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Dec 03, 2008 -- How to pick solid long-term care insurance

Clark has long encouraged people in their late 50s and early 60s to consider buying long-term care (LTC) insurance, which pays for care in a nursing home, an assisted living facility or in your own home.

There's a misconception that Medicare will pay for this kind of care, but it won't. Medicaid, meanwhile, requires you to impoverish yourself before the government will pick up the tab for a nursing home. But what happens when you get better and suddenly you're broke? LTC insurance takes the worry out of the equation.

The industry, however, has been littered with fly-by-night operations and other unstable players. The latest blow comes from Conseco, which worked out a deal with Pennsylvania to dump its LTC obligations and essentially turn people over as wards of the state.

The solution is to only buy LTC insurance from a solid company, preferably one that has an A.M. Best rating of A++ or A+. It may cost you more now, but decades down the road you have a greater likelihood that A++ and A+ companies will be around.

One final note: LTC insurance isn't necessary if you're so wealthy that money is no object to getting the best care, or if you're so poor that being a ward of the state makes sense. That still leaves between 65% and 80% of Americans in the middle who could benefit from it.


Unfortunately, Clark won't be able to answer any questions submitted via commenting. If you have a question, please try posting it to our message boards.

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What others are saying

  • Long-Term Care Top Carriers
    I agree it is important to look at the ratings of the carriers. To get the correct information for your situation, it is important to consult an independent long-term care specialist. With a consultation, you may find out that this type of insurance may or may not be suitable for you. The bottom line is finding a knowlegeable and honest agent. You're right most Americans can benefit from long-term care insurance.
  • LTC insurance
    I believe that the Pennsylvania Insurance Commissioner concluded that it was in the best interest of the Conseco LTCi policyholders (and the Pennsylvania taxpayers) for Pennsylvania to set up this trust, with the goal of more effectively serving the current and future claimants.

    The Pennsylvania Department of Insurance is facing a very difficult situation with a different insurer that might need to go into conservatorship next month.

    I think the Pennsylvania DOI's conclusion, regarding the Conseco policies, is that a well-managed trust now is better than trying to mop up a big mess through conservatorship later.

    At least by putting the policies into a trust all of the future premiums will be managed by the PA DOI. The PA DOI can do a better job administering the policies, it can cut high administrative costs, and pay the claims promptly.

    But, you are 100% correct. As with any insurance purchase, it's very important to check the financial ratings of the LTC insurers you are considering.

    Scott A. Olson, CLTC
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