Nurse with older man
Older man with nurse
Older M-F couple

Let us help you protect your assets today.

What is Long Term Care?

Long term care (LTC) is any personal care, supervision or service provided for extended periods to help perform activities of daily living (ADLs):

  • Dressing

  • Bathing

  • Transferring

  • Toileting

  • Eating

  • Continence

Long term care is intended for people with cognitive impairment (dementia), a chronic illness or for those who need prolonged rehabilitation after surgery or a serious injury.

Long term care services can be provided by:

  • Nurses

  • Certified Nursing Assistants

  • Physical, occupational and respiratory therapists

  • Home Health Aides and homemakers

  • Family members

Long Term Care - A Reality?

Today we are living longer than previous generations. As we age, we are more likely to  turn to others to provide care for us. As much as our family and friends may want to help, more often than not, they are already heavily burdened, trying to raise their own families while working long hours just to try to keep up in today‘s fast paced world. Often times they do not live close by.


The reality is that we will need to look to others to receive our care.

  • Nearly 50% of those 65 and over will need nursing home care in their lifetime.

  • The average length of stay in a nursing facility is over 2 years.

Will I Need Long Term Care?

More than 40% of Americans receiving long term care are under 65 years old.

Consider the following:

  • Most of us will need home care or nursing home care at some time in our lives.

  • Most of us do not want to be a physical, emotional or financial burden to our loved ones.

  • We are living much longer than our parents did. As we age, we are more likely to suffer from long term debilitating ailments and diseases such as Alzheimers, Parkinson’s or Strokes that require assistance. This is true even for those of us who have a healthy family history and genetics.

  • Most of us will need rehabilitative care and often times prolonged chronic care after major surgery and accidents.

  • For most of us, our goal is to be financially and personally independent.

  • For many of us, it is important that we protect the assets we accumulated so we can leave an estate for our loved ones.

The Cost of Long Term Care?

Long term care costs vary greatly based upon:

  • Who provides the care

  • The type of care you receive

  • Where you receive it.


According to the 2014 Genworth Cost of Care Survey, Nursing Home, Home Care, and Assisted Living Costs for 2014 are:

                                                                                  National Average Rate        Connecticut Average Rate

Nursing Home – Semiprivate Room

Daily                                                                         $240                                       $387

Yearly                                                                       $87,600                                  $141,255*

Home Health Care Aides

Hourly                                                                      $20                                         $22

(44 hours/week) Yearly                                          $45,760                                   $50,633


Assisted Living – Base Rate

Monthly                                                                   $3,500                                    $5,025

Yearly                                                                       $42,000                                  $60,300


Besides the basic room charges, there are other expenses both monetary and non-monetary, that need to be considered:

  • While in a facility, there are ancillary costs such as medications, laundry and personal needs. While at home, you may need to modify your home with safety devices, such as grab bars, a ramp, special shower stall or a chair lift.

  • Emotional cost to a family member caring for you over a long period of time, assisting you with your ADL’s, preparing meals or driving you to the doctor.

  • Financial cost to a family member who has given up or scaled back their employment to accommodate your needs.

  • Physical drain on family members whose daily lives are disrupted doing what is necessary to provide for your care.

Long Term Care Costs In The Future:

*At the 6%* projected annual growth rate for long term care costs, in 20 years the cost of long term care could triple. A current annual nursing home cost of $141,255 will inflate to $423,765 in 20 years!


* “Health Spending Projections Through 2013,” Office of the Actuary, Centers for Medicare and Medicaid Services, Health Affairs- 2/11/2004.

Planning For Long Term Care Services.

When planning for the cost of long term care you have three choices:

  • You can pay for long term care with your own assets and income.

  • You can spend down all of your assets and then qualify for Medicaid. (Title 19 in CT)

  • You can purchase a long term care insurance policy.


  • A well designed Long Term Care Insurance Policy will:

  • Allow you to receive quality care for a longer period of time, and with more dignity.

  • Protect your family from the burden of providing care for you.

  • Ensure that your estate passes to your loved ones, according to your wishes, and not to the State to cover long term care expenses.

It is critical for you to develop a plan to protect yourself, your loved ones and your assets  from the catastrophic consequences of a long term care illness. If you do not plan ahead, the burden of providing emotional, physical or financial assistance for your care will fall upon your loved ones. The impact of not planning for long term care could be devastating for all!

Discuss long term care insurance with your spouse, family, estate planner, CPA or Attorney. We will be happy to meet with you along with your professional advisor to ensure all of the issues are fully understood.

Please call our office at 1-866-456-8566 for a no cost, no obligation assessment of your specific long term care needs.  We are here to help you arrive at the best solution for you and your family. We never engage in high pressure sales tactics.

Paying For Long Term Care Services.

There are three primary ways of paying for long term care services:


  • Self-Insurance - You will have to cover the immense costs of long term care with your own resources and assets. You will not be able to seek federal or state assistance until you exhaust all of your own assets according to strict criteria.

  • Medicaid (Title 19 in Connecticut) - Medicaid (a joint federal-state government program) provides care in a nursing home for those who have limited income and few assets. Medicaid pays for nursing facility care and some very limited home care. When your assets have either been exhausted or reached a minimum threshold, Medicaid will provide coverage for your expenses only after a strict review process.

    • You will have to “spend-down” and exhaust your assets before becoming eligible for     Medicaid.

    • All your assets and income will be subject to review to determine eligibility.

    • Any gifts, trusts or transfers of assets within 60 months prior to your request for     coverage will be included in your assets for determining eligibility under Medicaid.

    • The State can dictate which facility you will go to.

  • Long Term Care Insurance - This insurance pays for the cost of long term care services you require. It provides long term care services in your own home, nursing homes, adult day care, and assisted living facilities based upon the policy and options you select.


In some limited circumstances, the following programs can offer some assistance:


  • Medicare - Medicare may pay for the front end of a long term care illness. In a nursing home, Medicare will pay provided there has been a three day minimum inpatient hospital stay and you require daily skilled care. However, this coverage will not exceed 100 days (the number of days that will be covered will be assessed by Medicare based upon your condition). In many cases, there are co-payments and deductibles that may or may not be covered by your Medicare Supplement policy.  Medicare Advantage programs work similarly to Medicare. In short, Medicare does not cover long term care or custodial care.

  • Health Insurance - In general, most health insurance policies use criteria similar to Medicare’s when it comes to paying for long term care. These plans were never designed to pay for long term care services.

  • Other Public and Private Funds - There are other funds that can pay for long term care, but they all have strict criteria and guidelines that must be met. An example would be the Veteran’s Administration. The Veteran’s health care benefits include medically necessary hospital and nursing home care and some outpatient care. The VA prioritizes veterans that qualify for care according to several categories. The first priority is for those who have a service-connected disability.  There are also income and asset requirements which must be met.