significant issues with traditional long-term care insurance is that it requires individuals and families to have the time, knowledge, and connections necessary to build a plan that suits their needs. Unfortunately, for many families, this task is overwhelming. Long-term care planning involves navigating a complex landscape of policies, premiums, coverage options, and eligibility criteria. Most families lack the expertise and understanding to make informed decisions on their own. As a result, they may feel paralyzed by the sheer complexity of the process, leaving them unprepared for their long-term care needs.

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Limited Accessibility: Underwriting Standards and Pre-existing Conditions

Long-term care insurance often comes with strict underwriting standards and exclusions for pre-existing conditions. These limitations restrict the accessibility of coverage for individuals who may need it the most, as “there are certain pre-existing health conditions that can make it impossible for you to health qualify,” for long-term care insurance (American Association for Long-Term Care Insurance). Therefore, as people age or experience health issues, the chances of meeting the underwriting requirements diminish. This limited accessibility leaves many individuals without access to the financial protection they need to cover their long-term care expenses.

Uncertain Outcomes: Future Premiums and Policy Cancellations

Another concern surrounding long-term care insurance is the uncertainty associated with future premiums and policy cancellations. Policyholders may face significant premium increases as they age, making the cost of coverage prohibitive. What’s even more limiting is the uncertainty around what circumstances affect the levels of insurance premiums (American Academy of Actuaries). The fear of rising premiums can deter individuals from purchasing long-term care insurance or maintaining their policies over the long term. Additionally, insurance companies have the right to cancel policies or modify coverage terms, leaving policyholders vulnerable and uncertain about the stability of their coverage.

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The Evolving Landscape of Long-Term Care Planning

Given the limitations of long-term care insurance, it is crucial for financial advisors and wealth planners to expand their horizons and explore alternative funding sources. The landscape of long-term care planning has evolved, offering new and innovative solutions that can provide financial security and flexibility.

  1. Hybrid Insurance Products: A Bridge between Protection and Investment

Hybrid insurance products have emerged as a promising alternative to traditional long-term care insurance. These products “provide money for qualifying long-term care if you need it,” and allow you to use the money as life insurance if it is not used (American Association for Long Term Care Insurance). They combine long-term care coverage with other financial benefits, such as life insurance or annuities, creating a comprehensive solution that addresses multiple needs.

One key advantage of hybrid insurance products is their ability to let you “benefit from two very important coverages,” long-term care coverage and additional benefits, such as a death benefit or potential cash value accumulation (Life Happens). This dual-purpose nature ensures that individuals receive protection against long-term care expenses while still benefiting from the policy in other ways.

By bridging the gap between protection and investment, hybrid insurance products offer individuals the opportunity to allocate their financial resources strategically. They can have the peace of mind of knowing that their long-term care needs will be met, while also potentially building cash value or leaving a legacy for their loved ones.

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2. Life Insurance with Long-Term Care Riders: Enhancing Protection and Flexibility

Life insurance policies with long-term care riders provide another compelling alternative for funding long-term care. These policies offer a unique blend of protection and flexibility, giving individuals the ability to access a portion of their life insurance death benefit to cover long-term care expenses such as “a nursing home, private nurse, or other assisted medical care associated with getting older.” if needed (PolicyGenius).

What makes life insurance with long-term care riders particularly advantageous is that it ensures individuals will receive some financial benefit, whether for long-term care or as a death benefit for their beneficiaries. This flexibility allows individuals to adapt their long-term care plan according to their specific circumstances.

Furthermore, life insurance policies with long-term care riders can offer more control over the utilization of funds compared to traditional long-term care insurance. Instead of being limited to only long-term care-related expenses, individuals have the freedom to allocate the funds as they see fit, providing greater financial flexibility.

This policy is also beneficial for your transfer of wealth, allowing your heirs to get “the full death benefit from your life insurance policy,” if you do not spend it on long term care costs (Investopedia). This can make other financial and legal processes more simple, as the portion set aside for long term care will be passed separately from their estate plan and further legal processes.

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3. Self-Funding Strategies: Empowering Individuals to Take Control

Self-funding strategies have gained traction as an alternative to relying solely on insurance products for long-term care funding. These strategies involve setting aside funds specifically designated for long-term care expenses, giving individuals more control over their financial planning. While self-funding, individuals may rely on their “family's personal resources, including savings and investments, or other assets such as [their] home” (The Federal Long Term Care Insurance Program). Each family has the comfort of knowing that they can choose how to deplete some of their assets, and when to fund with certain resources, giving them additional control over their finances and future well being.

One of the primary advantages of self-funding is the flexibility it offers. Unlike insurance products with predefined coverage limits, self-funding allows individuals to determine the extent of their long-term care coverage based on their personal preferences and financial capabilities.

Self-funding also provides individuals with the freedom to choose the type of care they desire. With traditional long-term care insurance, individuals may be limited to specific providers or care settings. In contrast, self-funding allows for more flexibility in selecting care options that align with personal preferences and individual needs.

While self-funding requires disciplined savings and careful financial planning, it empowers individuals to tailor their long-term care plan to their unique circumstances. It also allows for the utilization of assets and investments to cover long-term care costs, potentially maximizing financial resources.

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4. Government Assistance Programs: Understanding Available Option

Government assistance programs, such as Medicaid, play a crucial role in supporting individuals with limited financial resources in accessing long-term care services. Understanding the available options and eligibility criteria for these programs is essential for financial advisors and individuals exploring long-term care funding strategies.

Medicaid, a joint federal and state program, provides health coverage for individuals with low income and limited assets. While Medicaid is primarily associated with medical assistance, it also covers long-term care services, including nursing home care and home-based care (

It is important to note that eligibility for Medicaid and other government assistance programs is subject to specific income and asset limits. Financial advisors can play a vital role in helping individuals navigate these requirements and develop strategies to meet eligibility criteria, ensuring access to essential long-term care benefits.

Additionally, financial advisors can help individuals understand the nuances of Medicaid planning, which involves strategic asset allocation and estate planning techniques to qualify for Medicaid benefits while protecting assets for the individual's loved ones.

It's crucial to emphasize that government assistance programs, such as Medicaid, should be considered within the broader context of long-term care planning. While they can provide a safety net for those with limited resources, they may have limitations in terms of the types of care covered, provider choices, and potential impact on personal assets and estate planning.

Aside from Medicaid, other government programs such as Veterans Affairs can provide great support to your family, if the individual receiving long term care is a veteran. They provide coverage for a variety of services including: 24/7 nursing and medical care, physical therapy, help with ADL’s (bathing, dressing, making meals, and taking medicine), and help with managing pain (

Financial advisors can guide individuals in evaluating the benefits and considerations of government assistance programs, weighing them against other funding options. By considering the available government programs alongside other alternatives, individuals can make informed decisions about the most suitable approach for their long-term care needs.

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Considerations for financial advisors when exploring these alternative funding options include:

Understanding the Client's Needs and Goals:

Financial advisors must engage in open and transparent conversations with their clients about their long-term care needs, goals, and financial situation. By understanding their unique circumstances, advisors can provide tailored recommendations that align with their clients' objectives.

Evaluating the Costs and Benefits:

Each funding option comes with its own costs and benefits. Financial advisors should conduct a thorough analysis of the financial implications, including premiums, potential returns, tax implications, and the impact on the overall financial plan. Comparing the different options and their long-term implications can help clients make informed decisions.

Considering Long-Term Care Solutions as Part of Holistic Financial Planning:

Long-term care funding should be integrated into a comprehensive financial plan that considers all aspects of an individual's financial goals, retirement planning, and estate planning. By taking a holistic approach, a financial advisor “considers an individual's complete financial picture,” helping clients to navigate their future long-term care needs while ensuring the overall financial well-being of their clients (Investopedia).

Staying Informed and Adapting to Changing Regulations:

The landscape of long-term care funding and regulations is constantly evolving. Financial advisors should stay updated on industry trends, changes in legislation, and emerging solutions to provide the most relevant and effective advice to their clients. This ongoing education and adaptability are essential to remain at the forefront of long-term care planning.

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As the need for long-term care continues to grow, financial advisors and wealth planners must expand their perspective beyond traditional long-term care insurance. Exploring alternative funding options for long-term care is essential in today's changing landscape. Traditional long-term care insurance has limitations that make it inaccessible or unaffordable for many individuals. By expanding the horizon to hybrid insurance products, life insurance with long-term care riders, self-funding strategies, and government assistance programs, financial advisors can offer comprehensive solutions that address the specific needs and preferences of their clients.

It is important to remember the many methods in which you can fund long term care, as long term care insurance is not the best fit for every family.

  1. Hybrid insurance products provide the benefits of both protection and potential growth, offering a dual-purpose approach to long-term care funding.
  2. Life insurance policies with long-term care riders enhance flexibility, allowing individuals to adapt their coverage based on their evolving needs.
  3. Self-funding strategies empower individuals to take control of their long-term care planning and provide the freedom to make personalized choices.
  4. Government assistance programs, such as Medicaid, can serve as a safety net for those with limited resources, but careful consideration is necessary to navigate eligibility requirements and potential implications.

Financial advisors play a vital role in guiding individuals through the complex landscape of long-term care funding. It is important to “talk with your financial advisor about your needs, concerns, and desires,” so that they may help you plan accordingly ( By understanding their clients' unique circumstances, goals, and financial capabilities, advisors can provide tailored recommendations and help individuals make informed decisions. By embracing alternative funding options and integrating them into holistic financial plans, financial advisors can ensure their clients' long-term care needs are met while securing their financial well-being.

Ultimately, the goal is to empower individuals and families to make informed decisions about their long-term care needs while ensuring their financial security in later years. By embracing these alternative funding options and integrating them into holistic financial plans, financial advisors can serve as trusted partners, helping their clients navigate the complex landscape of long-term care and achieve peace of mind.

By embracing innovative approaches to funding long-term care and offering a broader range of solutions, financial advisors and wealth planners can position themselves as industry leaders, providing invaluable guidance and support to their clients in securing their future well-being.

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Lily Vittayarukskul profile image Lily Vittayarukskul
Ex-NASA data scientist building the future of financial planning tools for eldercare using AI. Connect with me to talk about financial planning from first principles.