section 9 retirement life cycle - the wpi · will have enough money to live comfortably in...
TRANSCRIPT
OnPointe’s Financial Literacy Course
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Section 9
Retirement Life Cycle
INTRODUCTION
In order to be in a position to prepare for retirement, you have to have a
baseline knowledge on many different items. Most of this course is designed to
teach readers about these items (life insurance, annuities, investment risk, how to
identify and avoid bad advisors, etc.).
While I could create more secular modules to teach more topics, there
comes a point in a course like this where you have to draw the line and say that
the topics covered are the vast majority of what you need to know in order to start
putting together a real financial/retirement plan in place.
This module will briefly go through the life cycle of different ages of
people and will point out what needs to be thought of or dealt with when putting a
financial/retirement plan together.
In this module, I will deal with health issues, Medicare, and Medicaid.
Health care alone could be its own stand-alone educational module, and I may
create one at some point in time; but for now, I’ll do my best to cover the basics
of what you need to know and how that may factor into designing a
financial/retirement plan.
I will also cover reverse mortgages which are constantly being pitched in
the senior community.
After reading this module and after going through other parts of the course
first, it is my hope that you will be ready to sit down and be able to design a
financial/retirement plan for the short term as well as the long.
AMAZING STATISTICS
In the first part of this module, I’m going to go over several different
statistics from the Employee Benefit Research Institute (EBRI). They do a
Retirement Confidence Survey every year that illustrates how ready most
employees think they are for retirement.
The statistics illustrate how ill prepared most people are for retirement.
The goal of putting them into this educational module is to try to wake up many
readers to the realization that they are NOT anywhere near ready to retire and that
they need to take steps NOW to start getting ready (this goes for readers of all
ages).
Many of the statistics contradict each other. On one hand, many
employees in the survey are confident that they will be able to retire as they want;
but when asked specifically about the money they’ve saved, will need to save, and
expect to spend in retirement, it’s clear most are not and will not be ready.
I’m going to list several Q&As from the survey, will throw in some charts,
and then I’ll give my thoughts along the way and a summary at the end. As you
go through the questions, think about how you would answer them and then about
how prepared you are or will be for retirement.
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1) Overall, how confident are you that you (and your spouse) will have
enough money to live comfortably throughout your retirement years?
Confident = 67%
Very Confident = 23%
2) How confident are you (and your spouse) about the following aspects
related to retirement?
You will have enough money to take care of your basic expenses during
your retirement? Very confident 27% = Somewhat Confident 45%
You will have enough money to take care of your medical expenses during
your retirement? Very confident 20% = Somewhat Confident 40%
You will have enough money to pay for long-term care, such as nursing
home or home care, should you need it during your retirement? Very confident
15% = Somewhat Confident 37%
Right out of the gate, the first two questions are contradictory. 67% (Sixty-
seven percent) say they are confident they can “live comfortably” in retirement;
but when asked about specifics about taking care of basic, medical, and long-term
care expenses, less than 50% say they are even somewhat confident in being able
to cover these expenses.
What does that mean? It means that most who took this survey are NOT
preparing properly for their retirement.
3) Preparing for retirement makes you feel stressed? 59% agreed
Why? Because people know they are not nor have no idea if they are
prepared. This is exactly why I wanted to create this course. Once armed with the
knowledge, your level of stress will go down dramatically.
4) Have you (or your spouse) tried to figure out how much money you will
need to have saved by the time you retire so that you can live comfortably in
retirement? 58% said NO!
This is a huge problem. If you don’t try to figure this out, what are the
chances you’ll be prepared? Not good!
5) How much did you (or your spouse) calculate you would need to
accumulate in total so that you can live comfortably in retirement?
Less than $100k 8%
$100k-$250k 13%
$250k-500k 16%
$500k-750k 15%
$750k-$1 million 14%
$1-$1.5 million 17%
$1.5 million to $2 million 8%
More than $2 million 9%
One in 3 surveyed said they would need to save $1 million or more before
they retire. The problem is that the average savings for Americans is nowhere
near these values.
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For people ages 55-64, the following are the average and median
retirement account values:
Average: $374,000
Median: $120,000
The average can be skewed up by those who have millions saved. The
median is a better indicator of what most people have.
So, the employee survey said that 79% thought they would need more than
$250,000 to retire comfortably and 63% of those surveyed said they would need
$500,000 or more to be able to retire and live comfortably. The reality is that most
people do NOT amass this much prior to retirement.
6) To prepare for retirement, have/did you (or your spouse) calculate how
much money you (and your spouse) would likely need to cover health expenses in
retirement?
57% of employees said NO (14% said don’t know which is awful).
Health costs are a HUGE issue. It is estimated that a retiring couple can
expect to spend $285,000 in health care and medical expenses throughout
retirement ($150,000 for a single male and $135,000 for a single female). The
cost will increase over time as the cost of health care goes up quicker than the rate
of inflation (so those who are not retiring now will have larger expenses).
Think again about the Q&As from earlier.
67% of those surveyed said they were very or somewhat confident they
will have enough money to live comfortably in retirement.
37% say they will need between $250,000-$500,000 to retire comfortably.
57% said they have not tried to calculate the amount of money they will
need to pay their health care expenses in retirement.
The average retirement savings for those ages 55-65 is less than $375,000
($120,000 is the median).
And the average health care costs in today’s dollars for a couple retiring is
$285,000.
Do you think most people are prepared for retirement? Are you prepared
or are you preparing well enough?
Let’s get back to the questions starting with another head-in-the-sand
answer.
7) Overall, how confident are you that you (and your spouse) will have
enough money to live comfortably throughout your retirement years?
82% said somewhat or very confident.
This answer as well as a few to follow fly in the face of the other answers
which say they have no business being confident.
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8) How confident are you (and your spouse) about the following aspects
related to retirement?
-You will be able to afford the lifestyle you are accustomed to living
throughout retirement. 77% said somewhat or very confident.
-You will have enough money to last your entire life. 76% said somewhat
or very confident.
-You will have enough money to take care of your medical expenses
during your retirement. 80% said somewhat or very confident.
-You will have enough money to pay for long-term care, such as nursing
home or home care, should you need it during your retirement. 59% said
somewhat or very confident.
10) How much do you think you will need in total for health care costs in
retirement?
44% said $100,000 or more and 24% said they had no idea.
This question is actually from the 2015 version of the study (for some odd
reason they stopped asking this question).
11) To what extent do you agree or disagree with the following statement?
You are NOT able to save for retirement and save for other financial goals
at the same time. 55% agreed
Are you seeing a trend? Answers to general questions get pie-in-the-sky
confident answers. Specific questions do not.
12) Thinking about your financial priorities in retirement, which of these
is more important to you?
Income stability: Ensuring a set amount of income for life. 74% said yes.
Maintaining wealth: Preserving principal amount/balances. 26% said yes.
13) Please consider the following two approaches to managing assets and
generating income in retirement. Which approach are you most likely to take?
Option 1: Manage your savings/investments on your own. 34%.
Option 2: Purchase a product that provides a guaranteed income for life. 20%.
Some combination of both. 30%.
14) Before or after retirement, how interested would you be in a financial
product that would guarantee you monthly income for life?
Very or somewhat interested. 73%
The previous three questions are really interesting because, as you learned
in the bad advisors education module, many advisors don’t, won’t, or are
forbidden from selling my favorite type of annuity that comes with a guaranteed
income for life option.
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15) Do you think you will do any work for pay after you retire? Have you
worked for pay since you retired?
Current workers. 80% said yes.
Current retirees. 28% said yes
This is also a very interesting question. Workers think they will work in
retirement when, in reality, most do not. That has a major impact on a
financial/retirement plan (budgeting to work in retirement and earn extra income
when the reality is that doesn’t happen most of the time).
16) Asking retired employees…when did you retire?
Earlier than planned. 43%
Later than planned. 9%
About when planned 49%
Another very interesting question. 43% (forty-three percent0retired earlier
than expected. That will have a major impact on a retirement plan (retiring early
means most will not have saved enough to live the lifestyle they want).
17) 3 in 10 workers say they provide medical care for another family
member.
Question: has caregiving had any of the following impacts on your
financial life?
26% said it prevented them from saving or investing for retirement.
23% said it led to an increase in their own personal debt.
22% said it caused them to stop contributing to their retirement plan at
work.
This is an interesting question because it brings up a topic almost no one
thinks about or plans for and the significant effect it can have on someone trying
to save for retirement.
Conclusion from the EBRI employee retirement survey? Most surveyed
think they are going to have enough money to retire on when in reality most will
not. Why is that? Lack of education and poor planning (as well as waiting too
long to plan).
THREE PHASES OF YOUR FINANCIAL LIFE CYCLE
Many people work better when they can set goals and accomplish during
certain time frames. Retirement planning is no different. Retirement planning can
be broken down into three sections (cycles).
1) Accumulation phase
This makes up most of your working life. This is where the majority of
errors or omissions come into play when trying to build wealth for retirement.
The list of items that can go wrong are plentiful.
-I didn’t start saving early enough (voluntary choice).
-I took on too much bad debt that prevented me from saving.
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-I didn’t know what I was doing so I did nothing.
-I didn’t know what I was doing and didn’t save enough (bad budgeting).
-I invested poorly and my nest egg didn’t grow enough (see the DALBAR
Study).
-I got divorced and had to start over.
-I had a health issue that cost a lot of money (medical costs and lost
wages).
What are the keys to accomplishing your goals in the accumulation phase?
-Create a budget and review it a few times a year. A budget helps with
setting, assessing, and meeting goals. It also helps create some personal financial
discipline.
-Don’t take on bad debt. Bad debt can significantly hinder your ability to
save and grow wealth for retirement.
-Know your investment risk tolerance and risk capacity and invest
accordingly.
-Work with a “good” financial planner who has a proven plan to help you
reach your investment goals with the least amount of risk. Part of the plan should
be to be diversified in the assets you use to grow wealth which should include the
market investments but also potentially fixed indexed annuities and/or cash value
life.
-Stick with your financial plan. Do not panic sell.
2) Preservation phase
This is the phase just before retirement. It’s not a short period of time but
poor planning in this phase can wipe out 10+ years of good planning in a matter
of months.
If you were doing things correctly in the accumulation phase, you would
be doing an annual review of your situation and reassessing your investment risk
tolerance and capacity. If you do this, the common errors that befall people in the
preservation phase can be kept to a minimum.
The biggest error in the preservation phase is, well…., not positioning
your assets to be preserved. By that I mean the investment mix of assets in the
accumulation phase can be riskier or even much riskier the younger you are.
But risk is not a luxury you can afford when in the preservation phase.
Think of 2008 when the stock market was down over 38% (and over 50% from
the high so 2007 to the lows of 2009).
If you are managing your assets and have a buy-and-hold mentality or if
you are working with a financial planner who has the same attitude, you will most
likely be taking too much or far too much risk with your investments.
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If you don’t take steps to mitigate risk in the preservation phase, the
consequences can be devastating when it comes to your ability to retire when you
want and in the lifestyle you want.
3) Distribution phase
Hopefully, the distribution phase will be a long and happy phase of your
life. It should be if you took the appropriate steps in the accumulation and
distribution phase.
Like the preservation phase, it is vitally important that you do not take too
much risk with your assets. Doing so for anyone but the affluent can, again, have
devastating consequences on your retirement lifestyle.
If you are retiring soon or are in retirement, you have some good options
to help you generate retirement income without risk. Even in a low interest rate
environment, there are annuities that can generate a guaranteed income for life
that can never be outlived.
Some financial planners will want to use dividend paying stock to create
retirement income. This is more risky but can potentially yield greater income
(albeit not guaranteed). Just like other parts of your financial life cycle, it’s vitally
important to match up your appetite for and financial ability to take such risk.
The Rolling Stones were right…
“you can’t always get what you want”
That’s my favorite Stones song that I used to love to play for my kids as
they were growing up. The reality is that most people can’t have everything they
want.
What do most people want in retirement?
1) They want to not worry about ever running out of money.
2) They want to live the lifestyle they dreamed of before retirement.
What does 2) entail? Things like…
-Not having to sell the house you’ve lived in for years
-Being able to travel the country or even the world.
-Having good health.
-Seeing children or grandchildren whenever you want.
-Help children or grandchildren go to college.
And the list goes on and on.
If you are looking at that list and thinking that’s what you would like, it’s
not that it’s impossible to have all these wonderful items (although health issues
are sometimes unavoidable). It’s that most people DO NOT plan well enough in
any of the three phases of their financial life cycle to accomplish these goals.
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Again, that’s one reason I decided to create this financial literacy course.
The more educated you are, the higher the likelihood of reaching your retirement
planning goals.
The rest of this module will focus on sort of a potpourri of a few items I
didn’t address or fully address in other modules and ones that, for now, I decided
not to create full blow modules to explain.
The items to follow are for people mainly 62 or 65 and older.
The first two items deal with the biggest expense many people will have
in retirement, i.e., health care costs (especially drug costs)
MEDICARE
Let me preface this part of the course material a bit. If you are 25, 35, 45,
55, up to 64 years old, you most likely don’t need to know the following material
(unless you want to know it so you can help a loved one).
If you are 65 or older or are about to turn 65, this information is very
important and will be something you’ll deal with for years to come.
Much of the following material came from the website Boomer
Benefits™. It was well done and for an educational course like this, there didn’t
seem to be a need to reinvent the wheel on such a structured topic.
#1 –UNDERSTANDING THE BASICS
Who can get Medicare? Anyone who is 65 in America and even
permanent residents who have lived here at least 5 years. People who have
qualified for 24 months of Social Security disability also become eligible. For
people aging into Medicare at 65, it doesn’t matter if you are taking Social
Security benefits yet.
People get confused when jumping right into figuring out Medigap plans
and Medicare Advantage plans before they even understand how their Original
Medicare benefits work.
Your Original Medicare consists of Part A and Part B. These are provided
to you by the federal government… in fact, you will enroll in these two parts (and
only these two parts) through the Social Security office. Anything in your
mailbox that comes from the Social Security office or the Centers for Medicare &
Medicaid Services is mail you want to keep.
The Parts of Medicare
Medicare itself has PARTS (not plans).
Part A is your Hospital Coverage. This coverage pays for your room and
board in the hospital or in a skilled nursing facility.
Part B is your Outpatient Coverage. This includes pretty much everything
else: doctor visits, equipment, lab-work, surgeries, durable medical equipment,
diagnostic tests, etc.
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Part D is your drug coverage. This is a pharmacy card which will allow
you to purchase your prescriptions at a much lower price than retail. It is
insurance you buy for present AND future medication needs. It’s pretty important
to have unless you can afford to pay for all your medications out of pocket.
You are eligible for these three parts of Medicare on the first day of the
month in which you turn 65 (or earlier if you have qualified for Medicare due to
disability).
There is also Part C optional coverage that will be discussed towards the end of
this section.
#2 –UNDERSTANDING MEDICARE COSTS FOR THESE PARTS
Once you become eligible for the three parts of Medicare at age 65, you’ll
need to know what you can expect to pay for each of these parts. This is
especially important if you are deciding whether to stay working past age 65 for
an employer who offers health benefits or whether you will retire and go onto
Medicare as your primary insurance.
Medicare Part A is FREE for most people as long as you or a spouse has
worked at least 10 years in the United States.
Costs for Part B
Medicare Part B depends on your income. People new to Medicare in
2020 will have to pay as a base rate of $144.60/month (if you make less than
$87,000 a year if single and $174,000 if married). However, people in higher
income brackets will pay an “Income Adjustment” (they pay more).
The Medicare Part B deductible for 2020 is $198.
Understanding Medicare Costs: Your Part B premium is based on your
income from two years prior.
Social Security bases your income adjustment on your income as reported
on your tax returns. They are usually looking at your income tax return from two
years prior to now.
If your income has decreased since then, you can file a reconsideration
request. You’ll present proof of your lower income and ask Social Security to
lower your Part B premium. They will reconsider your premium and notify you if
it can be lowered.
Once Social Security has determined what you’ll pay based on your
income, they will deduct your Part B premiums from your monthly income SS
benefits. If you have delayed enrollment into your Social Security income
benefits, then they will invoice you for Part B on a quarterly basis.
Later on, when you file to start your income benefits, they’ll switch over
to the monthly deduction from your SS check.
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Is Part B Necessary?
Medicare Part B is an absolute must if Medicare will be your primary
insurance at age 65. In fact, you can’t buy any supplemental insurance unless you
first have both A & B.
However, if you actively work for a large employer (20+ employees), that
will continue to be your primary insurance. Medicare will be secondary, so you
can consider delaying Part B since your group insurance probably includes
outpatient benefits already.
Costs for Part D (drug coverage)
Understanding Medicare Part D costs is a bit tricky because plans have
varying premiums. Beneficiaries also might pay more due to their income just as
mentioned above in the Part B costs section.
Most states have more than 20 different Part D plans to choose from. The
national average Part D premium is currently around $35/month.
Part D plans have different drug formularies, so you’ll choose one that
offers your medications at decent prices.
Like Part B, if you earn more, you pay more for this coverage. If you
make less than $87,000 a year if single and $174,000 if married, you pay the base
rate. From $87,000 to $109,000 if single or $174,000-$218,000, you pay an
additional $12.20 a month (and it keeps increasing from there depending on your
income).
Part D premiums get paid directly to the insurance carrier. However, you
can request that Social Security deducts that monthly premium from your SS
income check. If you owe an income adjustment for having a high income, this
surcharge will be added to the monthly premium of your chosen Part D drug plan.
#3–UNDERSTANDING MEDICARE PARTS–WHAT’S COVERED AND
WHAT’S NOT
Medicare covers most of your health care costs, but you are still
responsible for your share. This includes things like deductibles and copays. In
essence, Medicare coverage is sim ilar to coverage you’ve had in the past. You
pay a monthly premium, and you cost share in the form of deductibles and
copays.
You need to know what is covered and what’s not so you can choose to
buy supplemental insurance to cover or not.
What Medicare Pays For:
Part A pays for your first 60 days in the hospital. Your share of that cost is
a hospital deductible, which will be $1,408 in 2020. After 60 days consecutive
days in the hospital, you begin paying a larger share in the form of a daily hospital
copay. This can be hundreds of dollars per day, so you need supplemental
coverage to protect you from those expenses on Part A services.
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Part B pays for your outpatient care. This includes things like doctor visits,
lab work, imaging tests, surgeries, durable medical equipment, and even things
like chemotherapy, radiation, and dialysis. After a small deductible that you pay
once per year ($198 in 2020), Part B will cover 80% of all of these services for
you.
Your share is the other 20% of all of these services, with no cap. That can
be quite a bit of money for some of the bigger ticket items like surgeries or cancer
treatments. You can choose to buy supplemental coverage to protect you from
high Part B expenses.
Part D helps to pay for retail prescription medications (medications you
yourself pick up at a local pharmacy or via the plan’s mail order).
You do NOT need any supplemental insurance for Part D. It has built-in
copays for medications so you don’t have to pay 100% for necessary medications.
#4—UNDERSTANDING YOUR SUPPLEMENTAL COVERAGE
OPTIONS
One of the great things about the Medicare insurance options is that there
are plans available for any budget on the spectrum.
Some people will not need supplemental coverage yet because they have
other coverage. Some will still have employer coverage and others may have
Veteran’s coverage.
Medigap Plans (also called Medicare supplements)
Medigap plans pay AFTER Medicare. They pay for the things that are
normally your share. For example, all Medigap plans cover the 20% mentioned
earlier. So, Medicare will pay 80%, and your Medigap plan will then pay the
other 20% of your Part B outpatient expenses. Some Medigap plans also cover
your Part A and B deductibles. You can choose your own Part D drug plan to go
alongside this coverage.
Medigap plans also allow you freedom of choice in your medical care.
You can see any physician or healthcare provider that participates in Medicare
(nearly 900,000 providers across the nation). These plans cost more than
Advantage plans because they are more comprehensive. They also give you more
freedom in choosing your providers.
Medicare Advantage Plans (also called Part C)
Understanding Medicare Advantage plans can be a bit confusing because
the Medicare Advantage program is also called Part C of Medicare.
Medicare Advantage plans pay INSTEAD OF Medicare. These plans are
optional. They were created to give a low-cost alternative to Medigap.
Advantage plans are private insurance plans with their own local network
of providers, generally an HMO or PPO style plan. When you join an Advantage
plan, you’ll see these providers in order to get the lowest copays.
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You will pay copays for doctor visits, hospital stays, and any other
Medicare-approved services. Medicare Advantage plans generally have lower
premiums than Medigap plans. That’s because you agree to share in the costs by
paying copays for services as you obtain them. (Whereas with a Medigap plan,
you often will have NO copay, depending on the plan you choose.)
Most Medicare Advantage plans also include a rolled-in Part D drug
benefit. This can be a benefit or a hindrance, depending on whether that rolled-in
benefit includes the specific medications you need. Each type of plan has its
advantages and disadvantages. You’ll want to be thinking about what things are
most important to you.
What’s the takeaway from this section of the course material?
It’s vitally important to enroll in Medicare when you turn 65; and because
your medical expenses in retirement can be your biggest expense, making sure
you have the right Medigap or Advantage plan in place is key.
Again, if you are not age 65 or turning 65, you don’t need to know this
material, but it’s still good to know should you want to provide help to a family
member or friend who is 65 or older.
Finally, this material was just an overview. It’s best to talk with an advisor
who specializes in Medigap and Advantage plans when trying to decide which is
best for your particular situation.
MEDICAID PLANNING
What is one of the greatest fears of many older adults?─that they will end
up in a nursing home someday. Why is this a fear? Because, when someone thinks
of nursing homes, they think about having to spend all their money on expensive
care that they typically perceive as providing marginal care.
I covered long-term care planning in the estate planning part of this
course, but I’ll restate some of the important statistics here.
-On average, 69% of people age 65 or older will need some form of long-
term care (according to www.longtermcare.gov).
-The average daily cost of a private nursing home room in 2018 was $275
a day or $100,375 annually (private room).*
-The average daily cost of an assisted living care facility in 2018 was $132
a day or $48,180 annually (private room).*
*Genworth Cost of Care Survey 2018
If you had LTC insurance, what would it pay for (assuming you qualified
for the insurance to kick in)?
Home health care consists of services received in your home and can
include skilled nursing care, speech, physical or occupational therapy, or home
health aide services.
Home care (personal care) consists of assistance with personal hygiene,
dressing or feeding, nutritional or support functions, and health-related tasks.
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Adult day care is for persons living at home and provides supervision for
elderly persons during the day when family members are not at home. It is a
method of delivering a variety and range of services including social and
recreational, and in some cases, health services, in a group setting.
Assisted living facilities provide ongoing care and related services to
support those needs resulting from a person's inability to perform activities of
daily living or a cognitive impairment.
An alternate level of care in a hospital is care received as a hospital
inpatient when there is no medical necessity for being in the hospital and is for
those persons waiting to be placed in a nursing home or while arrangements are
being made for home care.
Respite care includes services that can provide family members a rest or
vacation from their care-giving responsibilities. It can be provided in a variety of
settings including an individual's home or a nursing home.
Hospice care is a program of care and treatment, either in a hospice care
facility or in the home, for persons who are terminally ill and have a life
expectancy of six months or less.
The fact of the matter is that most people do NOT have LTC insurance to
pay for assisted living or nursing home care.
If that is the case, how do people pay for LTC expenses?
Won’t Medicaid pay for Long-Term Care Expenses? Medicaid, except for
some minor exceptions, does NOT pay for “home care” or “assisted living.”
The problem with Medicaid is that, in order to qualify, you MUST meet
certain income and asset tests (which will be discussed in a bit).
Won’t Medicare or Some Other Insurance Cover a Client’s Long-
Term Care Costs?
Medicare is an entitlement-based Federal program that provides medical
insurance for the aged or disabled. Medicare does NOT pay for most long-term
care services. Medicare does NOT pay for custodial care when that is the only
kind of care needed. Even skilled nursing facility care is covered by Medicare
only on a very limited basis.
Medicare supplemental insurance is designed to fill in some of the
major gaps in Medicare coverage, but it does NOT cover most LTC services.
There are three primary ways to pay for nursing home care
1) Out of your own pocket (because you have no insurance and you do not
qualify for Medicaid)
2) LTC insurance
3) Medicaid
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Medicaid (or MediCal if you live in California) is a Federal program
authorized in 1965 by Title XIX of the Social Security Act. This Federal program
provides Federal resources to the states as a state/Federal co-partnership towards
providing medical services to the poor and nursing-home patients. The program
requires the individual states to organize, manage, and distribute resources with
various limitations and with some degree of latitude.
The Federal rules allow for a general framework that each state must
operate within. Certain areas or items are left individually to the states for
clarification or legislation; therefore, each state has different, sometimes
completely separate, rules that apply. When trying to qualify for Medicaid, it is
best to use an attorney or other advisor who fully understands the Federal law and
state nuances.
Medicaid, for those in need of long-term care services or custodial-care
services, is generally limited to skilled nursing home facilities. While the lower
cost of assisted living or home care may be more cost effective, the Medicaid
program is essentially designed only to cover expenses in a skilled nursing facility
and require private funds, with few exceptions, to be used for other, less intrusive,
means of care.
Qualifying for Medicaid
This is where the rubber meets the road. It sounds easy to say, hey, I need
to go into a nursing home and, no problem; I’ll just apply for Medicaid and
receive Federal assistance. Unfortunately, it’s not that easy; and as millions of
Americans have found out, it can be very financially painful to qualify for
Medicaid.
Asset Limits—to receive aid from Medicaid to help pay for nursing home
expenses, a single person MUST spend down their “countable” assets to roughly
$2,000.
Here is a list of countable resources:
-Cash (checking and savings accounts)
-CDs
-Stocks, Bonds, Mutual Funds
-Retirement Accounts: IRAs, 401(k)s, 403(b)s
-Cash Value Life Insurance
-Tax “Deferred” Annuities
-Any Cars beyond the 1st Car
-Farm Equipment/Machinery
-Land and Commercial Real Estate
That means, if you have the above assets, they will have to be spent down
to $2,000 in order to receive aid.
Non-countable assets—the following assets are not counted when
applying for Medicaid.
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Homestead (only if married)–if the spouse or certain dependent relatives
continue to reside in the home, it is excluded. If single, there is a 13-month
unavailability period.
Vehicle–a vehicle of any age or value
Life Insurance–all term life policies are excluded since they have no cash
value. Almost all policies with cash value will be countable.
Irrevocable funeral and burial contracts or insurance policies
These are pre-paid contracts or life insurance policies used to pay for
burial and funeral expenses.
Personal/Household Goods–personal items in the home such as home
furnishings are excluded assets.
Medicaid rules apply differently for married couples than if they were
single, recognizing the need to keep the “at-home” or “healthy” spouse (known
more formally as the “community spouse”) from going completely broke. Under
the “Spousal Impoverishment Act” (which was actually enacted to avoid the
impoverishment of a community spouse), a formula is established to determine
how many of the “available resources” must be spent before a spouse can receive
aid.
The Community Spouse Resource Allowance (CSRA) allows the non-
applicant spouse to retain, as of 2020 in most states, up to $128,620 in assets. This
spousal allowance is in addition to the $2,000 the applicant spouse is able to
retain.
Income limits—In addition to asset limits ($2,000 of countable assets if
single), there are income limits that preclude you from qualifying for Medicaid. In
2020, the majority of states allow a single applicant up to $2,349 / month in
income.
Generally, married couples’ incomes are counted separately. Therefore,
the income of a non-applicant spouse is not used in determining income eligibility
of his/her applicant spouse.
Also, if the “well spouse” (the one NOT applying for care) has income of
less than what is called the Minimum Monthly Maintenance Need Allowance
(MMMNA) (the monthly income limit of the spouse applying for aid ($2,349
listed a two paragraphs above)), income can be shifted from the person applying
for aid to the well spouse.
What is “Medicaid Planning?”
Medicaid planning, also known as divestment planning, is a way of getting
rid of your “countable” assets before you go into a nursing home. While it would
be nice to be able to give all of your assets away the week before you went into a
nursing home, that doesn’t work. There is a five-year lookback in most states.
Penalty period—if you give assets away within five years of applying for
aid, you will be assessed a penalty period which you have to wait out before
qualifying for aid. There is no time limit to the penalty period.
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For example, a patient has a $100,000 asset and gifts that asset within five
years of applying for aid to someone other than a spouse or disabled child. When
divided by a divestment penalty divisor of $6,799 (the monthly private-rate for
care received from a nursing home which will vary per state), it causes a 15-
month ineligibility period which begins to toll from the date the divestment is
made.
Transfers that are exempt from the lookback penalty
Medicaid planning can be as simple as shifting assets from countable ones
to ones that are not countable.
1) Medicaid qualified annuity—this is a special type of annuity that starts
paying immediately in monthly installments whichis irrevocable (payments can’t
be changed), and has no cash value. For example, say your only countable asset is
$50,000 in your bank. Because of this asset, you can’t qualify for Medicaid.
However, if you paid a $50,000 premium into a Medicaid compliant annuity, you
could then immediately apply for aid and not worry about a penalty period.
You do have to be careful when using a Medicaid compliant annuity. You
can create too much income that will then make you ineligible for aid.
2) Paying off debt—paying off debt does not create a penalty period when
applying for Medicaid. Paying off debt can be useful in the Medicaid planning
process in order to try and pass the maximum amount of wealth to heirs at death.
3) Home improvements—a primary residence can be improved without
penalty. If it’s a spousal situation, this would allow the well spouse to make a lot
of improvements that may have been delayed because of the costs associated with
caring for a sick spouse. What’s most important is that the well spouse stays in a
home with no debt with improvements made.
4) Buying a car—it may sound funny, but you can buy a new $50,000 car
and that is exempt from the lookback penalty.
Other Medicaid planning techniques—there are sophisticated plans that
can be implemented to immediately get someone qualified for aid. Those
sophisticated planning techniques are outside the scope of this material. The goal
with this material is to give readers a general understanding of the difficulties of
qualifying for aid and to motivate those who need it to act before (five years
before is preferable) you go into a nursing home.
Estate recovery
It’s one thing to qualify for Medicaid; it’s another to pass all your assets to
your heirs after you pass away. The government gave you aid while living and
will be looking for payback of that aid from your estate when you pass.
The good news is that estate recovery does NOT create a debt owed by the
heirs but rather creates a claim or lien only against the assets in the recipient’s
estate. The state Medicaid agency files a claim against the estate and can enforce
it in the same manner as any other creditor of the estate.
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Personal residence
This is the big one. The personal residence can be a protected asset while
living, but is not protected after death.
In the circumstances listed below, the Medicaid agency will waive its
claim against the estate:
-An adult child has lived in the home and provided care to the parent for at
least two years prior to the date that the parent became a Medicaid recipient and
continued to reside in the home until the parent’s death;
-An adult sibling of the Medicaid recipient has lived in the recipient’s
home for at least one year prior to the date that the recipient was institutionalized,
continued to reside in the home until the recipient’s death, and had a right to
remain there after the recipient’s death.
-The property in the estate is essential to a family business in which one or
more heirs has been continuously employed for at least one year before the
recipient first received Medicaid-funded services.
Beneficiaries may also apply for a hardship waiver by showing that a
recovery from the estate will "jeopardize the survival of the family unit or
severely disrupt the family’s income or business."
The home may be transferred without penalty while living only if
transferred to:
-A spouse;
-A child who is blind or disabled or under age 21;
-An adult child who has lived in the home for at least two years prior to
the applicant’s institutionalization and who provided care to the applicant.
-A sibling who has resided in the home for at least one year prior to the
applicant’s institutionalization and who has an "equity interest" in the home.
After a married client has entered a nursing facility and Medicaid
eligibility has been determined, the client’s spouse may transfer his or her interest
in the home to others without affecting the client’s eligibility. Therefore, the client
can simply transfer his/her share of the home to the spouse, who can then give it
to the heirs.
Probate
ONLY assets that pass through probate will be subject to estate recovery
(another reason to make sure your assets are owned by your revocable living trust
before you pass away).
Summary on Medicaid planning
For the most part, this material applies to someone who is 65 and older
who are candidates for skilled nursing home care (not assisted living).
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Most people and even most estate planning attorneys do not know this
subject well. If they did, there would be far fewer people who seek help from a
Medicaid planner on the way to or when they are already in a nursing home.
It is best to plan five years in advance if your goal is to preserve assets for
the heirs and receive aid from the government for your nursing home care.
If you don’t plan ahead of time, there are things you can do to mitigate the
financial damage while living and upon death.
While this subject matter may not apply to the majority of people taking
this financial literacy course, the chances are high that everyone taking this course
will have a friend or family member in the near future who could benefit by
knowing this material. So, feel free to pay it forward to help those you know who
can benefit from your new knowledge (and use it yourself when the time is right).
Certified Medicaid Planner™
I thought this topic was so important that I created, with the help of some
of the country’s best experts, the Certified Medicaid Planner™ (CMP)
certification. It is the only certification of its kind and attorneys,
CPAs/accountants, and insurance agents/financial planners typically are the ones
who go through the certification process.
If you or a friend or loved one needs help with Medicaid planning, I
highly recommend you reach out to a CMP for help.
REVERSE MORTGAGES (RMs)
A financial literacy course would not be complete if it did not cover RMs.
I decided to cover RMs in this course for two reasons.
1) They could potentially be a useful tool in a retirement plan.
2) There are a lot of scammers in the RM space that you can avoid if you
are educated on the subject matter.
What is a RM?
It’s a special type of mortgage available if you are 62-years old or older.
It’s a mortgage you take out on your house where you have NO payments while
living in the house.
In essence, you are converting a portion of the equity in your home to cash
or into a payment stream; and the debt incurred, hopefully, will be paid back upon
death (more to come).
For many, an RM is a cash-flow tool for those who want or need the
money but also want to stay in their home (vs. selling their home to raise the
needed cash).
Why not just get a conventional mortgage instead of an RM?
Because many retired people do not have enough income to qualify for a
conventional mortgage and don’t want to or can’t afford the new monthly
payment that would be created with a new mortgage. Also, the borrower might
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not need a lump sum of money and is more interested in a monthly payment from
the RM lender.
Reasons people take out RMs?
1) Pay for medical expenses (remember the #1 reason people file
bankruptcy is medical bills).
2) Improve the home—you plan on living in the home another 5, 10+
years, you don’t have the money to fix up the home, and don’t want to take or
can’t qualify for a HELOC (home equity line of credit) or conventional mortgage.
3) Take a trip or spend the money any way you’d like—there are no
restrictions to how you spend the money from an RM.
Taking a flamethrower to the equity of your home
I’m personally not a big fan of RMs. In my mind, they are for people who
just have to stay in the home and understand that by taking out the RM they will
be eating up the equity of their home.
I’d prefer to see someone who needs money sell their home and downsize
into a condo. It’s a much better financial decision for the overall welfare of the
estate.
But, I’ve heard the story many times, if we move grandma out of the
home, she will either have an absolute fit or will get depressed and die
prematurely. If that’s the case, then I suppose it’s nice to have an RM as an
option.
Specifics about RMs
With an RM, you keep the title to your home; and the money you get
usually is tax free.
Generally, you don’t have to pay back the money for as long as you live in
your home. When you die, sell your home, or move out, you, your spouse, or your
estate would repay the loan. Sometimes that means selling the home to get money
to repay the loan.
There are three kinds of reverse mortgages: single purpose reverse
mortgages – offered by some state and local government agencies, as well as non-
profits; proprietary reverse mortgages – private loans; and federally-insured
reverse mortgages, also known as Home Equity Conversion Mortgages (HECMs).
There are fees and other costs. Reverse mortgage lenders generally charge
an origination fee and other closing costs, as well as servicing fees over the life of
the mortgage. Some also charge mortgage insurance premiums (for federally-
insured HECMs).
As you get money through your reverse mortgage, interest is added onto
the balance you owe each month. That means the amount you owe grows as the
interest on your loan adds up over time.
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Interest rates may change over time. Most reverse mortgages have variable
rates, which are tied to a financial index and change with the market. Variable rate
loans tend to give you more options on how you get your money through the
reverse mortgage.
Some reverse mortgages – mostly HECMs – offer fixed rates, but they
tend to require you to take your loan as a lump sum at closing. Often, the total
amount you can borrow is less than you could get with a variable rate loan.
You have to pay other costs related to your home. In a reverse mortgage,
you keep the title to your home. That means you are responsible for property
taxes, insurance, utilities, fuel, maintenance, and other expenses. And, if you
don’t pay your property taxes, keep homeowner’s insurance, or maintain your
home, the lender might require you to repay your loan.
A financial assessment is required when you apply for the mortgage. As a
result, your lender may require a “set-aside” amount to pay your taxes and
insurance during the loan. The “set-aside” reduces the amount of funds you can
get in payments. You are still responsible for maintaining your home.
What can you leave to your heirs? Reverse mortgages can use up the
equity in your home, which means fewer assets for you and your heirs. Most
reverse mortgages have something called a “non-recourse” clause. This means
that you, or your estate, can’t owe more than the value of your home when the
loan becomes due and the home is sold. With a HECM, generally, if you or your
heirs want to pay off the loan and keep the home rather than sell it, you would not
have to pay more than the appraised value of the home.
Types of Reverse Mortgages
There are three main types of RMs
Single-purpose reverse mortgages are the least expensive option. They’re
offered by some state and local government agencies, as well as non-profit
organizations, but they’re not available everywhere. These loans may be used for
only one purpose, which the lender specifies. For example, the lender might say
the loan may be used only to pay for home repairs, improvements, or property
taxes. Most homeowners with low or moderate income can qualify for these
loans.
Proprietary reverse mortgages are private loans that are backed by the
companies that develop them. If you own a higher-valued home, you may get a
bigger loan advance from a proprietary reverse mortgage. So if your home has a
higher appraised value and you have a small mortgage, you might qualify for
more funds.
Home Equity Conversion Mortgages (HECMs) are federally-insured
reverse mortgages and are backed by the U. S. Department of Housing and Urban
Development (HUD). HECM loans can be used for any purpose.
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HECMs and proprietary reverse mortgages may be more expensive than
traditional home loans, and the upfront costs can be high. That’s important to
consider, especially if you plan to stay in your home for just a short time or
borrow a small amount. How much you can borrow with a HECM or proprietary
reverse mortgage depends on several factors:
-your age
-the type of reverse mortgage you select
-the appraised value of your home
-current interest rates, and
-a financial assessment of your willingness and ability to pay property
taxes and homeowner’s insurance.
In general, the older you are, the more equity you have in your home, and
the less you owe on it, the more money you can get.
Before applying for a HECM, you must meet with a counselor from an
independent government-approved housing counseling agency. Some lenders
offering proprietary reverse mortgages also require counseling.
With a HECM, there generally is no specific income requirement.
However, lenders must conduct a financial assessment when deciding whether to
approve and close your loan.
The HECM lets you choose among several payment options:
-a single disbursement option – this is only available with a fixed rate
loan, and typically offers less money than other HECM options.
-a “term” option – fixed monthly cash advances for a specific time.
-a “tenure” option – fixed monthly cash advances for as long as you live in
your home.
-a line of credit – this lets you draw down the loan proceeds at any time, in
amounts you choose, until you have used up the line of credit. This option limits
the amount of interest imposed on your loan, because you owe interest on the
credit that you are using.
-a combination of monthly payments and a line of credit.
You may be able to change your payment option for a small fee.
HECMs generally give you bigger loan advances at a lower total cost than
proprietary loans do. In the HECM program, a borrower generally can live in a
nursing home or other medical facility for up to 12 consecutive months before the
loan must be repaid. Taxes and insurance still must be paid on the loan, and your
home must be maintained.
With HECMs, there is a limit on how much you can take out the first year.
Your lender will calculate how much you can borrow, based on your age, the
interest rate, the value of your home, and your financial assessment. This amount
is called your “initial principal limit.”
Generally, you can take out up to 60 percent of your initial principal limit
in the first year. There are exceptions though.
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Costs associated with an RM
This is the biggest problem with an RM. The costs to close and the
ongoing costs can be significant. Let me just list the fees, and you’ll see for
yourself.
Let’s look at an example of the closing costs of an RM for a house that is
worth only $215,000. I think you’ll be surprised at what you see.
Financed Charges Estimated Amount
Appraisal fee $550
Credit Report $48
Flood Certification (if needed) $12
Document preparation $175
MERS registration $11.95
Mortgage Insurance Premium $4,300 (2% of appraised value)
Lender’s title insurance $1,556
Title Search Fee $75
Notary / Signing $200
Closing Protection Letter $125
Endorsements $245.60
Recording charges mortgage $444
HECM counseling fee $125
Total costs $7,867.55
What is missing from the above expense list is the origination fee. Some
lenders will charge such a fee, and it could be upwards of 2% of the first $200,000
in value and 1% on the value above $200,000.
For HECM loans, the origination fee is capped at $6,000.
Again, the fees associated with RMs is why I’m not a fan and why there
needs to be a very compelling reason to take out an RM (the main one being that
the costs are worth it for someone who just has to stay in the home but can’t
manage financially without the RM).
The next two and final sections of this part of the material will be a bit
contradictory. In the first part, I’ll lay out the reasons you might hear from an RM
salesperson as to why you should consider getting one. The second part to follow
will be actual cautionary language from a Federal Government website warning
consumers about scammers in the RMs space
The following came directly from a website of a company that promotes
RMs.
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7-ways to use an RM loan as a financial tool
1) You can delay Social Security and pension payouts
Some seniors may financially need to use payouts from Social Security
and pensions as soon as they are available. However, with the cash from your
reverse mortgage, you may be financially sound enough to wait on receiving
those payouts, thus increasing how much you receive. View an example of this
strategy and the corresponding monthly benefit.
I personally ran the math on this; and if the sole goal is increasing cash
flow without regard to equity in the home and what will pass to the heirs, this
could work but the closing costs and annual costs of the loan are difficult to
overcome. Additionally, you have to live long enough for the math to even have a
chance to work. If you die early, it’s a financial disaster.
2) You can postpone drawing down retirement assets, giving assets time to
grow
This idea follows the same formula as your Social Security and pension
payouts. The longer you can delay receiving your benefits, the longer they have to
grow. With a reverse mortgage, you may be able to afford to wait.
Same comment as 1).
3) You can increase your cash flow by eliminating monthly mortgage
payments
Every month, a monthly mortgage payment takes a chunk from your
income. But with a reverse mortgage, your existing mortgage is paid off. This
leaves you with extra money in your pocket that would have normally gone to
paying your existing mortgage. Monthly payments are contingent on maintaining
the home as the principal residence, paying all property taxes, and homeowner’s
insurance, home maintenance and otherwise complying with loan terms.
This one is true but is something I’d only recommend to people who
understand the closing costs are not insignificant and that the equity in the home
is going to be eaten up by the interest of the RM. I’d prefer to see someone sell the
house and downsize into a condo.
4) You have access to a low cost growing line of credit
With a reverse mortgage, you have a growing line of credit available to
you. It grows with time. This means that the line of credit available to you years
from now may be larger than the line of credit available to you now.
This is probably the most interesting bullet point if the closing costs and
ongoing costs of the RM were not so high. But for the costs, there is a good
argument to be made as to why everyone who has a house with no debt should
take out an RM line of credit when they turn 62. Unfortunately, the costs
associated with just getting a line of credit that you may not use are cost
prohibitive.
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5) You can protect your portfolio performance in a down market
In a down market, your portfolio and cash flow may not be at its peak
performance. With a reverse mortgage, the incoming funds are able to protect you
until the market picks back up again.
This one is very interesting, and I think would have merit if the closing
costs and ongoing costs of the loan were not so high.
6) You can have annuity-style payments using your home’s equity
With a reverse mortgage, you are able to choose the option of receiving
your funds in annuity-style payments. This is perfect for some types of people
who would rather plan their income as a steady flow.
Again, I don’t care for this use of an RM. I’d prefer to see the person
downsize to a condo and use the money from the sale to improve cash flow vs.
taking a flamethrower to the equity of the home to increase cash flow.
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7) You can replace cash reserves
Some people have less cash in reserve than they would like. A reverse
mortgage gives you the chance to catch up and replace your cash reserves, getting
you up to speed financially.
This one is utter nonsense.
Items to consider (cautionary from the government’s website)
Compare fees and costs. This bears repeating:Sshop around and compare
the costs of the loans available to you. While the mortgage insurance premium is
usually the same from lender to lender, most loan costs – including origination
fees, interest rates, closing costs, and servicing fees – vary among lenders.
Understand total costs and loan repayment. Ask a counselor or lender to
explain the Total Annual Loan Cost (TALC) rates: They show the projected
annual average cost of a reverse mortgage, including all the itemized costs. And,
no matter what type of reverse mortgage you’re considering, understand all the
reasons why your loan might have to be repaid before you were planning on it.
Be Wary of Sales Pitches for a Reverse Mortgage
Is a reverse mortgage right for you? Only you can decide what works for
your situation. A counselor from an independent government-approved housing
counseling agency can help. But a salesperson isn’t likely to be the best guide for
what works for you. This is especially true if he or she acts like a reverse
mortgage is a solution for all your problems, pushes you to take out a loan, or has
ideas on how you can spend the money from a reverse mortgage.
For example, some sellers may try to sell you things like home
improvement services – but then suggest a reverse mortgage as an easy way to
pay for them. If you decide you need home improvements, and you think a
reverse mortgage is the way to pay for them, shop around before deciding on a
particular seller. Your home improvement costs include not only the price of the
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work being done – but also the costs and fees you’ll pay to get the reverse
mortgage.
Some reverse mortgage sales people might suggest ways to invest the
money from your reverse mortgage – even pressuring you to buy other financial
products, like an annuity or long-term care insurance. Resist that pressure. If you
buy those kinds of financial products, you could lose the money you get from
your reverse mortgage. You don’t have to buy any financial products, services, or
investments to get a reverse mortgage. In fact, in some situations, it’s illegal to
require you to buy other products to get a reverse mortgage.
Some sales people try to rush you through the process. Stop and check
with a counselor or someone you trust before you sign anything. A reverse
mortgage can be complicated and isn’t something to rush into.
The bottom line: If you don’t understand the cost or features of a reverse
mortgage, walk away. If you feel pressure or urgency to complete the deal – walk
away. Do some research and find a counselor or company you feel comfortable
with.
Your Right to Cancel?
With most reverse mortgages, you have at least three business days after
closing to cancel the deal for any reason, without penalty. This is known as your
right of “rescission.” To cancel, you must notify the lender in writing. Send your
letter by certified mail, and ask for a return receipt. That will let you document
what the lender got and when. Keep copies of your correspondence and any
enclosures. After you cancel, the lender has 20 days to return any money you’ve
paid for the financing.
Summary on reverse mortgages
Generally speaking, I think they are over marketed and oversold. It pains
me to see celebrities pitching RMs in ads on TV.
There is one truity with RMs; if you take one out and use it, you will eat
up the equity in your home.
That’s a choice homeowners can make.
When I think of RMs, I think of the story I tell in another part of the
course about the scorpion and the frog. RM sales people remind me of the
scorpion in that they think everyone who is 62 or older should have an RM.I
don’t.
I think RMs mortgages should be used by people who put a premium price
on staying in a home and who need extra money. It’s financially a better decision
to sell the home and downsize thereby freeing up money to be used instead of
immediately starting a negative amortization loan on the home that will eat away
at its equity.
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SUMMARY ON PREPARING FOR RETIREMENT
The first part of this educational module was mainly to help motivate
readers to fight complacency and the inertia of doing nothing.
Most people have no idea how much they should be saving, where they
should be saving, or how much they need to save in order to live the lifestyle they
would like in retirement. A nearly completely overlooked item when preparing for
retirement are the healthcare costs that await you. Keep in mind that, if you retired
as a couple today, the expected cost of healthcare related expenses is $235,000.
The average increase in healthcare related expenses is supposed to increase by
5.5% over the next decade.
If you are 55 years old now, using a 5.5% per year increase in the total
costs, a couple in retirement could expect to spend $423,492 in retirement just on
healthcare costs.
It’s even more depressing for someone who is younger.
The question I already know the answer to is that people are NOT saving
enough for retirement both to live the lifestyle they want and pay for necessary
expenses like healthcare costs.
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The second part of this module covered three important topics all retirees
or soon- to-be retiree should know.
-Medicare
-Medicaid
-Reverse Mortgages
Medicare is something everyone should apply for when they turn 65, and
it’s important to know your options when it comes to the various Parts of the
program.
Medicaid is something that many people find out they do NOT qualify for
because they need to spend down their countable assets to $2,000 before receiving
aid. It’s vitally important for seniors who are candidates for Medicaid to plan for
it five years ahead of time if possible (and, if not, to know your available options
to shift assets so you can qualify).
Reverse mortgages might be overhyped and oversold; but unless you
know how they work and the pros and cons, you won’t be able to choose to use
them or not when the time comes.
Hopefully, this module was both educational and motivational and will
help readers take action to create a budget and to seriously think about what they
need to do to prepare for retirement.