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Why Everyone Should Plan for Long-Term Care
- Stacey White
- Aug 4
- 3 min read
Research suggests that most Americans turning age 65 will need some form of assistance with everyday activities, known as long-term care, as they grow older.
The amount of care needed will depend on many variables, such as:
Overall health
Cognitive functioning
Home environment
Age is a strong predictor of the need for help, and because women live longer on average, they are more likely than men to require long-term care. Regardless of gender, factors such as a disability, injury, or chronic illness also increase the chance that long-term care will be needed. The need for long-term care may occur suddenly as the result of illness or accident. For others, the need may grow slowly.
Here are 3 simple steps that can help start your planning:
Know what to expect
Most people know they should save for retirement, but many don't know exactly what expenses to expect for help with everyday tasks such as bathing, dressing, or eating. While most of this care is provided by family members and friends, sometimes older adults and their families get these services from providers like home health agencies or area agencies on aging. Long-term care insurance can help to cover the cost of professional services provided in the home.
Understanding long-term care is the 1st step in creating a plan.
Here are some key things to know:
Most people prefer to receive long-term care at home; their odds of doing so may be improved by making home modifications to reduce the risk of falls.
A person who lives alone is more likely to require long-term care than one who can rely on a spouse or partner for help with daily tasks.
Long-term care is expensive and represents a major risk to your retirement savings.
Medicare does not pay for long-term care services or supports (there are some minor exceptions) and neither does your employer-based health insurance.
Many Americans say they do not want to rely on their children for care, but a lack of planning for paid care often leads to exactly that result.
Make your preferences known
A choice to plan or not plan will likely have a big impact on family and friends who may also be informal caregivers. Statistics show that most long-term care is provided by family members or other loved ones. Research has also shown that caregivers can experience significant stress when they have caregiving responsibilities.
Take the time to make clear your preferences for what kind of help you value most and where you want to receive it. Family and friends will feel better knowing that you are thinking about your needs – and theirs – by planning for long-term care.
As you begin to consider your preferences, you may want to ask yourself these questions to discover those preferences are:
Where would I prefer to receive care—at home, in a family member’s home, an assisted living facility, or a nursing home?
Do I have any ongoing health conditions that may require long-term care?
How might my medical needs change in the next 5, 10, or 20 years?
How would my care needs impact my family or friends emotionally, financially, or physically?
Have I had open conversations with my loved ones about their ability or willingness to help?
Do I understand the costs of different types of care settings?
Should I speak with a financial advisor about planning for care expenses?
What makes me feel safe, comfortable, and respected?
Are there specific routines, traditions, or spiritual practices that I want to maintain if I need care?
How important is social connection, privacy, or independence to me?
Get a plan in place
Be proactive. Staying at home is great, especially if it has been modified to help you avoid an injury and continue to care for yourself. However, it won’t happen without taking steps to ensure you can get the supports you need. Start thinking about ways to maintain your independence and safety as long as possible within your home and community.
For more information and resources to develop a care plan, visit longtermcare.gov.
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