Pay
as you go
Using personal funds to cover long-term care gives you
a lot of choice and flexibility. By taking on the full risk
of long-term care expenses, you or your family control how
the money will be spent. If you never need care, you can
leave the remaining estate to your heirs.
You will need to carefully review your financial situation
before you decide that you can pay for long-term care on
your own. Married couples must make sure that there will
be adequate funds to maintain the lifestyle of the well
spouse, along with any other dependents.
SAVINGS AND ASSETS
Saving just for long-term care isn’t a bad idea for
wealthy people or for young, dedicated savers who like to
plan ahead. But you have to be sure that you save enough
to cover long-term care costs, along with the everyday expenses
associated with retirement. Also keep in mind that the value
of investments can fluctuate over time.
Take this quick quiz to estimate of what you need to save
to pay for long-term care:
*Cost of about 3 years of home care, or about 2 years of
assisted living, or one year in a nursing home.
Unexpected long-term care costs can disrupt long-term investment
plans. It is important to set aside some cash or other readily
available funds to pay for these expenses. You could face
substantial penalties if you had to withdraw certain funds
prematurely to pay for assistance. In addition, you may
need to pay taxes when you liquidate assets.
HOME EQUITY
The equity you have in your home can be an important source
of cash. A reverse mortgage is a special loan available
to homeowners 62 and older that enables them to borrow against
the equity in their home. The proceeds can be used for any
purpose, and taken out as a line of credit, lump sum payment,
fixed monthly payment (for up to life), or a combination.
The borrower continues to own the home during the life of
the reverse mortgage, but doesn’t make monthly mortgage
payments. The loan comes due when the borrower no longer
occupies their home as a principal residence. The repayment
amount can never exceed the value of the home. To get more
details about reverse mortgages, check out the AARP
website.
ANNUITIES
If you already need long-term care, an immediate annuity
can help make sure that there will be a stream of income
to pay on-going expenses. In exchange for a lump-sum payment,
an insurance company will promise to pay you monthly payments,
which is called an annuity. The period over which you receive
payments may extend for a specified number of years, or
for the rest of your life. In this way, an annuity can make
sure that you don’t outlive the money you have set
aside for long-term care.
OTHER OPTIONS
People who have a life-threatening illness may be able to
sell their life insurance policy for cash.
Elders who need additional income can rent a portion of
their home.
An aging parent can move in with a child or other family
caregiver. The family home will need to be modified to make
sure the elder feels safe and is secure. Families may also
consider building an addition or a guest house to support
elders who are not able to live completely alone.
Out-of-pocket payments for long-term care may be deductible
as a medical expense from your federal income taxes.
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