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HEALTH INSURANCE

Long-Term Care Planning Can’t Wait for a Crisis

4 min read

By Katherine Pauley

Long-term care (LTC) has spent too many years sitting at the edge of the financial plan, waiting for consumers to ask about it. Most never do.

People generally assume their financial professional will raise a risk if it deserves attention. Financial professionals might hesitate because the subject feels personal, expensive, or difficult to solve. The silence on the subject can continue until a diagnosis or family crisis makes coverage harder to obtain.

Before specializing in LTC, I spent more than 16 years as a registered nurse in end-of-life home care. That experience showed me how quickly care needs can affect far more than someone’s health. Retirement income, a spouse’s security, family relationships, and legacy plans can all come under pressure at the same time.

LTC belongs in the plan before it becomes a crisis

The federal Administration for Community Living estimates that someone turning 65 today has a nearly 70% chance of needing some form of long-term services and supports. About 20% will need care for more than 5 years.

The price of that care can reshape even a well-funded retirement. CareScout’s 2025 Cost of Care Survey places the national median cost of assisted living at $74,400 a year. A semi-private nursing home room reached $114,975, while a private room reached $129,575.

Health coverage doesn’t remove the exposure. Medicare.gov explains that Medicare and most health insurance don’t cover ongoing custodial care. Without a plan, families could be forced to redirect income, liquidate assets, or rely heavily on unpaid caregivers.

Treating LTC as an optional product discussion misses the larger issue. Consumers need to decide who would provide care, where they would receive it, and which assets would pay for it. Coverage is one possible funding tool, but the conversation needs to come first. In my experience, families are in a much stronger position when they make those decisions before care is needed.

Hybrid life and LTC products answer familiar objections

The hybrid life/LTC market continues gaining attention as financial professionals look for more flexible ways to address care expenses. LIMRA research released in 2026 examined the expanding role of individual life combination products across product strategy and distribution.

In my conversations with financial professionals and consumers, I hear 2 concerns repeatedly. People worry they could pay premiums for years without using the benefits, and they fear future premiums could become difficult to maintain.

Hybrid life and LTC insurance can address both objections. Depending on the contract, a hybrid policy may provide LTC benefits if qualifying care is needed and a death benefit if it isn’t. Some designs also offer greater premium predictability than consumers typically associate with older standalone coverage.

Consumers no longer have to view the decision exclusively as paying for protection they may never use or retaining the entire financial risk themselves. Hybrid products give them another way to position existing assets around care, legacy, or both.

They don’t make LTC inexpensive, and they won’t fit every household. Benefits, premiums, guarantees, underwriting requirements, and access to cash vary by contract. So standalone LTC insurance or self-funding may still make sense in some situations.

Broader choice allows financial professionals to find a solution that reflects the consumer’s finances, health, family responsibilities, and planning priorities.

Lead with the care plan instead of the product

I encourage financial professionals to begin with the care plan instead of a product illustration. Consumers first need space to think about what care could mean for their independence, finances, and families. Starting with a product can make the discussion feel like a sales exercise before they’ve considered the underlying risk.

A routine retirement or insurance review can open the conversation with questions like:

  • Who would you expect to help if you needed care for several years?
  • Where would you prefer to receive that care?
  • Which income or assets would you use first to pay for it?
  • How would those expenses affect your spouse, children, or legacy goals?
  • Would you rather retain the full risk or transfer part of it through insurance?

The answers show whether the retirement plan reflects the consumer’s expectations, whether family members are quietly part of the funding strategy, and whether current assets have been assigned too many jobs.

Proactive LTC planning can strengthen referrals

LTC planning naturally reaches beyond one person. Spouses may have different caregiving expectations. Adult children might assume they’ll step in without understanding the time, distance, or financial commitment involved.

Including family members can prevent painful surprises and introduce the financial professional to the next generation through meaningful work rather than a sales request. Referrals often grow from moments when people feel genuinely protected. Helping a family define a care plan shows foresight, empathy, and practical leadership around a concern they may struggle to discuss on their own.

Waiting for consumers to raise LTC leaves too much to chance. I believe financial professionals owe every consumer a conversation about the risk while they still have time, health, and choices on their side.

Hybrid life and LTC products have created more ways to fund that risk. Starting the conversation early can help families protect their retirement income, caregiving choices, relationships, and legacy.

Katherine

Katherine Pauley is Long-Term Care Regional Specialist at AmeriLife.

kpauley@amerilife.com

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