This week Angela discusses the importance of long-term health care planning. She shares statistics about the likelihood of needing long-term care and the associated costs, emphasizing the need to create a comprehensive plan that goes beyond just financial aspects. Key Takeaways 💡 Medicare typically covers the first 90 days of long-term health care services, but after that, individuals are responsible for covering the costs. Medicaid is a welfare program that requires individuals to have limited income and assets, potentially putting a spouse at financial risk and forcing them to spend down their assets before qualifying for assistance. Individuals who are 65 years old have a 48% chance of needing some type of paid long-term care services in their lifetime. Furthermore, there is a 70% chance that individuals over 65 will need some type of severe long-term health care services. From 2013 to 2017, there was a 200% increase in early onset dementia or Alzheimer's for Americans aged 30 to 64. This statistic highlights the importance of planning for long-term care needs, as early onset Alzheimer's can be devastating for families that are unprepared. The average length of a long-term care stay for women is 3.7 years, while for men it is 2.2 years. Medicaid pays for 42% of long-term care costs, which is less than half, meaning that individuals and families need to be prepared to cover a significant portion of these expenses. The median annual cost for homemaker and health aide services in Texas is $115,544, while in Montana it is $193,336. The median annual cost for a private room in a nursing home facility nationwide is $116,800, so it is important to research the costs of care in your specific location. In 2020, 41.8 million Americans provided care to a person over the age of 50, so many families are sacrificing their own well-being to support loved ones. It is important to have a plan in place so that your family has a blueprint to follow, rather than burdening them with making difficult decisions in a crisis. When creating a long-term health care plan, it is important to address the questions of who, how, what, and where. This includes identifying who will provide care, coordinate care, and manage finances, as well as determining where care will be received and what resources will be available. It is important to consider different situations that could arise, such as both spouses living and cognitively strong but physically unable to care for themselves, or one spouse living and not cognitively strong. Addressing these potential scenarios can help families be prepared for whatever comes.