Even if you never plan on staying there
Why You Should Plan for a Nursing Home Stay
by Rick Kahler
Should Retirees Consider a Life Settlement?
A Tool to Determine the Best Time To Take Social Security Benefits
If you've ever visited someone in a nursing home, chances are you walked out afterward vowing, "I'm never going to end up in a place like this."
That vow is one most of us would make. Keeping it, however, is another matter. Let's consider some facts. What are the odds you will live the last years of your life in a skilled care facility (nursing or assisted living home)?
About 14 percent of all people over age 64 have two to three chronic conditions that negate their ability to live independently. According to the U.S. Bureau of the Census, 5 percent of people over age 65 live in nursing or assisted living homes and 25 percent of them will spend some time in one. The chance of a stay in a nursing home increases 1.4 percent per year from age 65 on. Almost 50 percent of those over age 95 live in nursing homes.
While staying in the comforting surroundings of our homes is what most of us would prefer, just saying so isn't going to make it happen. Unless you have a written plan and the finances to carry out that plan, the chances are high you will not be able to afford living in your home once you need daily assistance of some type.
The problem is that spending your last years in a nursing home is expensive, too. At rates of around $7,000 to $12,000 per month, it is very easy to spend $250,000 or more during the last years of one's life. While this is doable if you have the money, it becomes a financial disaster if you have a spouse and spend through your estate in your last years. In this case, the first one to die wins at the expense of the survivor.
According to the U.S. Census Bureau, 70 percent of Americans age 65 and over have a household net worth of just $344,870. If one spouse enters a skilled care facility, there is a real threat that the other will run out of money to fund living expenses, relying only on Social Security.
Once someone's assets are spent down, Medicaid will begin paying for nursing home costs. This may mean changes such as moving to a facility that accepts Medicaid and out of a private room into a shared room. It also may mean waiting for a bed to become available.
The "short version" of the law is that Medicaid begins paying once assets are spent down to $2000. However, there are provisions meant to protect the non-institutionalized spouse from destitution. Some of the couple's assets are exempt from being spent down for nursing home care.
Calculator: How much life insurance do I need?
In South Dakota, for example, the spouse may keep half of the combined assets up to $119,220. Other exempt assets generally include personal possessions, one vehicle, equity up to $552,000 in the couple's personal residence, prepaid funeral plans, and assets that are considered "inaccessible." There are also limits on monthly income from pensions. The numbers above are for South Dakota; all of these limits vary by state so be sure to research your own state's laws.
Obviously, planning for long term care is vitally important, and it needs to be done well before the event that sends someone to a skilled care facility. Unfortunately, those events are often sudden and impossible to predict. The sad reality is that very few people plan ahead, which includes even those who do financial planning in other areas. Many elders have a deep resistance to doing end-of-life planning. That is sad because the less planning you do, the more limited your options become.
Take the Next Step:
- Visit the TDS library for what you need to know about long-term care insurance.
- Subscribe to After 50 Finances. You've learned how to work smarter, not harder. This weekly newsletter is dedicated to people just like you. Subscribers get a FREE copy of our After 50 Finances Pre-Retirement Checklist, a list of everything you need to do to be ready for retirement.
Share your thoughts about this article with the editor.
Debt is preventing me from saving as much for retirement as I should be! Tell us: Yes, debt is hindering my ability to save for retirement and I could use help dealing with it! or No, debt is not a problem but I'd love to discover more ways to save as I head into retirement!
Baby Boomer Tools & Resources
- A tool to determine the best time to take Social Security benefits
- Get out of debt before you retire
- Get free answers to financial questions
- Get free answers to legal questions
- Retirement shortfall calculator
- Life expectancy calculator
- IRA required minimum distribution calculator
- More retirement planning calculators
Trending in Baby Boomers
- Investing retirement money that you may never need
- Financial tips when nearing retirement
- Why pay off your mortgage with a reverse mortgage loan?
- 3 ways retirees can tap into their home equity
- Financial advice for women in their 50s
- Including real estate in your retirement plan
- Frugal ways to beat the winter blahs
- This week's Readers' Tips