Cost & Coverage
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A long-term care rider pays out a portion of your life insurance policy’s death benefit while you’re still alive if you become too ill to take care of yourself and need to pay for assistance or care
To qualify for a long-term care rider, you must be unable to perform two of the six Activities of Daily Living, or ADL
Because a long-term care rider withdraws the payout from the death benefit, individuals with a high need for life insurance should consider a standalone long-term care insurance plan
When you’re buying life insurance, you may consider purchasing some additional coverage to set up a robust safety net for you and your family. This supplemental coverage, called a life insurance rider, offers some financial security in the event of an unexpected illness or injury. A long-term care rider is one of the additional components you can add to your policy to ensure that you’re financially protected.
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A life insurance rider is a supplemental component to life insurance policies that creates more robust coverage. A rider is only valid while your policy is in force and usually comes at an extra cost, though there are some riders that carriers may include in your policy for free, such as a term conversion rider.
Some common riders include:
A long-term care rider provides financial protection if you become too ill to take care of yourself and need to pay for care. The payout from a long-term care rider is taken from the death benefit and can be used towards a nursing home, private nurse, or other assisted medical care associated with getting older.
To qualify for the rider, you must be unable to independently perform two of the six activities of daily living (ADL) temporarily or permanently. The following activities are considered activities of daily living:
It’s important to note that if you need care, you won’t be able to solely rely on a long-term care rider. While the rider covers the cost of home health care and assisted living, it won’t pay for doctors’ visits, prescriptions, and surgeries, which are normally covered by health insurance or Medicaid.
There are two types of long-term care riders: indemnity plans and reimbursement plans.
Most life insurance carriers offer reimbursement long-term care riders, which means that they reimburse you for the costs of care. However, some may dish out a lump sum when the rider is activated, which is an indemnity long-term care rider.
A reimbursement plan is usually the most cost-effective option, whereas an indemnity plan tends to be costlier because it can potentially pay out a higher amount regardless of how much the medical expenses cost.
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There is no set cost for a long-term care rider. How much you’ll end up paying varies with each life insurance carrier. Unlike most riders that can be added on to your policy for a flat fee, long-term care riders are priced out as an individual product. Because of this, they tend to be the costliest riders to add on to a life insurance policy and can end up adding upwards of $600 to $800 a year to your premiums.
As you age, the probability of incurring a disability or illness that requires care increases. About half of the people turning 65 today will need long-term care, which can end up costing about $138,000 over the course of your lifetime. To accommodate these costs, some sort of financial plan is vital. Whether or not that means purchasing a long-term care rider depends on your life insurance needs.
If you need a permanent life insurance policy, perhaps because you have a child with special needs or outstanding debts that won’t be paid off anytime soon, then you’re better off purchasing a standalone long-term care policy so as to not diminish your life insurance policy’s death benefit.
If you only need a standard term life policy, then a long-term care rider might be a good addition to your life insurance policy to create comprehensive coverage and ensure you’re prepared for an illness you might get as you age. Though still costly when compared to other life insurance riders, it is cheaper than purchasing a standalone long-term care insurance policy.
For some, the long-term care rider’s high cost might not be the most effective to plan for the future. A Policygenius advisor can help you determine if a long-term care rider is worthwhile based on your individual circumstance.
If you want comprehensive long-term care coverage but don’t want to detract from the face value of your life insurance policy, you can purchase a standalone long-term care insurance policy. Similarly to a long-term care rider, a standalone policy covers the costs of care for people who need support, such as people with Alzheimer’s or who are living in nursing homes or care facilities.
Unfortunately, purchasing a long-term care policy on its own tends to be expensive, and as you age, it can become unaffordable. To get affordable rates, it’s best to purchase a long-term insurance plan as early as possible, as you would want to do with life insurance.
Depending on what riders your life insurance carrier offers, you can add a chronic illness accelerated death benefit rider to your policy in lieu of a long-term care rider. Similarly to the long-term care rider, a chronic illness rider pays out when the insured cannot perform two of the six activities of daily living. While a long-term care rider can pay out if an individual has a temporary disability, the chronic illness rider only pays out if a medical professional certifies that the disability is permanent.
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