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Studies
have shown that 43% of those who turned age 65 in 1990 will enter
a nursing home at some time during their life. Of those who live to
age 65, nearly 1 in 3 will spend three months or more in a nursing
home and 1 in 4 will spend one year or more in a nursing home. Only
1 in 11 will spend five years or more in a nursing home.
Women outnumber men in nursing homes
according to studies. Thirteen percent of women as compared to 4%
of men, were projected to spend five or more years in a nursing home.
And obviously the risk of needing nursing home care increases with
age.
After assessing the odds, consumers
must stringently analyze the reasons for a policy and the ability
to pay for it for the balance of a person's life. It makes no sense
to buy a policy unless it can be paid every year until death. Far
too many policies are cancelled by policyholders on fixed incomes
as they grow older and their premiums increase accordingly.
Who will pay for Long Term Care? The
answer is simple: it comes from your cash and your assets, your family's
assets. For those without assets, it is paid by Medicaid programs
administered by state government. More than half of nursing home bills
are paid out-of-pocket by individuals and their families, and somewhat
less than half are paid by state Medicaid programs.
Group insurance does not pay for most
long-term care expenses, and Medicare does not offer long-term care
as a benefit. Only in certain cases will Medicare cover the cost of
some skilled nursing care in approved nursing homes or in your home,
but there is no coverage for custodial or intermediate care or prolonged
home health care.
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