Written By: Barbara Maietta, CFP® & Linda Thalheimer CLTC, RICP, LIA
“Don’t complain about growing old, it is a privilege denied to many” – Mark Twain
What is Long-term Care?
Long-term care refers to help with daily living for people who can’t fully care for themselves. Long Term Care is defined as requiring assistance with 2 of the 6 daily living skills:
- Bathing
- Dressing
- Toileting
- Transferring
- Continence
- Feeding
OR evidence of a severe cognitive impairment requiring substantial supervision. 70% of people will require long term care services due to illness, injury, or aging. Most of that care is provided by families.
How does Long-term Care Insurance Work ?

Long-term care insurance can be purchased by an individual, a couple or an entity such as a business or a trust. When an insured meets the eligibility criteria noted above, the company pays a daily or monthly benefit, with an inflation option, for a specified duration of time to offset the cost of care.
The average cost of private care provided in the home in Massachusetts is $40 per hour, or $9,600 per month for 8 hours a day. While many couples prefer to remain at home, these costs can become overwhelming, leading some to consider assisted living, which averages about $8,000 per month. Beyond cost, assisted living can offer other benefits: social connection, organized activities, exercise, entertainment, and reducing the uncertainty of a caregiver not being available.
Three Major Types of LTC Insurance Policies
The three major types of LTC Insurance are Traditional, Hybrid (a combined LTC with a Life/Annuity Policy), and an Annuity with LTC rider. There are many features available for each of these including cash or reimbursement payments, zero- or 90-day waiting periods and inflation protection.
Traditional Policy
- Annual/Monthly premiums until benefits are received or death
- Most cost-effective for shorter duration periods
- Option to qualify for MA Lien protection
Hybrid Policy
- Premiums usually paid for 10 years
- A death benefit (DB) is paid if no LTC claims are paid
- DB is related to the premiums paid
- Options for Cash & International Coverage
Annuity Policy
- Single premium receives up to 3 times premium in benefit
- Benefit grows 2% a year
- Potential for higher DB
- Cash Benefit
- Good for older ages 70 – 80 or impaired risk
How Do I Learn More About LTC Insurance?
To learn more about LTC insurance, visit www.longlifeplanning.com. Purchase of a LTC insurance policy is an important decision with both short and long-term impact on your financial plan. We recommend talking with your Financial Advisor before making this investment.
PLEASE SEE IMPORTANT DISCLOSURE INFORMATION AT www.twelvepointswealth.com/disclosure