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Contact Jim Emerman
American Society on Aging
jim@asaging.org
415-974-9628
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Americans Fail to Act on Long-Term Care Protection
May 23, 2003
SAN FRANCISCO— Most Americans over the age of 44
view long-term care as an important health care issue, yet
have done little or nothing to prepare for the high costs
of such a crisis in their lives, according to a Roper study
released today by the American Society on Aging (ASA). “We know that after age 65, Americans have more than a 70%
chance of needing some form of long-term carei. This is a
real wake-up call for all of us to redouble our efforts to
get good information on long-term care financing out into
the community,” said Jim Emerman, Senior Vice President of
the American Society on Aging. “It can be dangerous to
assume you’re covered and to leave your health care
decisions in someone else’s hands.” Roughly three quarters of those surveyed are familiar with
the major long-term care options, and 71% believe it is
very important to have some type of private or government
coverage for long-term care. However, only 17% say they
currently have specific long-term care insurance to cover
these costs. In addition, two-thirds of those surveyed said having
enough money to be able to choose a long-term care facility
for themselves or someone close to them is very important,
but while most (77%) who are still working say they have
put aside money for retirement, only 37% have saved
anything to cover the potential long-term care costs they
may have to face. Long-term care refers to services people need when they are
no longer able to care for themselves. People often need
long-term care after an injury, illness, stroke or
disease. There are a variety of settings in which long-
term care can be delivered. In-home care and nursing home
care are two common ways of providing long-term care. Confusion About Coverage Prevails One of the main reasons for this gap between awareness and
action, according to Emerman, is confusion about
coverage. “This study shows just how many people think
they’re already covered by some other program, when it’s
very likely they aren’t. By the time they realize they’re
not covered or that coverage is limited, it may be too late
to acquire adequate long-term care insurance coverage,” he
said. A majority (62%) of those surveyed have at least one
serious misconception about who provides long-term care
coverage or the conditions under which coverage is
offered. For example, more than four in ten are unaware
that Medicare provides limited coverage for skilled nursing
care, limited to 100 days in each benefit period, and only
following a hospital stay. Other misconceptions uncovered by the survey: - 46% of those who currently have health insurance
believe that this insurance would cover most of the costs
of long-term care. In reality, according to ASA, long-term
care is rarely covered by health insurance plans.
- 30% were unaware that, while Medicaid does provide long-
term care coverage, it is only available to those who have
depleted nearly all of their own financial resources.
“It’s important to realize the differences between benefits
from the government, your employer, and private long-term
care insurance,” said Sharon McAuley, Vice President of
Health at State Farm Insurance®,ii which funded the
study. “This is a complex issue that often requires
guidance from a professional.”. Many survey respondents are simply unwilling to face up to
the likelihood they will some day need long term care.
Fully half of those surveyed agree with the
statement, “long-term care is something I won’t need until
I am older, and I don’t want to think about it now.” According to McAuley, Americans need to both understand the
facts and confront the realities of long-term care. “Long-
term care insurance can help preserve choices and allow
individuals to feel confident about their plans for the
future. Americans need to protect themselves and their
financial assets by making sure they insulate themselves
from the high costs of long-term care. Considering the
potential costs and likelihood of needing long-term care,
family members should be talking to each other, consulting
a financial professional and planning for their future.” The study was conducted by RoperASW and has a margin of
error for the entire sample of +/-4%.
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