Long-term care insurance may be an important (even necessary) part of your financial plan. But you may be reluctant to buy a policy whose premiums can rise. Plus, if you never require long-term care, the money that you had spent on premiums simply vanishes.
Still, you may want the financial security that long-term care insurance provides. There is another way to get long-term care coverage – by combining it with a life insurance or deferred annuity policy. These combination policies could make long-term care insurance more financially attractive by providing the coverage you need as a living benefit.
Here's a brief summary about how they work. Long-term care insurance is added as a rider or as an additional living benefit to a life insurance policy or deferred annuity contract. Premiums for many of the life/long-term care insurance combo policies are usually paid up front. While this can be a significant outlay of funds at the start of the policy, the one-time premium payment for both life and long-term care insurance does provide protection from rising long-term care insurance premiums down the road. In contrast to the life/long-term care policy, the long-term care coverage on a deferred annuity will typically be based upon a percentage of the annuity assets (based, among other things, upon the insured's age and health).
One of the combinations of life and long-term care insurance provides current life insurance benefits to the policyholder if long-term care is required. The money to pay for long-term care expenses comes from reducing the policy's death benefit. So if you have a $500,000 death benefit and incur $70,000 in long-term care expenses, (the nationwide average cost of a year of nursing home care ) the death benefit will decrease to $430,000.
As previously mentioned, another way that long-term care coverage can be combined with life insurance or a deferred annuity is to include long-term care insurance as a rider to the base policy. For example, a $100,000 life policy with a long-term care insurance rider may pay lifetime benefits up to $200,000. These policies typically require annual premiums for the long-term care coverage, in addition to the initial premium payment. Many long-term care riders are guaranteed renewable. Assuming the insurer is financially sound, the annual premium on many policies remains constant throughout the life of the policy (subject to the insurer's claims-paying ability).
The insurance company will look at your family health history and any pre-existing conditions that you may have. In the case of a life/long-term care plan, the potential death benefit and long-term care expenses will be considered. Therefore, an annuity-based combination might be more appropriate if your health makes it difficult to buy life insurance. The money in the annuity can then be used for long-term care expenses, or passed to a beneficiary.