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Advanced2-4 weeks

Long Term Care Planning Guide

Free step-by-step long term care planning for pre-retirees. Plan long term care with calculators and checklists covering assess care risk and preferences.

pre-retireesadult children of aging parentsestate planners

Workflow

  1. Assess Care Risk and Preferences

    2-4 hours

    Review family health history, preferred care setting (home, assisted living, nursing), and geographic cost differences.

  2. Document and Communicate Plan

    1-2 weeks

    Create advance directives, healthcare POA, and written care preferences. Share plan with family and financial advisor.

Tools Used

Checklist

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Assessment

Planning

Decision

Legal

Communication

Maintenance

Reference Materials

Long-Term Care Funding OptionsTable

Comparison of strategies by net worth level.

Net WorthRecommended StrategyEst. CostAsset Protection
Under $500KMedicaid planningAttorney $3K-$8KAfter spend-down
$500K-$2MLTC insurance or hybrid$2K-$4K/yr premiumHigh
$2M-$5MSelf-fund dedicated bucket$300K-$500K reservedModerate
Over $5MSelf-fund from portfolioPortfolio drawLow concern
Advance Directives RequiredStandard

Every adult should have: healthcare power of attorney, living will/advance directive, and HIPAA authorization. Review and update every 5 years or after major health changes.

  • Plan Before Crisis

    LTC decisions made during a health crisis are the worst — discuss preferences while everyone is healthy and thinking clearly.

  • Buy LTC Insurance Early

    Premiums at 55 are half the cost at 65, and health issues can make you uninsurable — the sweet spot is 55-65.

  • Home Care Is Preferred

    Most people prefer aging at home — budget for home modifications (ramps, grab bars) and part-time aide costs.

Safety Notes

  • Verify caregiver and facility licensing through state health department before hiring or placement.
  • Protect against elder financial abuse — designate trusted POA and monitor accounts for unusual activity.