Nursing homes can cost from $20,000 to $30,000 a year or more. Most traditional insurance, including Medicare, won't pay the bills. Nor will Medicaid help, unless you liquidate the bulk of your assets first.

Long-term care coverage
Until recently, the only recourse for extended nursing home costs was using family funds, often to the point of

financial disaster. Now an alternative is developing-nursing home, or long term care, insurance to cover at least part of the costs. Policies vary and aren't yet available everywhere, but you would do well to explore the options now.
TYPICAL BENEFITS range from $30 to $100 a day for up to four years, with perhaps another two years’ home health care. (Today’s average nursing home fees nationwide run about $68.00 a day). Annual premiums cost from $200 to $2,500 or more, depending on age and coverage.

Shopping tips
Check out the company.

Find out through your state insurance commissioner what companies sell where you live, look up their ratings in Best's Insurance Reports at your library, then compare policy benefits.

- Buy sooner, not later. Most policies are available to people in their early 50s through early 80s. The earlier you sign up, the less your premium. Aetna, for example, charges a 55-year-old $210 a year for $50 daily coverage for four years, plus two years in-home care. Costs for an 80-year-old new-policy buyer: $1,625.
Younger people also are less likely to have developed non-qualifying diseases, such as Parkinsonism. (About one in 10 applicants for these policies are turned down.)

- Examine guarantees. Once you qualify, protection generally is guaranteed renewable for life. Look for a policy that can be canceled only for nonpayment of premiums, not for reasons of age, health, or number of claims. Note: Premiums may be raised for an entire class of people, as insurers learn more about the real costs of this relatively new product.

. Compare daily benefits. Nursing facilities charge from $30 to $130-plus a day. At least one company, AMEX Life Assurance Co., raises coverage by 5 percent a year for 10 years, but premiums are a bit higher going in. Tip: Aim for the highest affordable coverage when you buy, especially if you're younger.

. Weigh a facility's qualifications. Make sure that whatever homes you're considering would qualify under the policy. Generally, Medicare-approved establishments are fine, for example.

-Check length of coverage. The average nursing home stay is two and one-half years; shoot for coverage of at least three to four years.

. Compare deductible&. You could be responsible for paying anywhere from the first 20 to 100 days; the longer the period, the lower the premium, as a rule. There's usually a waiting period for preexisting health conditions, ranging from 30 days to two years. Some policies require three days' hospitalization before entering a home; others waive this requirement but charge higher premiums. .
Tip: Look for the largest deductible you feel you can handle out of pocket and use the difference in premium to purchase a longer benefit period.

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