What
is the "Own Your Future" Long-Term Care Public Awareness campaign?
The "Own Your Future" Long-Term Care Awareness campaign encourages residents
to take an active role in planning ahead for their future long-term care
needs. The State of Missouri partnered with the U.S. Department of Health
and Human Services (HHS) to encourage citizens to start planning and preparing
for their long-term care needs.
What are the some of the activities that will happen during this
campaign?
- A letter from Governor
Matt Blunt will be mailed to every Missouri household with individuals
ages 45-65.
- A press conference
will launch the campaign on August 14, 2007 at 1:30 p.m. (CST).
- Public Service
Announcements (PSAs) will run on television and radio stations statewide.
- Press releases
will be distributed throughout the campaign.
- Educational materials
will be made available to the public and are available upon request
through this website.
- Distribution
of the U.S.
Department of Health and Human Services' Long-Term Care Planning Kit. This
kit contains a guide on how to start planning for long-term care as
well as an audio CD with stories of people with long-term care planning
experiences.
- Town hall meetings
will take place in many communities throughout the state to encourage
residents to begin planning for their long-term care needs.
Why
is this campaign important?
The U.S. Census Bureau estimates that the number of elderly people
in the United States will double between 2000 and 2030. Nationally, by 2050,
21.5 percent of the population will be over 65. By the year 2025, $260 billion
will be spent on long-term care for the elderly (up from 102 billion in
2000).
Awareness on long-term care needs and services is important because:
- In the future,
long-term care demands may exceed Medicaid resources.
- Individuals may
learn that long-term planning options are possible for them.
- Taking action now
may enable an individual to protect family income and savings in the
future.
Will
Medicare cover all the nursing home costs for seniors and the disabled?
No. Medicare, a federal
health insurance program for disabled adults and adults age 65 and older,
has specific rules that apply for payment of nursing home care. First, Medicare
requires a 3-day hospital stay prior to transfer to a nursing home and after
admission to the nursing facility, services provided in the nursing home
must relate to the illness or injury that cause the hospitalization. After
admission, Medicare coverage for nursing home care terminates once an individual's
needs change from skilled care to custodial care. Finally, Medicare coverage
is limited to 100 days of care per benefit period. A Medicare beneficiarys
average-length-stay in a nursing facility is about 31 days per benefit period
as a result of these rules. Medicare does not pay for nursing home custodial
care over an extended period of time.
What is long-term care?
Long-term care is the kind of help you need if you are unable to care for yourself
because of prolonged illness or disability. It can range from help with
daily activities at home, such as bathing and dressing, to skilled nursing
care in a nursing home.
What options are available to finance long-term care?
- A private health
insurance or retirement health plan.
- An individual's
own income, savings or sale of other assets.
- Relying on children
or relatives to provide care on an informal basis.
- Medicaid, a public
medical assistance program for people with low-income and limited financial
resources.
- Medicare, a federal
health insurance program for disabled adults and adults age 65 and older.
Should
I buy long-term care insurance?
For some, a long-term care policy is an affordable and attractive
form of insurance. Buying a long-term care policy should not cause financial
hardship and make you forego other financial needs. Each person should carefully
examine his or her needs and resources to decide whether long-term care
insurance is appropriate. It is also a good idea to discuss this purchase
with your family.
What should I keep in mind when considering a long-term care insurance
policy?
While there are a number of different factors that
can be looked at and evaluated when deciding the best policy to buy, some
of the things that should be considered are:
- Long-term care
insurance isn't for everyone. If you are currently receiving Social
Security or expect to have minimal or no retirement savings, you will
likely qualify for state aid and should not purchase long-term care
insurance.
- Research individual
insurance companies to see whether they have a history of raising rates
for long-term care coverage. Check with your state insurance department
to learn how your state regulates rate increases.
- Check with your
financial advisor or accountant for guidance on whether long-term care
insurance is appropriate for your specific financial situation. If long-term
care insurance is for you, shop around for the most appropriate coverage
at the best price.
- Make sure you understand
what a long-term care insurance policy covers and just as importantly,
what it doesn't. Ask questions and make sure the company is reputable
and licensed to sell insurance in your state. If you have concerns about
a company, contact the State of Missouri Consumer Insurance Hotline,
1-800-726-7390.
- Pre-existing conditions,
conditions that you have before you apply for the insurance coverage,
may be excluded from coverage. In addition, for some policies, age 60
is a trigger for a rate increase. Thus, it may be beneficial to purchase
your policy before your late 50's.
- Don't rely on Medicare
or Medicaid to cover your long-term care needs. Medicare will usually
pay for a small percentage of nursing home costs. Medicaid pays for
long-term care services but only if you meet federal poverty guidelines,
and the choice of care facilities can be very limited.
- Keep in mind that
tax breaks are available for qualified long-term care insurance policy
premiums. The benefit payments received under such policies are tax-free.
- Do not divulge
personal financial or medical information over the phone, such as your
social security number, your health status, your Medicare status or
your private insurance coverage. Don't be fooled by mailings about long-term
care insurance that appear to be from an official government source.
If you are concerned that someone is trying to trick you, contact your
state insurance department.
- Be wary of advertising
that suggests Medicare is associated with a long-term care policy. Medicare
does not endorse nor sell long-term care insurance.
What
should be included in my policy?
- An "outline of
coverage" that clearly describes the policy's benefits, terms and limitations
in detail. It is important to understand how much money the policy would
pay, and how much the policyholder would be responsible for out-of-pocket.
- A clear description
of the elimination period. Some policies have a set number of days that
must be spent in a nursing home or in claims status before the long-term
care insurance coverage kicks in.
- At least one year
of nursing home or home healthcare coverage or both, including intermediate
and custodial care.
- The right to cancel
the policy for any reason within 30 days of purchase and receive a full
premium refund.
- A guarantee that
the policy cannot be canceled or terminated because of the policyholder's
age or physical or mental health condition.
- Consider an inflation
protection option that periodically increases the benefit level without
the need for the policyholder to provide evidence of insurability.
If I
buy a long-term care insurance policy, can the company increase the policy's
premium before I need it?
There have been a number of measures taken to discourage long-term
care insurance companies from under-pricing long-term care insurance policies.
One of those new requirements is for companies to disclose to prospective
buyers their history of premium increases. This is one of the things you
should look at in deciding which policy to buy. A person needs to decide
what product options best suit his/her needs and select the policy designed
to provide the level of protection needed. The cheapest policy is not necessarily
the best policy.
Why plan now?
Long-term care services will be a major issue
for the parents of baby boomers who are now in their 70's and 80's and who
will likely face many of the issues mentioned previously. Further, baby
boomers will need to plan for their own long-term care needs as well.
Key areas to consider when planning for your future:
- Communicate with
family and friends
- Compare and understand
long-term care insurance options
- Decide who you
can count on for help
- Establish clear
legal directions
- Focus on your finances
- Learn what your
community has to offer
- Make necessary
home improvements
- Take control of
your health and personal needs
- Refer to the links
and resources page within this site
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