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Mainstreet Financial Education · Long-Term Care

No long-term care plan at 70? Here is what you can still do.

By 70, traditional coverage is usually gone, but planning is not. These are the conservative moves still open after the insurance window closes.

Moves still open after the insurance window

Traditional long-term care coverage is usually off the table by 70, but a real plan is not. These five moves stay available.

1

Earmark assets to self-fund

Set aside a dedicated pool for care. A common estimate puts the average near $135,000 per person, but a multi-year claim can run far higher, so plan around the larger number.

2

Treat home equity as the backstop

A line of credit, or selling and moving, is how many households pay. A reverse mortgage can work for care at home but comes due once you leave for a facility.

3

Check VA Aid and Attendance

Wartime service can add a monthly benefit toward care costs. It remains one of the most underused benefits available, so it is worth confirming eligibility.

4

Know the government floor

Medicare covers only up to 100 days of skilled nursing after a qualifying hospital stay, not long-term custodial care. Medicaid has spousal protections that let the at-home spouse keep a portion of assets plus the home.

5

Consider short-term care insurance

If little else fits, short-term care policies still accept older applicants with simpler underwriting. They cover a limited period, often about a year, and are not available in every state.

The first move

Decide the order before a crisis does. Decide which assets pay for care, and in what order, before a crisis forces the choice. Then tell your family, since they are the ones who will act on it.

Teaching, never a sales pitch

The plan matters more than the product.

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