Planning For Health Care And Long-Term Care In Retirement | Women Talk Money | Fidelity Investments
Sep 28, 2024
Hi, everybody.
Thanks for joining today's Women Talk Money discussion.
I'm Lorna Kapista.
I'm the head of our women's efforts at Fidelity.
I am so excited as I have two newbies
to the Women Talk Money panel with us today.
First, I'm gonna come over to Amy Sutton.
Amy, this is your day job,
long-term care planning consultant,
where you spend every day, all day,
talking about the ins and outs of long-term care planning,
which we know can be complex.
So we're thrilled to have you here today
to talk us through that as well.
Thank you.
And Michelle.
So Michelle Mann, she is a vice president
and a wealth planner,
and you help people every day navigating conversations,
planning for retirement, talking about healthcare.
And so we're so excited to have you help us out
on that part of the chat today.
Absolutely, thank you.
So happy to have you join us.
So we're gonna dive right in,
and I am going to start with Michelle.
I'm gonna come over to you.
Such two big, big topics.
And one of the things that everyone asks is,
when I think about these two big topics,
when should I start to think about when to prepare for this?
Absolutely.
So there's two answers to that.
It's never too early, and it's never too late.
It's never too early
because you wanna start planning for your healthcare
before retirement if you can.
But as a planner,
I do believe that planning for multiple outcomes
is critical.
And I also believe it's never too late,
and that's because the number one reason that I hear
that people delay retirement is because of healthcare costs.
And they're wondering,
do I have the green light to retire or not?
So we sit down and we figure that out together.
Thank you for sharing that.
I know I spoke to so many,
I'm gonna say women and men across the country,
but women in particular,
and your point on healthcare is such a big one
because it's something we don't know about
and how to really kind of estimate it and plan for it.
So I really wanna get into that.
I also wanna highlight,
there are at the bottom of the screen,
the downloadable resources.
So Amy, I am going to come over to you
because I wanna get right into this idea of women,
we have talked about before, folks have joined us,
and if they haven't,
that we do have unique factors that we need to plan for.
And I'd love to just have you cover those.
And then Michelle, just because you just hit on this,
how do those factors help us think about
how to plan and what the costs are for healthcare?
Yeah, that's a great question.
So I think some considerations
that women really need to think about is first,
we live longer than men.
So on average, when we talk about longevity,
we're living six years longer than men.
And this means more years of having healthcare expenses.
So the reality is too,
that unfortunately women will probably have a higher risk
at needing long-term care,
and they're gonna have higher healthcare costs
throughout their lives.
But this ramps up, especially in retirement.
Another consideration is caregiving.
A lot of us, including myself,
we are in this sandwich generation
where we have children we're still caring for,
and we have aging parents.
And we may be caring for them both at the same time.
This could also go into retirement
where we're caring for a partner.
And I do wanna say that as a caregiver,
it often creates a very high level of stress,
which can impact as a woman,
your physical, your emotional health.
So just some considerations.
Yeah, and something I would add on to that,
I always say to clients,
make sure that healthcare is a line item
in your retirement budget, the B word.
Fidelity Research does estimate a 65-year-old woman
retiring today may pay 175,000 on healthcare in retirement,
which breaks down to an average $6,800 in retirement a year.
Women likely will spend more time and more spending
on healthcare costs due to longevity
and higher cost of care,
which is something, Amy, you mentioned.
You'll also need to plan for rising costs
so that you should be updating that cost
every year in your budget.
Since 2000, healthcare costs have risen by 110%.
So you can expect your medical expenses in retirement
to be made up of Medicare premiums, co-pays,
coinsurance, deductibles, and prescription drugs,
just to name a few.
And these estimates do not include long-term care.
So we'll talk about that later.
Your own healthcare expenses are unique
and they will depend on your own situation.
So this is a great conversation to have with your advisor.
Thank you, Michelle, appreciate you sharing that.
First question that came out of the gate
was how do I estimate the cost for healthcare?
So I think that's just a really good start.
So now that we have just a better sense
for what potentially that estimate
could be in retirement, Michelle,
how do I think about,
there's a number of different kind of questions around,
like, how do I pay for that?
Like, how do I save for that?
So now that we have the estimate,
what accounts and where do I begin
to save for that in the best way?
Yeah, so there are four different ways
that I would say that you could be saving
to support and pay for these costs.
The first one is Medicare.
The second one is your employer benefits.
And then perhaps self-funding some of these costs
on your own.
And then finally, a health savings account,
or as some of us like to say, an HSA.
I really want to make sure that we spend some time
walking through each of these pillars.
Medicare is a very, very complex topic
and I do want to recognize
we're probably not going to be able to get in
to the full depth today.
So I'm going to highlight, we'll cover it a little bit,
but Amy, let me come over to you
and just say for viewers for today,
because I know we're going to cover it a little bit,
when it comes to, like, help me understand,
like, what are the key factors when it comes to Medicare
we should be thinking about?
Yeah, so Medicare definitely is going to be a key piece
of your healthcare plan,
but you have to remember it doesn't cover
all your healthcare needs.
Plus you're going to have to pay
for those premiums out of pocket.
You don't qualify until you're 65
and even then you might need supplemental coverage.
So that's something that you need to think about.
Now, if you end up needing long-term care,
a vast majority of these expenses
are just not covered by Medicare.
I do want to also add that there isn't one singular plan
when you qualify for Medicare
and you're also not just automatically enrolled.
So there are a lot of different plans to choose from
and your decision really on which plan makes the most sense
is going to depend on a lot of different factors.
Things like where you live,
what you're looking to get out of your coverage
and what is your budget.
That is why we are going to have a session in November
going much more deeply.
I do see some folks in the chat
who really want to go into this topic today.
So the good news is in advance of the November discussion,
Fidelity actually has a team that is dedicated
to addressing these questions on Medicare
and walking through it with you.
The phone number is 833-886-0033.
And it's just what we call
the Fidelity Medicare Services Team.
And it is free.
So you can reach out with any of your questions,
talk about your goals and what you're trying to achieve
and we are there to help.
So Michelle, I'm going to come back over to you
because I know we said we want to walk
through each of these pillars.
So I'd love to get to the second one,
which I believe is around employer benefits.
Can you go more deeply into talking about employer benefits?
Absolutely, Lorna.
So I would say the most important thing you can do
is to inquire about your retiree employment benefits
early on.
And this is so you have a clear picture
of what is entitled to you.
You may be surprised, believe it or not, what is covered
or you might want to be able to plan for things
that might not be covered.
You can also use your personal savings to pay
for some of these supplemental healthcare costs.
And ways that my clients will go about doing that
are they might use funds from their 401k, 403b, IRAs,
savings, investments, and social security.
But keep in mind, those options might have tax implications
that you do need to be aware of, okay?
And that is why I like to talk when I talk about your budget
or the B word in retirement.
I do like talking about this healthcare topic
and having a bucket of funds set aside
for these types of expenses.
So it might help incorporating it into your strategy.
Michelle, thank you.
I wanted to chime in here
because I think it's really important.
People are asking how much should I allocate
to these different things?
And I think we can't get specific
on how much should be allocated
given we don't have the information
on what you may have in let's say retirement savings plan
versus what your employer benefits are.
We do have a number of folks who did.
So Michelle, I just want to come back to you
who did also talk about feeling a bit behind
with some of their retirement savings.
And can you just talk through what they can do
if they are kind of behind in their retirement savings?
What are my options to kind of what we call catch up?
Yeah, absolutely.
And I'm going to lead off by saying it's not too late.
It's not too late at all.
The government allows us to do catch up contributions
and that's if you're 50 or older, okay?
So the four ways to additionally add more
into these accounts are your 401k,
your Roth 401k or a similar plan.
They allow you to add an additional $7,500
on top of your contributions.
How savings accounts allow an additional 1000.
Traditional and Roth IRAs are additionally $1,000.
And then simple IRAs are around 3,500, not around,
they are $3,500.
So there are ways that you can start catching up.
But again, it's never too late.
So Michelle, you said healthcare savings account.
Can you cover more, we call it healthcare savings account
or HSA, a bit more of HSA because that's our last pillar
and I think a really, a very important one
for all of us to know about.
Yeah, it definitely is.
A health savings account is a secret weapon
when it comes to saving for healthcare in retirement.
It allows you to save and invest specifically
for these healthcare costs.
But there is a caveat.
So in order to qualify, you do need to be enrolled
in an HSA, a high deductible health plan.
So if you are eligible, these health savings accounts
are triple tax advantaged.
What do I mean by that?
Well, your contributions can reduce
your overall taxable income.
Your contributions also aren't taxed
while they're in the account,
even if they're earning you investment returns, interest,
and you won't owe taxes when you take the money out
if you're using it for qualified medical expenses.
So not having to pay taxes is definitely a big plus
for your retirement budget.
But if you, you might already actually have access
through your workplace plan to a health savings account.
But if you don't want to, if you don't want to, sorry,
if you wanted to open an account, I should say,
if you're not enrolled in one at your healthcare,
if you don't have one through work,
you can actually open one on your own.
Fidelity offers these health savings accounts
as do a lot of others.
So it's something that definitely you wanna look more into
to get that savings.
That's very, very helpful.
And so I think what I heard from you is
if you have an employer,
you're enrolled in a high deductible plan
and you have an employer that offers
that healthcare savings account, that's a good spot.
Yes.
If your employer doesn't offer
the healthcare savings account,
but they do have a high deductible plan,
you can be in the high deductible plan
and then Fidelity can be a provider
of your healthcare savings account directly.
Right.
The key is you just have to be enrolled
in that high deductible plan,
but if your workplace plan doesn't offer it,
then you can open it on your own.
That's fantastic.
And thank you for sharing all of the benefits.
Every time someone covers them,
I take notes and remind myself of how important it is,
particularly with our longevity
and potential healthcare costs.
So a big question that's coming in from Cathy and many,
as well as this idea of,
let's say if someone wants to retire early
or unexpectedly needs to retire before 65,
and can they access Michelle Medicare?
Like, what do you do in that situation?
So you are amongst friends.
There are many, many people decide to retire early
or unfortunately maybe they're laid off
or maybe there is something unexpected in their life
that caused them to retire earlier than planned.
And that is why I believe in planning for multiple outcomes,
but I'm gonna go over some of the options
that you might have access to prior to 65.
First and foremost, you might've heard of COBRA.
This allows you to pay for your healthcare costs
using your previous employer's health plan
for a set period of time.
They will let you know what this would cost.
Typically, it is more than what you were paying
to your employer while you were an active employee,
and it can be expensive.
If you do transition to Medicare while on COBRA,
there may be implications to consider.
Now, you might have a spouse and perhaps at that point,
that spouse is an active employee
and you can flip over to their coverage
from their employer if they're still employed.
And then you can also use your savings to purchase coverage,
the public marketplace, Affordable Care Act,
which you might know it by,
via the healthcare.gov or state-specific marketplace.
There are certain subsidies
sometimes available depending on income.
And this is something in particular
that I do talk specifically with clients about.
And then a private plan.
Your previous employer might provide
a retiree health and reimbursement account.
So that is also something to look into.
So I wanna get into long-term care,
but before we do, I just wanted to cover up on two questions
just on the healthcare savings account.
So first is, if you've already retired,
is it still possible to fund a health savings account?
And then the second question is,
is there an annual limit
to how much I can contribute to an HSA?
Amy, would you like to take that and Michelle pile on?
Yeah, so there is gonna be limits
that you can contribute to an HSA.
So you're gonna have to follow the IRS limits
for that if you are currently retired.
Michelle, I'll let you jump in on that.
I believe that you are no longer able to,
but I'll let you jump in because they may have changed that.
Oh, you're right, Amy.
You're right, Amy.
So when you're not employed by an employer
that has a high deductible plan,
then you would be eliminated
from being able to add that HSA contribution.
So yes, it's a very good question, but I will say this.
I would encourage you to have a conversation
with your advisor on what particular rules
and policy changes have occurred more recently,
just to be clear on that we're not tax advisors,
but we wanna make sure that you are able to save
if you can, based on the policy.
I think you both brought up a really important point,
which is things do change.
And even for you are in this and getting those updates
and regularly being kind of trained and aware of this,
we all need to recognize what potentially is today
could be different based on rules and regulations
a couple of years from now.
So staying kind of abreast
or leaning on our financial professionals
becomes really important to help us do that.
One more question coming in on HSA,
which leads us into long care.
Can I use my health savings account savings
for long-term care costs?
Michelle.
Yeah, so actually, Amy, you touched on this last time
when you provided a wonderful talk with us
about whether or not you can use your HSA.
So Amy, I'll let you take that one
because of recent policy change there too.
Yeah, so if this is a qualified medical expense,
yeah, you can absolutely be able to use that
when you need care.
They even at times,
depending on the type of insurance policy you purchase,
you could use your HSA to actually pay for premiums as well.
So there are a couple of different ways
you could utilize that.
Fantastic, so let's go deeper into long-term care.
Amy, I think it might be one of your favorite topics
since you spend so much time on it.
Listen, for so many of us,
it brings up so much uncertainty.
It's kind of a whole new space
that we don't know much about.
Can you outline just what does long-term care include?
Yeah, so it's a common question I get is,
what exactly is long-term care
and what does it include, right?
So long-term care in the easiest way to describe it
is when you need help with those daily activities.
These are things we do every single day.
We just probably take for granted,
you know, like getting up, getting out of bed
and transferring around the house,
being able to take a bath, get dressed,
eat, using the bathroom.
So when you no longer are able to care for yourself
and you need help,
that could look like maybe having somebody
come into the home.
So in-home help where it could be a range of,
you know, you have somebody coming
and just running errands for you,
or maybe you need round-the-clock care.
I could also utilize for long-term care
what we call adult daycare facilities,
or it could be residents in a nursing home
or in assisted living.
We can't predict if you're going to need
long-term care or not.
But what I can tell you is there are certain factors
that will increase that likelihood.
One is going to be age.
As we get older, the risk just goes up.
The other is that women tend to live longer.
So when we look at that,
gender is going to play a big factor
in the fact that we're more likely
to need long-term care.
And then you also need to think about your lifestyle,
your family history.
And a lot of people assume
their family will be there
to take care of them at home.
And I do want to just note that
when we're talking about being a caregiver,
there are emotional, there's physical,
and there's financial commitments
that that person must do.
And sometimes it's just not feasible
or it's not the best fit.
Thank you for sharing that with us
and how we need to be thinking about it.
So as we talked about, Amy,
you do this day in and day out.
Can you just talk a little bit about
how you approach conversations
to help people and how you approach
helping them think about
if long-term care is right for them?
Yeah, absolutely.
Before we go into kind of
what are the questions that I ask,
I do want to just acknowledge
this is a very emotional subject
and it can be uncomfortable
for some people to want to talk about,
but it's a really important conversation
that you're going to have with your loved ones.
I'm a single mom
and it was really important for me
to have a talk with my adult daughter.
And I wanted us to be able to discuss,
well, if something happened to me,
what would that look like for our situation?
And she was very honest.
She was very open with me.
She shared with me that
she doesn't think that
she would be able to be my caregiver
and everything that that would entail.
So we're on the same page now.
Now, when we talk about
navigating these conversations,
you might have somebody right now
that is in need of care.
And you're not alone
because I want to share a statistic.
Someone turning 65 today
has a 70% chance
that they will need long-term care
in their lifetime.
When I talk to clients about this,
I bring it up as one of the biggest key risks
to their retirement plan.
And I talk to them about
questions they need to think about.
Like if something did happen to them,
who would be that person taking care of them?
And who would be the person overseeing their care?
Maybe making financial decisions,
health decisions.
How would they pay for it?
And have they written all of this down
and shared it with the people they care about?
This is really important.
Documenting all of this
is part of that long-term care planning process.
I do believe too that there,
I don't know if we've got that slide up yet,
but I wanted to talk about just some key documents
you want to put into place too.
So there's some important documents
that I always talk to clients about having.
One is a living will.
Next, a healthcare proxy.
It's important to have someone in charge of that.
HIPAA authorization.
And then having someone,
a trusted contact on all of your accounts.
And again, just making sure
we're documenting everything,
writing all of these different plans down
and sharing them with the people we care about.
Thank you.
And Amy, I just want to quickly come back to you
because in so many different ways,
there's a number of folks who are asking,
feeling like they're,
what's the right age?
And if I'm 66, did I miss the window?
No.
You probably hear that all the time.
So thank you.
Right.
No, you did not miss the window.
I would say, just to reiterate
what Michelle had said earlier,
there's never too young of an age
to start planning for any of these things,
but it's also never too late
to start planning for these things.
So absolutely not.
There really isn't that sweet spot.
You know, when we talk about planning,
the younger we are, the healthier we are.
So it's better to put those plans into place,
but it's never too late.
Thank you for sharing that.
And building on your,
and then Michelle's point earlier,
Michelle, you've said this,
it's never too late.
It's about starting where you are,
which is the sign behind me,
if everybody sees.
So Michelle, I know you talk to so many folks,
part of your job is actually
also having these types of conversations.
Can you just talk a little bit more
when it comes to long-term care?
What does that conversation look like?
Oh, absolutely.
So years ago, we gave this seminar
in our Fidelity offices,
and it was specifically
around women and investing.
And it was talking about the topics in our lives
that forced us to get from the backseat of the car
to the front seat of the car
because of a life event,
a financial event.
And it's typically that movement
from the backseat to the front seat
that can get very uncomfortable.
So there is no time like the present
to consider some of these topics
and how they will affect you
and what your wishes are.
In my personal story,
my grandmother recently has had some health issues.
And she, as a woman coming from
a really long longevity in our family,
she wanted to stay at home by herself
as long as possible.
But unfortunately,
we are in that process right now
of looking at different facilities.
And we're having to do it
in a kind of fast, quick, rushed way,
which I don't wish for anyone.
But that proves the point
that there is no wrong time
to have the questions
or start considering some of these things
that might happen in the future.
And I think that you don't want to wait
until there is a healthcare event
to push you into this conversation
because it is emotional, like Amy said.
So I would say just from my own experience,
try to interweave some of these conversations
in sooner rather than later.
Thank you for sharing that.
And I always go back to the fact
that even with us who work here
and have these conversations day in and day out,
we too have to remind ourselves
the importance of trying to do as much as we can
as early as we can.
But I love that you both also hit on the fact
that it's never too late.
So it's what the right time is for you
and just encouraging these conversations
sooner than later.
So of course, the next thing that comes up
is we're just better understanding
how we think about long-term care.
The type of conversations we can have
is around cost.
How do we anticipate the cost
of long-term healthcare?
Amy, I'm going to come over to you.
Yeah.
So cost is a big question
and I really recommend you do some research
on how much long-term care costs in your area
because it does cost different
in every state and every city.
So it's important to find out,
well, how much is it in my area?
And you also want to price out
what in-home care would look like
compared to being in a facility.
I do hear a lot of common misconceptions
around long-term care costs from clients.
The first thing that I hear
is that long-term care insurance is expensive
and it's unnecessary.
And so I do want to talk to that
because we really, you know,
I believe that, you know,
the cost of having an insurance policy
is going to be a lot less expensive
than if you priced out
what it would cost for a long-term care event.
As you heard me state earlier,
when we turn 65,
there is a 70% chance we will need care.
Now, these costs are going to vary
based on where you live,
based on the type of care that you need,
but also how long you need care for.
If we look at the national averages
here in the U.S.,
in 2023, you're looking at them
ranging anywhere from
a little more than $24,000 a year
for something like adult daycare,
all the way up to over $116,000
for a private nursing home room.
So again, depending on where you live,
that cost is going to be very different.
On average, people tend to need care
for about three years.
But for women,
we're actually closer to four years
of needing care.
So when we look at this,
you know, we want to make sure
we're planning for the right type of care.
We're planning for where we're going to live.
And again, you know,
this is going to be a risk that as women,
you know, unfortunately,
we're going to have a higher risk of facing.
Amy, right back at you with one more.
Does Fidelity offer long-term care options?
So absolutely.
So Fidelity is here to help you.
We actually have a dedicated
long-term care team
that can navigate you
through this conversation,
that can help you with
all the different solutions
that are out there.
So not just what we have here at Fidelity,
but we can absolutely help you
and navigate that.
But we do have some solutions here
as well to help you with.
Thank you.
I always just have to weave these in as we go
because it's so important.
And I think once we start to talk about it,
what's really great is so many folks
are actually ready to take action,
which I think is really awesome.
So Michelle, I just want to come over to you.
Can you walk us through,
and we talked about this before,
but we're going to come back to it
because so many people are asking around,
what are the different ways
that I can pay for long-term care?
Yeah, absolutely.
So this is a daunting one for a lot of us
before we get into the actual
details of all of this.
So one, personal savings.
You can take distributions
from your retirement accounts,
investment accounts, savings accounts,
and you can even use your social security.
Another way is government assistance.
There's a misconception here
that Medicare will pay
for long-term health care costs.
So in reality, Medicare is quite limited
when it comes to Medicare Part A,
and there is no Part B or Medigap plans
available that pick up those costs, okay?
So to qualify for Part A coverage,
that is coverage for 100 days.
You have to be hospitalized for three days
and need skilled care.
And even at that point,
it pays for only 80%
of the covered health care costs
for that 100 days,
and you must pay the remaining 20%.
And it doesn't,
and it largely does not cover.
Home care.
I do have another example,
unfortunately, going on
on another side of my family right now.
We are within that 100 days right now.
Well, I know exactly,
if I were to be asked
how many days left to so-and-so have
before we need to flip over
to possibly a long-term care solution,
we're getting a crash course of it right now.
So it is near and dear to my family.
Thank you for sharing another personal example,
just showing that we're all kind of
dealing with these different situations.
I want to continue to walk through,
because so many of us may have to prepare
reactive or proactive for it,
what are other options you can use to pay for it?
So Amy, can you cover what else is left?
Yeah, so the other options that you have
would be looking at long-term care insurance options.
So there's a couple different types of options out there.
You have what's called
traditional long-term care insurance.
This is going to be a standalone
long-term care insurance policy
where you pay a premium
either monthly or annually for life.
Typically those premiums,
they do get more expensive as you age.
If you end up needing long-term care,
it's going to pay you out of benefits.
And then the other type of insurance policy out there
is a hybrid long-term care insurance policy.
Now this works a little bit different.
So this is simply just a combination
of having both life insurance
and long-term care insurance combined.
So in the event you did need long-term care,
then with this type of policy,
it's going to pay out a benefit to take care of that.
But let's say you didn't need long-term care.
Then it turns into a life insurance benefit
for your beneficiaries that would pay out for them.
So you can use that type of policy in multiple ways.
Now, the way that you would pay for a hybrid policy
is also just a little bit different.
You could decide to pay for this
and spread it out amongst your life,
or you could decide to pay it in a one-time payment
so you can control the cost a little more
with that type of policy.
Thank you.
So I love this question because it comes up so much
and it's from so many different people,
but Nicole hit on this idea of thinking about long-term care,
considerations, timing of purchase,
single, no children, no caregiver.
And I love that because so many of us are solo
and want to be thinking about this.
So what if you don't know anyone to help care?
What do you do?
I'm going to, Amy, come over to you.
Thank you.
Perfect.
I was going to say, I can speak to this.
So I've actually been divorced for about 15 years now
and I'm planning a loan.
So I am in that scenario.
And just because you don't have a partner
doesn't mean that you don't have a friend, a neighbor,
a child, or somebody, an extended family member
who might be willing to step in and help out.
So it's important to have these conversations
with everyone you care about.
But as I stated earlier, I'm a single mom.
I have a daughter.
She's an adult.
And we had that conversation and she shared with me,
she is not going to be my caregiver.
So I know I won't be able to count on her.
So I needed to get a plan into place.
So some things when I put this plan together
that I needed to consider,
and I needed to make sure too that I had it all in writing.
I told her where it was and what the plan looked like.
So she knew.
But some considerations for me when I put this together
was that I wanted to stay at home as long as possible.
So I wanted to be in my own space,
which means I'm probably going to end up hiring people
to come in and help me,
maybe with some of those activities
that I'm not so comfortable having my friends
or a family member help out.
And then if the upkeep of the house is just too much for me,
then I will go into assisted living.
Because I think it's important too that at some point,
I probably won't want to be worrying about
cleaning the home, doing yard work, meals.
So that's where assisted living can really come in
and help out.
But I really recommend establishing
all of those documents we talked about,
putting things in writing, whether you are single or not.
And something else for people aging solo
that you may want to consider
is hiring a patient advocate.
So this is someone that can really help you
to navigate the medical system as you get older.
So these would be things that they can handle for you,
like being able to offer you medical advice
on making medical decisions.
But they can actually go and attend appointments with you,
which is really important.
Because if you're in need, they can sit and take notes,
they can ask questions,
they can locate specialists in your area,
and they can also keep track of your prescriptions.
So just some things to think about.
Thank you very much.
I want to get to another question.
Well, first of all, Stephanie also
and many other people asked about that.
So it keeps on coming in in different forms.
I'm really trying to figure out if you are single
and don't have kids and on your own.
So I think really, really, really helpful.
One question that came in,
and I just want to address it
because I think it's important,
but a lot of people are asking about it.
How do I think about getting long-term care
versus just paying for whatever it is with my savings?
So I'm sure Michelle and Amy,
you hear people ask you this question a lot.
Can you just help kind of talk through
how you would work with someone in response?
And I'll let either of you take it.
So I'll say when I am planning with my clients,
I really spend a good bit of time
talking about what their preferences are.
What is most important to you?
Is it knowing you have the comfort
and knowing that there is a policy
that will step in when possibly this time comes?
Or do you value having more control,
maybe over your own asset
that you do want to set it aside in a quote unquote bucket?
So I do believe that there is not a wrong
or a right answer.
I do think that it has to start
with understanding your preferences,
talking through some of your fears
and what you want to avoid
and what you imagine the ideal situation
coming through on the other side.
So Amy, any thoughts there?
Yeah, I think when you're thinking about
putting a plan together
and should you use your own personal savings?
Should you self-fund with something like this?
It's really important to get some advice and help.
So that's why I always think talking to someone,
we have a team here at Fidelity
that can navigate these conversations
and show you a comparison.
Well, what if I did look at an insurance policy
versus going in alone
and being able to fund this from my own accounts?
What does that look like?
What's the impact that it would have
on your lifestyle, on your goals?
So that's where we want to take a deeper look
and be able to really look at
how this impacts your overall picture
before we just make a decision
on this is the way I'm gonna go.
That way you've got all the information you need
to build the right plan.
Thank you for sharing that.
I do think hearing from you
the importance of understanding preferences
in unique people's situations,
be it on your own or as a couple or a larger family
is what you all do day in and day out
to figure out what's best
versus there being just one answer.
We have about five minutes left.
I think Amy, I'm gonna come over to you,
but what do I look for
in a great long-term insurance plan
concerned about overpaying for something
that may not be worth it in the long run?
Yeah, that is actually a really great question
because when we look at statistics in long-term care,
most people want to start out in home
and stay there as long as possible.
So when we're putting together a plan,
we wanna think about your preferences,
but we also wanna make sure
that you're not over-insured,
but you're not under-insured.
So we wanna take a look at,
well, how much does care cost in your area?
Do you have any family history?
Do you have any family history of Alzheimer's, dementia,
things like that,
that maybe we need to plan a little bit longer for?
So those are some of the considerations,
but again, that's where having someone to help you
and navigate that to make sure
you are putting the right amount into a policy.
The goal to me would be
that you put the least amount into that
so that you've got the coverage that's working for you.
Amy, I am sure right now,
everybody's saying, I want to talk to Amy
and make sure that I'm making the best decisions for me
and those important to me.
Tell us what you're looking for help for,
and then we have a team of folks
that are gonna be reaching out
to kind of get you the help that you need,
and it is free.
So I think that that is really, really important.
Okay, we're coming close to time,
so I want to wrap up pretty quickly
with one last question.
Amy, Michelle, from your experience
working with clients over the years,
what do you wish that people asked you
or thought about sooner
when it comes to healthcare and long-term care planning?
Michelle, let's start with you.
Yeah, so I would say just sitting down
and having a very honest, candid conversation
with your loved ones
just about what some of your wishes are
and having them sooner rather than later,
rather than being rushed,
because these are some very serious topics
that have emotional consequences to them.
So I would just encourage everyone
to have that little date with a special person
to have these conversations with sooner.
And Amy, quickly over to you.
Yeah, I would probably, similar to that,
would say that these are such important conversations to have.
So lean into it.
I know it can be uncomfortable,
and I know a lot of our loved ones
don't want to talk about this,
but don't give up.
You know, continue those conversations
and do them at a much younger age
while everyone is healthy.
So that way you know everyone's wishes
and you're not having to make reactionary decisions.
So I would say it's never too young again
to start planning for this and never too late.
I love that.
Start where you are, never too late.
Thank you both for joining the discussion today.
Invaluable.
I know I learned a ton,
and I know that everybody who joined us did as well.
Quick wrap up.
You can also just call us directly for free.
I just want to call up that slide
so everybody can have access to the phone number.
In addition, if you are just joining for the first time,
just make sure you're part of the community
so you can join us for follow-up conversations
as well as get access to our tools and resources.
On a regular basis, because we send it out,
we also are continuing to hear from you
about what to cover in the future.
Keep the suggestions coming.
We want to talk about and provide you the help that you need.
So keep it coming.
Last but not least, we always continue the conversation
on Instagram and LinkedIn.
So join us.
And another reminder,
YouTube has our Women Talk Money videos.
You can watch them when it's convenient for you.
So please make sure to do so
as we are putting them all up there
and we've covered a ton of topics.
We will have this up in a couple of weeks
and we will keep on going.
So I think that's a wrap.
Thank you both again.
I appreciate it.
And for everybody who joined us,
we hope it was helpful
and we're looking forward to seeing you next time.

