{"id":3698,"date":"2024-10-28T09:11:34","date_gmt":"2024-10-28T13:11:34","guid":{"rendered":"https:\/\/www.rbcwealthmanagement.com\/en-us\/insightsplan-ahead-for-potential-long-term-care-expenses\/"},"modified":"2024-11-01T16:19:21","modified_gmt":"2024-11-01T20:19:21","slug":"plan-ahead-for-potential-long-term-care-expenses","status":"publish","type":"post","link":"https:\/\/www.rbcwealthmanagement.com\/en-us\/insights\/plan-ahead-for-potential-long-term-care-expenses","title":{"rendered":"Plan ahead for potential long-term care expenses"},"content":{"rendered":"\n<p>With so many unknowns related to your health and potential care needs in the future, it can be easy to put planning for these \u201cwhat-ifs\u201d on the back burner. But it could be a costly mistake, as proactive choices you make now could help protect your finances in the future.<\/p>\n\n\n\n<p>Understanding the progression and funding of care as you age is a crucial component of planning.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-planning-for-care-at-home\">Prepare for the possibility of long-term care<\/h2>\n\n\n\n<p>While it may be disconcerting to consider a long-term care event like&nbsp;<a href=\"https:\/\/www.rbcwealthmanagement.com\/en-us\/campaign\/managing-the-financial-risk-of-dementia\">Alzheimer&#8217;s, dementia or other forms of cognitive decline<\/a>, it\u2019s increasingly a reality for many Americans. Failure to plan for future care needs can make matters exponentially worse, putting an unfair burden upon heirs and loved ones, as well as putting assets at risk.<\/p>\n\n\n\n<section class=\"wp-block-rbcwm-rbc-block rbc-block rbc-block-flush rbc-block-small rbc-pattern-statistics\"><div class=\"\"><div class=\"row \"><div class=\"col-lg-12\">\n<div class=\"wp-block-group rbc-pattern-statistics-contents has-white-color has-primary-background-color has-text-color has-background has-link-color wp-elements-a029dff1e2fa43710b591bcf907192b2 is-content-justification-center is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"row justify-content-start blockId-4a9491ba-13c1-431b-83e3-8bbf638d12c0\">\n<div class=\"wp-block-rbcwm-column col-lg-6 col-right-border col-md-bottom-border\">\n<h1 class=\"wp-block-heading has-text-align-left is-style-white left-static-amount\" id=\"h-16-2b\" style=\"font-style:normal;font-weight:600\"><strong>70%<\/strong><\/h1>\n\n\n\n<p class=\"has-text-align-center left-content d-inline-block\">Of people over age 65 will need some form of long-term care<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-rbcwm-column col-lg-6\">\n<h1 class=\"wp-block-heading has-text-align-center is-style-white right-static-amount\"><strong>$116,800<\/strong><\/h1>\n\n\n\n<p class=\"has-text-align-center right-content\">National annual median cost for a private room in a nursing home<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\"><\/div>\n<\/div>\n\n\n\n<p class=\"rbc-disclaimer\"><em>Source: Genworth Cost of Care Survey, 2023<\/em><\/p>\n<\/div><\/div><\/div><\/section>\n\n\n\n<p>To shine a spotlight on the importance of preparing for long-term care costs, RBC Wealth Management\u2013U.S. <a href=\"https:\/\/www.rbcwealthmanagement.com\/assets\/wp-content\/uploads\/documents\/campaign\/prepare-for-the-expected.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">commissioned a survey <\/a> of those caring for people affected by cognitive decline. The study found that not only is there a significant financial impact to the person affected by the disease, but on their caregivers as well.<\/p>\n\n\n\n<p>More than 80 percent of caregivers surveyed contribute financially through direct and\/or indirect costs to support their loved one\u2019s daily needs, totaling an average of $17,780 annually. And 54 percent have had to change their work arrangements to accommodate their caregiving duties, which often results in career disruptions and income loss. Women are disproportionately impacted, as two-thirds of the primary unpaid caregivers of those with cognitive decline are female.<\/p>\n\n\n\n<p>There are also impacts on the care receiver. For many, the thought of becoming a burden on family in their later years is unsettling.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Look at funding options<\/h2>\n\n\n\n<p>Figuring out how you\u2019d pay for any future long-term care is an important step to take now, before you need the funds. There are multiple ways to cover these potential expenses:<\/p>\n\n\n\n<p><strong>Self-funding:<\/strong> Individuals who do not have a plan to address long-term care costs default to self-funding, requiring them to liquidate assets to cover the costs. With this option it\u2019s important to understand both the potential costs and potential risks to your financial goals, as well as the impact on your family.<\/p>\n\n\n\n<p><strong>Traditional or hybrid insurance:<\/strong> Another option may be to purchase <a href=\"https:\/\/www.rbcwealthmanagement.com\/en-us\/insights\/insurance-coverage-four-life-stages-you-need-to-prepare-for\">insurance coverage<\/a>. These policies can help fund your care and protect assets, but costs vary, and this may be an expensive choice depending on your age and health.<\/p>\n\n\n\n<p><strong>Medicaid:<\/strong> The federal government offers Medicaid as a safety net for those with fewer assets and few other options, making Medicaid a last resort for most individuals.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Delegate decision-making<\/h2>\n\n\n\n<p>Another proactive step is to determine your <a href=\"https:\/\/www.rbcwealthmanagement.com\/en-us\/insights\/why-advance-directives-should-be-part-of-your-estate-plan\">advanced care wishes<\/a>, such as identifying who should make medical and financial decisions for you when you are no longer able to do so.<\/p>\n\n\n\n<p>This requires legally establishing a health care directive and a <a href=\"https:\/\/www.rbcwealthmanagement.com\/en-us\/insights\/why-a-power-of-attorney-should-be-part-of-your-retirement-plans\">power of attorney<\/a>. These documents provide direction on who will make these decisions, in addition to when and under what circumstances decisions will be made.<\/p>\n\n\n\n<p>Ensure these documents are reviewed on a regular basis and kept current. Keep in mind that you do not need to name the same individual to handle your personal medical decisions and your financial decisions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Recognize changing needs<\/h2>\n\n\n\n<p>While one\u2019s retirement journey often begins in their current home, where you spend your golden years is likely to change as you age, moving along a continuum of housing and care support.<\/p>\n\n\n\n<p>Today\u2019s seniors have a variety of options, from independent senior living, shared living and assisted living all the way to skilled nursing facilities.<\/p>\n\n\n\n<p>Identifying the right option at each stage requires recognizing how your needs are changing and balancing considerations like level of care, personal preference and costs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Aging in place<\/h2>\n\n\n\n<p>Even as independent and senior living facilities are booming, the majority of older Americans prefer to stay in their homes and \u201cage in place\u201d for as long as possible.<\/p>\n\n\n\n<p>While costs are certainly a consideration for many, others who choose to age in place may simply be taking advantage of flexible care and service options.<\/p>\n\n\n\n<p>In-home health care, dining and transportation services, along with innovations in technology and safety, have increased independence and offer options to keep seniors living active and healthy lives in their homes.<\/p>\n\n\n\n<p>Staying in a single-family dwelling can be a fit for seniors in good health who are still independent and seek a cost-effective solution. However, even a plan to stay in a home or townhome may require some accommodations, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Singe-level living<\/li>\n\n\n\n<li>Safety amenities like a walk-in bathtub, handrails or larger doorways<\/li>\n\n\n\n<li>Home maintenance services such as lawn\/snow service or meal service<\/li>\n\n\n\n<li>A shift in geography closer to family and friends or better health systems<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Hybrid options: Independent or assisted-living community<\/h2>\n\n\n\n<p>As you age you may find that you prefer help with day-to-day tasks like preparing meals, laundry or housekeeping. Eventually, you may even require personal services like help with bathing and dressing.<\/p>\n\n\n\n<p>Several planning alternatives have emerged, offering hybrid services that blur the lines between home care and nursing homes. These include a flexible array of offerings like skilled nursing visits, short-term nursing home stays for acute care, independent living and assisted living.<\/p>\n\n\n\n<p>Today\u2019s senior living communities offer options that can adapt as your needs change, as well as deliver social outlets and structure to keep you active and engaged.<\/p>\n\n\n\n<p>Costs are largely impacted by location, community size and assistance required, but typical assisted living expenses are $3,800 to $9,500 per month, according to Genworth\u2019s 2023 Cost of Care Survey, with dementia or Alzheimer\u2019s care offered at a significant premium above these rates.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Long-term care facility or nursing home<\/h2>\n\n\n\n<p>A nursing home offers the highest level of care\u2014and with it, the largest price tag.<\/p>\n\n\n\n<p>Stays at a nursing home can involve short-term issues like rehabilitation following a fall, or long-term treatment for chronic and complex conditions, memory care or end-of-life services.<\/p>\n\n\n\n<p>Care is delivered by licensed nurses available around the clock, with most facilities offering special memory care units for those with dementia and Alzheimer\u2019s. It varies by state, but costs for a private room typically range from around $6,500 to $16,500 per month, according to Genworth, and long-term stays are not covered by Medicare.<\/p>\n\n\n\n<div class=\"wp-block-rbcwm-well well is-style-b-blue-tint-4\">\n<h5 class=\"wp-block-heading\">Take action<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Understand your options and build a care plan before an event occurs<\/li>\n\n\n\n<li>Carefully consider the impacts of your decision beyond finances to include family dynamics level of care and quality of life<\/li>\n\n\n\n<li>Be proactive in addressing financial risks and your potential incapacitation<\/li>\n<\/ul>\n<\/div>\n\n\n\n<p><em>Read more from our RBC Wealth Insights reports&nbsp;<a href=\"\/health-care-in-retirement\">Taking control of health care in retirement<\/a> and&nbsp;<a href=\"\/campaign\/managing-the-financial-risk-of-dementia\">Preparing for the expected: The financial impact of cognitive decline.<\/a><\/em><\/p>\n\n\n\n<p><em>This article was updated in Oct. 2024.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The majority of Americans will need some level of housing and care support as they age. Make sure you understand your options and build a care plan before an event occurs.<\/p>\n","protected":false},"author":15,"featured_media":19819,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"rbcwm_post_date":"","editor_notices":[],"rbc_url_alias":"","rbcwm_featured_desktop_image_position":"","rbcwm_featured_mobile_image_position":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[68],"tags":[],"rbcwm_content_owner":[],"rbcwm_need":[462,463],"rbcwm_segment":[460],"rbcwm_solution":[465],"rbcwm_topic":[457,464],"rbcwm_channel":[],"rbcwm_format":[],"class_list":["post-3698","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-care","rbcwm_need-live","rbcwm_need-protect","rbcwm_segment-individuals-and-families","rbcwm_solution-wealth-planning","rbcwm_topic-education","rbcwm_topic-your-wealth"],"acf":{"rbcwm_subtitle":"The majority of Americans will need some level of housing and care support as they age. Make sure you understand your options and build a care plan before an event occurs.","rbcwm_post_author":"","rbcwm_custom_breadcrumb_text":"","rbcwm_custom_breadcrumb_link_url":"","rbcwm_disclaimers":{"add_disclosures":"","perspective_disclaimer":"","expandable":"","omit_from_pages":[],"disclaimer_footnote":"<strong>Investment and insurance products offered through RBC Wealth Management are not insured by the FDIC or any other federal government agency, are not deposits or other obligations of, or guaranteed by, a bank or any bank affiliate, and are subject to investment risks, including possible loss of the principal amount invested.<\/strong>\r\n\r\nRBC Wealth Management does not provide tax or legal advice. All decisions regarding the tax or legal implications of your investments should be made in connection with your independent tax or legal advisor.\u00a0No information, including but not limited to written materials, provided by RBC WM should be construed as legal, accounting or tax advice."},"rbcwm_insight_cta_id":[8484],"rbcwm_pagination":{"next_link":"","next_link_text":"","previous_link":"","previous_link_text":""},"rbcwm_video_duration":"","article_time":"","rbcwm_enable_toc":false,"rbcwm_toc_selector":"h2"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.8 (Yoast SEO v26.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Plan ahead for potential long-term care expenses<\/title>\n<meta name=\"description\" content=\"The majority of Americans will need some level of housing and care support as they age. 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