The care most people need isn't what Medicare pays for. That gap lands on savings.
When people picture long-term care, they often picture a hospital. Most long-term care is something else: help at home, in assisted living or in a nursing home with the basics of daily life, sometimes for years. That kind of help is called custodial care, and Medicare generally doesn't pay for it.
It is also more common than most people expect. The U.S. Department of Health and Human Services estimates that someone turning 65 today has almost a 70% chance of needing some type of long-term care services. Some will need a little help for a short time. Others will need a lot, for a long time. Nobody knows in advance which group they will be in.
Without a plan, the bill usually comes out of savings, retirement accounts or the house. It often lands on a spouse or adult children too, in time and stress as well as money. Planning ahead is about deciding now how that would be paid for, while you still have the most choices.
For a lot of families, the hang-up with traditional long-term care insurance is simple. You pay premiums for years, those premiums can rise, and if you never need care, the money is gone. Asset-based long-term care was built for people who want the protection without that gamble. It is a coverage we feature at eGoodwin Insurance, and one we spend a lot of time explaining carefully.