SnowboardAg said:
Insurance sells based on fear (as does warranties). Then the frustrating thing is when you really need it, there's all these exclusions and ways that they've written off responsibility.
This is a serious consideration. My inlaws both had long-term care policies. My FIL didn't qualify for the better provider, since he had an abdominal aortic stent and a history of kidney disease, so he settled for a SILAC policy. My MIL had no health issues, so she did qualify for the better one (John Hancock).
My MIL began having health issues first, after some falls. So we began learning there.
In order to collect on my MIL's policy, she must need assistance with "3 activities of daily living." Other policies may differ in where they set the bar to collect. From JH's website: "Personal care activities that may include bathing, dressing, eating, transferring, toileting, and continence." For example, IIRC, my FIL's policy with SILAC did not count dressing as a qualifying activity of daily living.[url=https://www.johnhancock.com/help-center/long-term-care/glossary.html#][/url]
There's also an "exclusion period" you need to look out for. That means once you reach the threshold of needing the policy, you have to pay yourself for a period while you wait to actually get it. Fortunately, with John Hancock, the exclusion period was only 90 days. AND, JH paid for home health care. AND, one day of home health care counted as a whole week against the exclusion period. We were having the HHC come in 3 days a week (but that only still counted as a week against the exclusion period.) There are policies out there where a day of HHC counts only as one day against the exclusion period. We got thru the 90 days and they both moved into an assisted living facility. Her policy paid for up to $3000 a month (for 3 years, or a max of $109k). That's about half of what their apartment costs, including the $950/mo for "level two care" that they charge for the daily living activity assistance.
My FIL went downhill about a year after she did. But, his issue was his kidney disease. He didn't have problems bathing or feeding himself or toileting, etc. so he didn't qualify yet to collect on his policy. Even if he had gotten to where he needed help with 3 of those items, his exclusion period was a full year. Once we felt like it would have made sense to re-apply to collect on his policy (he was denied an earlier application because he was doing too well...) it was clear that he had less than a year to live. He went from "not qualifying" to "dead" in less than a year, so he collected nothing on the premiums they paid for years.
I'm not arguing for or against LTC policies, I'm just hoping y'all can make better informed decisions after reading this. We sure didn't know these things when we bought our LTC policies, or when my in-laws bought theirs. After our experiences with JH and SILAC, we are probably going to continue paying for ours, but only after we did additional research into the terms and looked at alternatives (i.e. investing the money differently). If we didn't already have our LTCs established, we probably wouldn't sign up for them.