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Understanding Common Myths and Misconceptions

MythReality
”I probably will not need long-term care.”Most people over 65 will need some LTC services. Planning reduces financial and emotional strain.
”Medicare will pay for long-term care.”Medicare covers short, medically necessary skilled care but not long-term custodial care at home or in a nursing facility.
”My health or disability insurance will cover LTC.”Typical health and disability policies do not pay for long-term custodial care. LTC insurance or savings are usually required.
”LTC insurance is always unaffordable.”Premiums vary widely by age, health, benefit design, and inflation protection. Earlier purchase and tailored benefits can improve affordability.
”LTC means nursing homes only.”LTC can include in-home care, adult day services, assisted living, and nursing home care depending on the policy.

Risks, Tradeoffs, and Red Flags to Watch For

Section titled “Risks, Tradeoffs, and Red Flags to Watch For”
  • Non-guaranteed premium increases: Some older policies or carriers have raised premiums. Ask about the carrier’s history and whether your premium is guaranteed.
  • Overly optimistic projections: Do not rely on best-case cash-value or subsidy assumptions. Focus on guaranteed benefits and realistic scenarios.
  • Narrow benefit triggers: Policies that require a very specific medical test or a high level of disability before paying can leave you exposed.
  • High elimination periods or low daily benefits: These can make a policy effectively useless for moderate care needs.
  • Scams and pressure sales: Beware of high-pressure tactics, unsolicited calls, or offers that sound too good to be true. Always request written illustrations and take time to compare.