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March 2006
Cost of Care Survey: Nursing Homes, Assisted Living Facilities
& Home Care Providers
Consumer Perception of Long Term Care Costs
Americans generally know long term care is expensive and costs are
rising. In fact, 63% expect the cost of long term care to rise
faster than inflation. Thirty-four percent (34%) of consumers
believe nursing home care costs more than $75,000 a year, when the
actual cost is around $70,000. Typically, those needing long term
care would like to remain in their own homes, however, most people
underestimate the cost of in-home health care. More than half (56%)
of older adults believe home health care costs less than $20 an
hour, when the estimated national cost this year is $25.32 per hour.
The Reality of Long Term Care
Half of people over 40 have a parent or other relative who needs or
has needed home health care or long term care in a nursing home or
assisted living facility. Two-thirds of Americans (65%) over age 40
say they have supported or are now providing financial, emotional or
physical support to a parent or other relative.
Long Term Care Preparedness
Although survey respondents express concern over rising costs, only
one-third (35%) have made any advance preparation for long-term
care. Lower-income and minority respondents are even less likely to
prepare for long-term care needs.
How Consumers Plan to Pay for Long Term Care
Of those stating they have made plans for long term care, one in
four plan to use savings to pay for any needs that arise. However,
census data shows that by the time the average senior citizen spends
18 months in a nursing home, they would wipe out their entire life
savings, including their home. Average net worth of Americans over
65 years old is $108,000, including home (2000 Census data) Less
than ten percent of people nationwide have purchased long term care
insurance, but 18% of survey respondents report having coverage.
Long term care insurance is commonly confused with standard health
insurance or long term disability insurance. More than one in four
older Americans is under the incorrect impression that Medicare
covers long-term care. Generally, the Federal Medicare program does
not cover long term care.
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