Agents and Brokers

Long-Term Care Insurance—why the need is booming

What is Long-Term Care (LTC)? It’s the assistance that is provided to people who are unable to perform the Activities of Daily Living (ADLs) that healthy, fully-functional people do independently and on a daily basis.

Who needs LTC? Research shows 40% of all Americans will need Nursing Home care after age 65.(1) The U.S. Government Accountibility Office estimates 13 million people currently receive Long-Term Care.(1)

How much does it cost? The average Nursing Home/Nursing Facility stay of 2.4 years costs more than $180,000 nationwide.(2) Home care is also expensive, with skilled workers receiving $19 per hour.(2) All these costs could climb dramatically in the coming years as baby boomers reach retirement age.

Who pays for it? In most cases, LTC is paid for by the person receiving care, or by their family. Medicare provides only limited Nursing Home care and only for a limited time, following a hospital stay. Health plans such as PPOs and HMOs generally cover only acute care, not the daily assistance that long-term care entails.

How does Long-Term Care Insurance (LTCI) help? LTCI allows the policyholder to choose a daily benefit amount, elimination period, and policy duration that fits their budget. Benefits begin when it is verified that substantial assistance is required with two out of six activities of daily living (ADLs), or when the insured is suffering from a severe cognitive impairment that requires substantial supervision. A licensed health care practitioner must certify to this. No prior hospitalization is required. The services received must be part of a written plan of care prepared by a licensed health care practitioner of the insured’s choosing. This removes what may be the biggest worry for people as they age—it gives them control over how they will live the final years of their lives and reduces the fear they will spend down their savings or become a burden on their families.

What are the future prospects for LTCI marketing? The need for LTC is expected to grow exponentially as the baby boom generation ages. And thanks to medical advances many Americans can expect to live to an advanced age, decades past retirement, giving them the potential to spend down their retirement savings and then face long-term care in their final years. The conclusion: LTCI is a timely product that continues to grow in importance and demand throughout the balance of your career.

To find out more about earning renewals up front with CarePlus,
call Jim Thomson, Vice President Sales, at (800) 597-7751 x500.

For Agent Use Only. Not for Public Distribution.


(1) America's Health Insurance Plans (AHIP). "Guide to Long-Term Care Insurance." Revised Edition, 2003, 2004.
(2) MetLife Mature Market Institute, "The MetLife Market Survey of Nursing Home & Home Care Costs", September 2006.

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“Upfront Renewals" are not available for sales in all states. Determination and payment of compensation amounts to agents as
"upfront renewals" for sales of long-term care insurance is the sole responsibility of CarePlus. Contact CarePlus for full details.