1. Lone Star College
L St C ll
Long-Term Care Outreach & Education™ Program
Heidi New-Crockford Regina W. Davis
Long Term Care Specialist Long Term Care Specialist
713-857-9476 713-854-6773
Heidi@ltcfp.net Regina.Davis@ltcfp.net

2. Our mission: to educate
business owners, their
employees and retirees
about long-term care
planning
2

3. Who is LTC Financial Partners?
• Nation’s largest agency
g g y
• Specializes in long term care planning
• Leading provider of no cost educational seminars
• Over 600 agents nationwide
• Average agent experience minimum 8 yrs
• Represent top insurance carriers
• Allows objective comparison
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4. What is Long-Term Care?
Assistance and Care for Chronic Illness or Disabilities
Can be Physical or Cognitive Impairments
Caring versus Curing
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5. Types of Long-Term Care
Skilled Care
• Nursing Care & Therapies
• Trained Professionals
Personal Care
• Activities of Daily Living
Bathing Eating Transferring
Toileting
T il ti Dressing
D i Continence
C ti
Supervisory Care
• Monitoring and Support
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6. Where is long-term Care Provided?
home1
Your h
Y
20%
Adult day care centers
Assisted living facilities
80%
Nursing homes Your Home1
Hospice facilities
1U.S.Department of Health and Human Services, National Clearinghouse for Long-Term Care,
6 www.longtermcare.gov, September 2008.

7. Who Needs Long-Term Care?
More than 12 million people in the United States
need some kind of long-term care1
d ki d f l t
• Average age 66
• 41% are working adults
Source: 1The Caregiving Project for Older Americans, "Caregiving in America" 2007
7
http://www.ilcusa.org/media/pdfs/Caregiving%20in%20America-%20Final.pdf

8. Risk of Needing Long-Term Care
70% of people age 65+ will need some type of long-term
1
care services during their lifetime!
This makes long-term care one of the single
long term
biggest financial risks Americans face today!
Source: 1 U.S. Department of Health and Human Services, National
Clearinghouse for Long-Term Care Information, www.longtermcare.gov.
8

9. Growing Need For Long-Term Care
An Aging America
• 37.9 million Americans are over 65, 88.5 million by
20501
• By 2040 the population age 75+ will exceed that of age
65-742
• Centenarians are the fastest growing age group1
Families in Transition
• Family’s demographics?
• L
Love-Legacy?
L ?
1US Census Bureau, Facts, Older Americans Month: May 2009!
2National Center for Health Statistics, Health, United States, 2006 With Chart book, Hyattsville, MD: 2006
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10. Growing Need For Long-Term Care
1US Census Bureau, Facts, Older Americans Month: May 2009!
2National Center for Health Statistics, Health, United States, 2006 With Chart book, Hyattsville, MD: 2006
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11. Costs outside of Nursing Homes
Home Care
$20-$25
$20 $25 per hour – Home Health Aide
Assisted Living Facility
$3,000-$6,000
$3 000 $6 000 a month/ $36 000 $72 000 annually
$36,000-$72,000
Nursing Home
$200 a day/$72 000 a year private room
day/$72,000 year–
$172 a day/$62,000 a year - semi-private room
Source: 2008 John Hancock Cost of Care Survey, conducted by CareScout,
11 June 2008

12. Who Pays For Long-Term Care?
54% of Baby Boomers believe Medicare will pay
for long-term care services, 44% said they
believe ‘other health insurance’ will pay.1
b li ‘ th h lth i ’ ill
1 StrategyOne for America’s Health Insurance Plans (AHIP), National Survey, October 2007
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13. Medicare
Health insurance for senior Americans age 65+
Eligible regardless of economic status
Covers short term acute conditions – cure vs
short-term vs.
care
May cover up to 100 days with a co-payment for
80 of these days.
Not designed to cover long-term care costs
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14. Medicaid
Means tested - health insurance for the indigent
Does cover long-term care services
Covers primarily nursing homes
Must spend down state required limits to qualify
Deficit Reduction Act has made it more difficult
to qualify for Medicaid by hiding assets
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15. Won’t the Veterans Administration
take care of me?
The VA has a priority system
• Service-connected disabilities / income and asset criteria
• If priority ranking not met, on case by case, space available, basis
If you do qualify
• First 21 days are free
y
• Co-pay charges vary on income / as high as
$97 per day.
y
• Limited to a VA facility
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16. Understanding The Class Act?
Community LIVING Assistance Services and Support
• Not fully implemented until 2012
y p
• Voluntary government plan
• Working adults 30 hours a week
• Pay premiums for 5 years and waiting 5 years before eligible for
benefits
• Administered by Secretary of Health and Human Services
• Daily Benefit amount estimates $50.00; premium varies
Costs are increasing, will the public plan pay
enough?
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17. Why Planning is Necessary
The likelihood of needing LTC is high
The cost of care will increase
Other Health Care Plan Limitations
Risk of Depleting Retirement Assets
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18. Paying For Long-Term Care
Spend Personal Assets (BE RICH)
Family Pays
Government
Medicare
Medicaid (BE POOR)
Transfer the risk (BE INSURED)
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19. Designing an Insurance Policy
The F
Th Four Components
C t
of a
Long-Term Care Insurance
Policy
P li
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20. Designing Your Plan
Monthly Benefit (how much)
• How much does the insurance company p y per month?
p y pay p
• $1,500 - $15,000 per month
Plan Duration (how long)
• Plan designs available: 2, 3, 4, 5, 6, 10, Unlimited
• Pool of money
Elimination Period
• 30, 60, 90, 100, 180 day elimination
• Time Deductible
Inflation Protection
• Keeps your p
p y policy current with rising costs of care
y g
• Future dollar values
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21. Total Coverage
Home Care
Assisted Living
Adult Day Care
Nursing
N rsing Home Care
Hospice Care
Comprehensive Coverage
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22. What Does LTC insurance Cost?
Premiums based on
• Age and health at time you apply for LTC insurance
• Policy design
• Discounts1
1 Discountsmay vary by state.
22 Discount available: Preferred Health Class, Marital/Partner and Family Discount

23. Triggers to Benefits
2 of 6 Activities
1. Bathing
2. Eating
3. Continence Cognitive
4. Toileting
OR
Impairment
p
5. Dressing
6. Transferring
90 D C tifi ti of N d
Day Certification f Need
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24. What is Important to You?
Affordability
Aff d bilit
Simplicity
Choice and Flexibility
Asset Protection
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25. Trust the Strength of the Top LTC
Insurance Carriers
John Hancock Life Insurance Co.
MedAmerica Insurance Co.
Prudential Life Insurance Co
Co.
United of Omaha Life Insurance Co.
Life Secure Insurance
United S
U it d Security Assurance
it A
1LifeInsurance Management Research Association (LIMRA) Year-End 2008
25 Information is available upon request from John Hancock.

26. In Summary…….
y
• Comprehensive plans
• Guaranteed renewable
• Coverage is portable
• Discounts available for marital status,
good health, & professional affiliations,
and Employer (work-place) discounts
• Available to employees and family
members
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27. Next Steps…LTC Planning
1. Care Support Network – Free Online tools,
resources & i f
information on Care giving, long
ti C i i l
term care, in-home care, and more!
2. Questions & Answers
3.
3 Evaluations
4. Available to schedule a personal appointment
Thank you!
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