Diversified LTC
Why Family Should Not Be A Long-Term Care Plan
Parents must consider the potential physical, emotional and financial damage that is also done to the family members who are personally involved in delivering their long-term care.
There are a myriad of issues to consider when a family gets involved in their parent’s long-term care plan. Among them:
- Time Management
- Geography
- Funding
Long-Term Care and the challenges associated with it can often require more and more of family members’ involvement as time passes.
Are Your Clients Prepared for Rising LTC Costs?
If you live to age 65, there is approximately a 70% chance you will need some form of long‑term care services during your lifetime.
Current Costs of Long‑Term Care
- Home Health Care Aide: The national median hourly rate for home health aide services is $35 per hour (2025).
- Assisted Living Facilities: The national median annual cost for an assisted living facility is approximately $74,400 per year, based on a median monthly cost of about $6,200 (2025).
- Nursing Home (Private Room): The national median annual cost for a private room in a nursing home is approximately $131,600 per year, based on current median monthly pricing (2025).
Projected Future Costs
Planning for Long‑Term Care
Evaluating long‑term care insurance solutions can be a prudent step toward:
- Preserving retirement assets
- Providing flexibility in care choices
- Reducing the financial burden on family members
Cross Selling Long-Term Care Insurance
Cross Selling can be difficult, yet when you present your client with information about LTC, they should understand the benefit of protecting themselves when they may need it.
Once the conversation is going, a few good questions to ask include:
- What percentage of your retirement assets have you set aside to pay for Long-Term Care services?
- Are you concerned about the impact a chronic illness would have on your retirement savings?
- If it were necessary to increase your spending by $3,000 or $4,000 a month to pay for LTC services, would that concern you?
Help Clients Hedge Their Risk
Since the future estimated average cost for multiple years of care can be quite high, it’s important that both you and your client don’t view LTC Insurance coverage as an all-or-nothing proposition.
Highlight The Cost Of Care
We can help you and your client explore the cost of care, including:
- Current costs for Long-Term Care for all areas across the country
- Estimated costs for LTC events lasting 1-10 years
- Projected future costs for Long-Term Care based on inflation
Develop a Strategy
Manage the Premium
Consider this approach:
Become a Resource
How To Dial Down Premium To Make An LTCi Policy More Affordable
The Situation
The Sales Solution
You can dial down premium in a number of ways:
- Adjust the inflation protection option.
- Reduce the monthly benefit amount.
- Reduce the maximum monthly benefit amount for assisted living.
- Adjust the benefit period.
- Adjust the elimination period.
Here’s how it works:
If inflation protection is not a factor, look at using an inflation protection option other than 5% lifetime. You might consider the 5% 20-year option, which provides a compounding benefit increase for the first 20 years of the policy. You also could use a 3% or 4% lifetime option or the 5% simple option.
Your Competitive Advantage
Understand Your Client’s Needs Before Presenting LTC Solutions
When discussing Long-Term Care (LTC) planning with prospective clients, financial professionals often focus too heavily on asset protection, overlooking other key benefits that LTC insurance offers.
Because LTC planning can be a deeply personal and emotional process, it’s crucial to recognize the individual reasons clients may want this type of protection.
By identifying their specific concerns early in the conversation, you can better address their unique needs and enhance the efficiency of your sales approach.
Here are some process-driven strategies to consider:
THINK – Start with Understanding Why People Buy LTC Insurance
Before meeting with a potential client, take a moment to reflect on the reasons why individuals typically seek LTC insurance. Common motivations include:
- Preventing the burden of caregiving from falling on family members
- Having the freedom to choose where they receive care
- Retaining control over important healthcare decisions
- Being able to stay in their home while receiving care
ASK – Dive Deeper into Their Motivations
During your fact-finding conversation, aim to uncover the most significant reason your prospect is considering LTC insurance. Here are some thoughtful questions to guide this discovery:
- “What is the main reason you’re considering LTC insurance?”
- “If the need for LTC arises, what aspects of coverage are most important to you?”
- “As we age, many of us have concerns about our care and independence. What would be your biggest worry if you needed care?”
PRESENT – Tailor Your Approach to Their Specific Needs
Once you’ve identified the underlying motivations for your prospect’s interest in LTC insurance, you can customize your presentation to highlight the aspects of the policy that matter most to them. By focusing on the true value of the coverage, you’ll help prospects see beyond just the cost of premiums and appreciate the long-term benefits of the policy.
Bonus Tip: Many insurance providers offer additional riders and services designed to support families and caregivers.
If you’d like more details on these options, feel free to reach out to us.
LTC Insurance: Because There’s No Place Like Home
Considering home is where the heart is, it’s important to highlight the flexibility that home care benefits provide.
Here are a few of the benefits included in most policies:
- Home Modification
- Home Safety Checks
- Durable Medical Equipment
- Provider Care Checks
- Caregiver Training
- Medical Alert Systems
- Household Duties such as Laundry, Meal Preparation, and Bill Paying
- Managing Medications
Some home care agencies will also include the following:
- Social activities
- Transportation to the Doctor’s Office
- Report of Doctors office visits to family members
How To Help Clients Through The LTCi Claims Process
What happens when the family care giver can no longer be of assistance? What happens when they get too burnt out or their abilities have been surpassed by the amount and type of care needed?
Here’s how it works…
Then what?
- Once the notice of claim is received by the insurance company, a claim form is then sent to the insured. The form should be returned along with a provider’s bill to document the proof of loss.
- Then the claim is evaluated to verify the insured meets eligibility requirements. Often an assessment is scheduled or the insured’s health care practitioner is contacted to verify medical records.
- Once the claim is valid, a case manager will work with the insured’s family or caregivers to determine appropriate types of care.
- After the policy’s elimination period has been satisfied, benefits will be paid to the insured or their care provider.
