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Long Term Care Costs
The costs of long term care vary greatly depending on where you live and the type of care you receive. Many people think that home care usually costs less than nursing home care. However, skilled care at home can cost just as much, if not more than nursing home care. It depends on what type of care you need in your home, and for how many hours per day.
BALTIMORE_HEALTH_INSURANCE You can rely on others (spouse, children, etc) to provide the help needed. This option is only available to those with a support system in place and if the amount and type of care required is possible for them to provide.
BALTIMORE_HEALTH_INSURANCE You can self-insure and pay for your own long term care with your own assets and income.
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You can spend down all of your assets and then qualify for Medicaid. (Medi-Cal in California).

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You can transfer a predetermined amount of risk of long term care to an insurance company by purchasing long term care insurance.

What will the future cost of long term care be?
When planning for your future long term care expenses it is important to not only note what the cost of care is today, but what it could be in the future. The projected growth rate for long term care is 5.8% according to the “Health Spending Projections Through 2013”, Office of the Actuary, Centers for Medicare and Medicaid Services, Health Affairs- 2/11/2004.

This means that in 20 years the cost of long term care could triple. So if you are 60 years old today, you needed care at age 80, and you lived in an area where the annual cost of care is $61,685 now, the cost in 20 years could be as much as $185,055. Imagine what your future expenses could be if you lived in a higher cost area!

Ancillary Costs
Besides the normal daily rate that a nursing home will charge you, or the hourly rate that a home care agency will charge you - there are always going to be ancillary costs you should plan for. In a nursing home, additional expenses could be diapers, laundry, medications, and other incidentals. In your home, there are additional expenses like safety devices (i.e. grab bars near the bathroom and toilet, and maybe a ramp for the stairs).
Human Costs
If a family member decides to provide the care rather than paying a professional, there are many human costs besides financial costs to consider. Your family may or may not be aware of these, or be prepared for them. If your plans are to save the expense of paying someone to care for you and rely on a family member instead, you need to consider the costs that they may pay - financially, physically, and emotionally.
Financial Costs
If you rely on family members to take care of you, it is important to consider the financial costs they may incur. They may be more than willing to take care of you, but may be unaware there may be a financial cost to them. The financial cost to them could be very high. If they currently work, they may need to work fewer hours, or even give up their jobs altogether.
Physical Costs
Providing long term care is hard work. Family members may become exhausted from the long hours of care giving. If you had a stroke and could not bear your own weight it could be very difficult, if not impossible, for a family member to lift you in and out of bed. Especially if your caregiver were your spouse and you are both in your 80’s! If you have Alzheimer’s and require 24-hour care, it can be very exhausting for a family member to stay up all night and during the day. Your family caregiver couldn’t do that for too many days in a row!
Emotional Costs
The emotional toll caregivers experience is another cost your loved ones may pay in providing care to you. If you are relying on a family member to take care of you, it is important to understand the type of care you may be asking them to provide. You may be thinking that the extent of the care is helping you in and out of bed, assisting you with meal preparation, or driving you to the doctor. But, what if you need more care than that? Will it be possible for the friend or family member to handle more extensive care?
  To find nursing home costs in your area, click here
  To find assisted living costs in your area, click here
  To find home health care costs in your area, click here