Long-Term Care Insurance

If you have one available to you, in most cases putting money into an HSA (and making sure its set up to go into investments versus just sitting there like a savings account) will end up with a far better result than using the same money to pay long term care premiums.
 
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Beginning 1/2025 Northridge Village in Ames will cost 360.00 per day. Do the math on that lol. It's a gamble no matter how you spin it.
 
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Going through this right now with my mother. In 6 months time, she went from living alone and all there mentally to breaking her hip and now being in a nursing home for life. In small town Iowa, the not-for-profit nursing home is charging her $9k/month. Right now I'm in the process of getting everything together for when she has to go on Medicaid. At 90 and in her condition, it really doesn't matter. She has zero expenses beside the nursing home. I could see how this would be really bad if it was husband/wife.

On a side note, I was ignorant when it came to the impact on breaking a hip. I had always heard how bad it is to break it when you're old, and assumed they were talking about walking. For her, it was the anesthesia. Apparently, when you're old it can cause major damage mentally, which it did.
Sorry to hear about your mom, but why was she at 90 years old not already on Medicare after turning 65?
 
in 1/2025 Northridge Village in Ames will cost 360.00 per day. Do the math on that lol. It's a gamble no matter how you spin it.
I've heard that number thrown around enough by different facilities that I'm assuming that's a max reimbursement rate from either Medicare or Medicaid.
 
Learn something new today, I thought you could be on Medicaid until you could get on Medicare at 65. I did not know that you can be on both if your income level allow a certain point..

Thanks.
You're never on both. Once they drain your funds (under $2k), you can go on medicaid. They take your social security, pension, annuities, etc. and they give you $50 to spend per month.

I should have known you could be on both, my mom will still have her Medicare supplement in place. Learning all kinds of things as we go through this process
 
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The neighbor wife broke her hip while in the care center. She was mid 90s or so. The surgery would have killed her so they had to just make her comfortable and hoped it would heal as much as possible. She live many months of not a year or better like that. She had dementia at the end so we stopped visiting since she had no clue who we were.
I use to visit my father with dementia once a month 400 miles one way - not because he did not know who his son was, but because I know who my father was. Always made sure I had answers for questions he would ask previous to his decline; price of gas, value of farmland, and value of crops ( we use to help uncles on their farm when I was young).
Painful, lonely, yet proud I did. I cried many times on the way back to Ames at the time.
 
Learn something new today, I thought you could be on Medicaid until you could get on Medicare at 65. I did not know that you can be on both if your income level allow a certain point..

Thanks.
Yep, Medicare only pays up to 99 days in a care center if the patient is showing need. Medicaid is what foots the bill for care centers after that.
 
I use to visit my father with dementia once a month 400 miles one way - not because he did not know who his son was, but because I know who my father was. Always made sure I had answers for questions he would ask previous to his decline; price of gas, value of farmland, and value of crops ( we use to help uncles on their farm when I was young).
Painful, lonely, yet proud I did. I cried many times on the way back to Ames at the time.
That’s very solid of you. We hadn’t been neighbors very long and she also basically laid in bed and didn’t talk the last two times I went. My wife went a couple more times and it was like that.
 
I’ve never been a fan of giving premiums to an insurance company who had the ability to invest it and come out ahead by betting the odds that a claim by me would be offset by the increase of their investment. So that’s how I’ve justified investing in annuities, RE, mutual funds and stocks with the money I would have spent on insurance premiums. When I was younger and had debt, I would buy cheap term insurance to cover what debt I couldn’t. My FIL was a successful insurance and investment advisor and I could pick up on the flaws of LTC. My advice if you start soon enough is invest and don’t let insurance companies use your money to make profits for them. They aren’t providing coverage as a charitable endeavor.
 
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I’ve never been a fan of giving premiums to an insurance company who had the ability to invest it and come out ahead by betting the odds that a claim by me would be offset by the increase of their investment. So that’s how I’ve justified investing in annuities, RE, mutual funds and stocks with the money I would have spent on insurance premiums. When I was younger and had debt, I would buy cheap term insurance to cover what debt I couldn’t. My FIL was a successful insurance and investment advisor and I could pick up on the flaws of LTC. My advice if you start soon enough is invest and don’t let insurance companies use your money to make profits for them. They aren’t providing coverage as a charitable endeavor.
That is...logic....i guess. Literally no insurance is a charitable endeavor and there are PLENTY of instances where insurance can protect you from financial ruin.
 
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You're never on both. Once they drain your funds (under $2k), you can go on medicaid. They take your social security, pension, annuities, etc. and they give you $50 to spend per

You're never on both. Once they drain your funds (under $2k), you can go on medicaid. They take your social security, pension, annuities, etc. and they give you $50 to spend per month.
Yes you actually can be on both.
 
Have heard the horror stories of denials by some nursing home insurance companies after a lifetime of paid premiums and finally the claim when the coverage is needed. At this point in my life the premiums would be horribly expensive. Taking the risk. It would eat up a lot of assets if nursing home is needed.
 
I've heard that number thrown around enough by different facilities that I'm assuming that's a max reimbursement rate from either Medicare or Medicaid.
$360 per day is definitely the private pay / out of pocket rate.

For Medicare covered stays, max reimbursement in Skilled Nursing varies based on care complexity and can reach over $1,000 per day. It all depends on the care needs of the patient.

Medicaid pays closer to $180-$200 per day which is why very few skilled nursing facilities accept Medicaid. It's just not profitable.
 
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How much does it cost to have a live-in nurse in the home they already own? $110k+/year seems ridiculous, I feel like if my parents were facing that I'd just take care of them & take the $100k as a 'salary'.. I understand everyone can't just up & quit their job for an unknown period of time, but feel like you could live comfortably on that.
 
How much does it cost to have a live-in nurse in the home they already own? $110k+/year seems ridiculous, I feel like if my parents were facing that I'd just take care of them & take the $100k as a 'salary'.. I understand everyone can't just up & quit their job for an unknown period of time, but feel like you could live comfortably on that.
You are willing to live with your parents every hour of every day with no break? Plus you have to subtract meals, utilities, housing structure and a few other things.
 

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