Research: Consumers' Long Term Care Knowledge is Lacking

January 04, 2010 at 07:00 PM
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What older adults, and their grown children, don't know about long term care could spell disaster for today's seniors and the future of America's baby boomers.

A recent survey, conducted for Home Instead Senior Care, uncovered a considerable lack of senior-care knowledge among all age groups, particularly seniors themselves. Senior care was out of sight and out of mind for about half of older adults, ages 65 to 75, who could soon be needing help. In addition, 73 percent of those aged 35 to 64 have not started researching care for their parents — and they, too, have not given much thought to their own care.

Not only that, but most people's awareness of senior-care options is outdated, with many consumers gravitating toward nursing homes as their best option. Out of all available long term care options, the more recent senior-care innovations, such as independent living and in-home care, were the least known of among all age groups.

These findings provide insight into the valuable role that agents can play in educating their clients about the importance of planning for long term care, including the number of choices available in today's market.

The results of the online survey, which was conducted by the Boomer Project and surveyed 166 seniors and 444 adults, came as no surprise to Mike Nitchen, a long term care insurance (LTCI) specialist in Scottsdale, AZ who has been working in the LTCI market for 17 years.

"I've found that most adult children and seniors have not been exposed to today's care options available to them," Nitchen said. "For instance, many adult children and seniors are unaware of home care and home health agencies. They don't know that agencies will send a quality caregiver to their home on an hourly or weekly basis to assist with medical and non-medical services. Or that assisted living facilities offer the privacy of an apartment and 24-hour a day care, as well as activities that they can participate in daily."

Most people are not motivated to look into LTCI until they've seen a loved one go into a nursing home or a family member care for an elderly parent or grandparent at home, according to Nitchen.

Nitchen believes that all agents — not just those who sell LTCI coverage — have a responsibility to educate their clients about long term care. The tipping point, he said, will often come at an age when certain medical diagnoses are made.

"My mom was 64 when the doctor diagnosed her with Parkinson's disease, and, at that point, it was too late for long term care coverage," Nitchen said. "Or perhaps your parent is 69 when he or she suffers a stroke. When a person is diagnosed, it's typically too late and, at the point the care falls on the children, it can be physically, emotionally, and financially draining."

Nitchen said he often has Medicare clients call him with the news that their spouse has suffered a stroke but that they'd like to keep them at home; they're calling to ask him how much Medicare and/or their Medicare supplement policy will pay for such care. The unfortunate answer, said Nitchen, is that Medicare does not pay for long term care.

Regardless of what type of insurance you sell, which carriers you represent, and how long you've been in the business, the best way to begin to help your clients is by asking the question: Who do you have your long term care protection with?

"That then gives you an opportunity," Nitchen said. "If you are certified in long term care, set up an appointment – or, if not, refer your client to someone who is. You don't need to know how to sell long term care insurance; you just need to know someone who does sell it."

Nitchen said that the biggest objection he faces when trying to convey to his clients the importance of planning for the future is their belief that it will never happen to them. But Nitchen has his own family story to share when that objection arises.

"Mom worked her entire life and golfed two to three days a week," he said. "She was very active. Out of the clear blue, she was diagnosed with Parkinson's disease. Dad cared for her until he was physically and emotionally exhausted. Now, at age 71, dementia has set in, and Mom's in an assisted living facility. The quality of care is wonderful, but it runs $50,000 annually. And my parents don't have long term care coverage to pay for it."

Paul Hogan is co-founder and CEO of Home Instead Senior Care. Hogan is also the co-author, along with his wife, Lori, of the book "Stages of Senior Care: Your Step-by-Step Guide to Making the Best Decisions." He can be reached at 888-484-5759.

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