John Hancock Life Insurance Company Long-Term CareInsurance Seminar and Sales Presentation Presented by <Licensed Agent>, Designation><Title><Company> Long-Term Care Insurance is underwritten by John Hancock Life Insurance Company, Boston, Massachusetts, 02117 <and is offered by name of bank agency> LTC-1750 10/02
Help Ensure TOMORROW’SFinancial Independence TODAY Long-Term Care Insurance Insurance for the unexpected Agenda • What is Long-Term Care? • What are chances of needing LTC? • What are the costs associated with LTC? • What are the funding sources to pay for LTC? • Is LTC insurance right for me? • Why John Hancock LTC Insurance • Next Steps…
What is Long-Term Care? • Activities of Daily Living • Cognitive Impairment
What is Long-Term Care? Activities of Daily Living • Bathing • Dressing • Eating • Toileting • Continence • Transferring
What Is Long-Term Care? Cognitive Impairment: • A condition that leads you to require substantial supervision to protect yourself or others from threats to health and safety.
Where Can I Get Long-Term Care Services? • Your Home • Assisted-Living Facility¹ • Adult Day Care Facility • Nursing Home² 80% of seniors requiring assistance with activities of daily living receive care at home or in community bases settings. ³ 1. Referred to as Residential Care Facility in California. 2. Referred to as Nursing Facility in California. 3. General Accounting Office, Testimony Before Committee on Finance, U.S. Senate, 2001
What are your Long-Term Care experiences? Who? Where? How was it paid for? Who provided the care? How long did the person need care? Was the care expected or unexpected? How did the Long-Term Care affect the family?
What Are the YourLong-Term Care Experiences? 60% of people who reach age 65 may need Long-Term Care at some point in their lives. 60% Source: Conning and Company, Long-Term Care Insurance, Baby Boom or Bust, 1999, Page 13.
What Are the YourLong-Term Care Experiences? 40% of those receiving Long-Term Care services are adults between the ages of 10 and 64. 40% Source: Conning and Company, Long-Term Care Insurance, Baby Boom or Bust, 1999, Page 13.
What Are YourLong-Term Care Experiences? Among 22.4 million families in the United States, nearly one forth of all households provide care to elderly relatives. Nearly 25% Source: Study by Brandeis University’s National Center of Women and Aging, December 1999.
What Are YourLong-Term Care Experiences? By 2030, when the last of the Baby Boomers are retiring, the number of people age 65 and older will have doubled to 70 million. 70 Million Source: American Council of Life Insurance, 2000.
What Are YourLong-Term Care Experiences? The national average cost for a nursing home stay per year is $55,000 and may run as high as $93,000 in some states. 1 2 $55,000 Costs vary by the type of care received and by geography. Source: (1) United States General Accounting Office, 2001 (2) The New York State Partnership for Long-Term Care, 1999
What Are YourLong-Term Care Experiences? Nursing Home costs have been going up about 5% a year. If that continues for another 30 years, costs for semi-private rooms in 2032 are expected to be $190,600. $190,600 Costs vary by the type of care received and by geography. Source: Planning Ahead for Nursing Home Care, Long-Term Care Planning: A Dollar and Sense Guide, United Seniors Health Council, January 1, 2001.
What Are YourLong-Term Care Experiences? The national annual average cost for home health care is well over $20,000 (that’s $18/hour, five days per week, five hours per day for a home health aide. This figure is expected to climb to $68,000 by 2030. $18 per Hour Costs vary by the type of care received and by geography. Source: Planning Ahead for Nursing Home Care, Long-Term Care Planning: A Dollar and Sense Guide, United Seniors Health Council, January 1, 2001.
Long-Term Care Could it happen to you?
How Would You Pay for Long-Term Care? • Private/company medical insurance? • Medicare • Medigap Insurance • Medicaid • Personal Assets • Family
How Would You Pay for Long-Term Care? Private/company health insurance • Skilled acute care only • Not designed to pay for long-term custodial care
How Would You Pay for Long-Term Care? Medicare¹ Skilled Care/Skilled Nursing Facility • Three day prior hospital stay required • Enter facility within 30 days • Full costs covered for 20 days • Minimal costs covered for next 80 days • No coverage after 100 days in that benefit period 1. 2001 Guide to health Insurance for People with Medicare, The Centers for Medicare & Medicaid Services and U.S. Department of Health and Human Services.
How Would You Pay for Long-Term Care? Medicare¹ Home Health Care • Part-time skilled nursing care • Custodial homemaker services provided incidental to home health care 1. 2001 Guide to health Insurance for People with Medicare, The Centers for Medicare & Medicaid Services and U.S. Department of Health and Human Services.
How Would You Pay for Long-Term Care? Medigap • Medicare approved expenses only Medicaid¹ • Must “spend down” assets to State required level* 1. Eligibility requirements apply and vary by state. Medicaid is known as Medi-Cal in California.
How Would You Pay for Long-Term Care? Family • Long-Term Care is a family issue • An estimated 60% of the disabled elderly living in communities rely exclusively on their families and other unpaid sources for care¹ • Seven of Ten unpaid caregivers are women¹ • Could your family care for you? • Would you want them to? 1. United States General Accounting Office, Testimony Before Committee on Finance, U.S. Senate, 2001.
How Would You Pay for Long-Term Care? Personal Assets • One long-term illness may jeopardize your accumulated retirement savings
Who Pays the Long-Term Care Bill? Source: Department of Health and Human Services, HCA, Office of the Actuary, National Health Statistics Group, Personal Health Care Expenditures, 2001.
Private Long-Term Care Insurance Can Help • Stay at home when you need care • Maintain your independence • Protect your income and assets • Avoid dependence on family members • Access high quality care
Is There Any Risk YouHaven’t Already Insured? • Have you insured your home? • Have you insured your car? • Do you have medical insurance? • Do you have a plan to pay long-term care expenses? Why not insure one of your greatest risks with long-term care insurance?
Help Protect Your Assets Assets LTC Policy helps to protect your investments LTCIPolicy Most income pays living expenses or is reinvested $ An amount buys LTC Insurance Income from Investments
Why John HancockLong-Term Care Insurance? • Benefit Flexibility • Choice of Coverage • Wide-ranging Home Health Care Benefits • Pool of Money • Inflation Protection • Waiting Period • Coverage for Alzheimer’s Disease* *Diagnosed after policy effective date.
Why John HancockLong-Term Care Insurance? • Guaranteed Renewable¹ • Waiver of Premium Benefit • Responsive and Experienced Claims Staff • Upgrade Privileges • SharedCare²* • FamilyCare Benefit³* • Advantage List 1. The insurer reserves a limited right to increase premiums by class 2. Not available with 10-year or Lifetime Benefit Period, or to ages 80-84. In AZ and NH, available only with the 4-5-or 6-year benefit period. In PA, available only with the 3-4-5- or 6-year Benefit Period. 3. Not available in LA, MD, NY, PA, and TX. * Additional Premium will be required
Backed by the Strengthof John Hancock • More than 140 years of service. • More than 300,000 long-term care insurance policyholders. • Among the highest rated insurance companies for financial strength and stability as judged by the major rating agencies. Financial Strength John Hancock is one of the highest-rated insurance companies in the country: Rating Agency RatingDescription A.M. Best A++ Superior Fitch AA Very Strong Moody’s Aa2 Excellent Standard & Poor’s AA Very Strong Ratings are current as of October 14, 2002
How do I get coverage? • Appointment • Make an appointment with your John Hancock Insurance Representative to assess your personal needs. • Application • Complete an application bases on that plan that is appropriate for you. • Underwriting • John Hancock evaluates the application and health history to determine eligibility.
How do I get coverage? • Delivery • Upon approval, the policy is delivered. • Coverage • By paying premiums on time, policy and coverage will stay in force.
Why start planning today? • People often put off the decision • Too often, people wait until they critically need care. By then, they may not qualify for coverage.
Limitations • Benefits will not be paid for changes during the Elimination Period, except for Care Advisory Services, the Stay at Home Benefit, and Respite Care. • Benefits will not be paid in excess of the policy limit, except for Care Advisory Services and the Stay at Home Benefit.
Exceptions • This policy does not cover care, treatment or charges: • for intentionally self-inflicted injury • required as a result of alcoholism or drug addition (unless the drug addition was a result of the administration of drugs as part of treatment by physician) • due to war (declared or undeclared) or any act of war, or service in any of the armed forces or auxiliary units • due to participation in a felony, riot, or insurrection • normally not made in the absence of insurance
Exceptions • This policy does not cover care, treatment or charges: • provided by a member of your immediate family, unless: • the family member is one of the following professionals: a duly licensed registered nurse, licensed vocational nurse, licensed practical nurse, physical therapist, occupational therapist, speech therapist, respiratory therapist, licensed social worker, or register dietitian; • the family member is a regular employee of an organization (e.g. nursing home, assisted living facility, adult day care center, or home health care agency) which is providing the services;
Exceptions • This policy does not cover care, treatment or charges: • provided by a member of your immediate family, unless: • the organization receives the payment for the services; and • their family member receives not compensation other than the normal compensation for employees in his or her job category • provided outside the 50 United States and the District of Columbia, except as described in the International Coverage section of the policy This policy does not cover items or services furnished at your request for beautification convenience, or entertainment. In Massachusetts, the policy does not cover alcoholism or drug detoxification.
Thank you! The Long-Term Care insurance policy describes coverage's provided under the policy, exclusions, limitations, any reductions in benefits, what you must do to keep your policy in force, and what would cause your policy to be discontinued. Please contact John Hancock or your Insurance Representative for information, costs, and complete details on coverage. Policy Form LTC-02 Policy Form BSC-02 Rider Form LTC-FCB