long term disability vs long term care

Long term disability vs long term care both aid in income and/or asset protection, but they accomplish different goals.

Disability insurance (DI) replaces a portion of the income you would have lost from being unable to work. The qualifying disability or medical condition may be general (unable to perform any job) or task-specific (preventing you from performing your specialized work).

A portion or all of the expenditures of caregiving required due to a physical or mental disability are covered by long term care insurance (LTCI). Costs for care obtained at home, in assisted living or nursing homes, or both, will be covered by LTCI. Policies may include language guaranteeing payment of a certain sum for each day that qualified care is needed (Indemnity) or for each month that qualified care is received (Cash).


What Is Long-Term Care Insurance?

Long-term care refers to a range of services that are not covered by typical health insurance. This includes assistance with routine everyday activities including getting dressed, taking a shower, and getting out of bed.

Long-term care insurance assists in covering the costs of care whether you have a disability, a chronic sickness, or a condition like Alzheimer’s disease. The majority of insurance policies will cover treatment received in several places, including:

A house, an assisted living community, a nursing home, and an adult daycare facility.

Any long-term financial plan should take long-term care costs into account, especially if you’re in your 50s or older.

What Is Long-Term Disability Insurance?

When a covered plan member is unable to work because of an incident, disease, or injury that prevents them from carrying out the responsibilities of their own Occupation or any occupation, long-term disability insurance offers financial support. The benefit may replace income up to age 65, or your normal Social Security Retirement age, depending on the type of impairment.

Although each insurer’s specific definition of disability will be different, LTDI typically offers coverage for accidents or diseases that make it impossible for a person to carry out the tasks associated with their line of work for the first two to three years. After that period, the policies typically require you to prove that you cannot work in any occupation.  The coverage usually lasts until age 65 of normal Social Security Retirement age.

Differences Between Long-Term Care and Long-Term Disability

Let’s examine the key distinctions between long-term care vs disability insurance. If you are unable to work, long-term disability insurance normally pays 60% of your salary up until age 65. When you are unable to execute two or three of the essential daily tasks, such as dressing and eating for yourself, long-term care insurance kicks in — regardless of your age.

Benefits/Coverage for Long-Term Care vs Long-Term Disability

When you require care for a protracted period, long-term care insurance (LTCI) will pay for the costs of in-home care, assisted living, or nursing home care. If you remain in your house and pay your regular expenditures, LTCI will not pay your mortgage.

The cost of your mortgage, bills, groceries, etc. are covered by disability insurance (DI) or in combination with Social Security disability.

Your company might cover the cost of LTCI, or it might be an optional benefit. Additionally, individuals can purchase individual coverage of both LTCI or LTD.

Cost for Long-Term Care vs Long-Term Disability

Age, health, the length of the insurance, the daily payout, and other variables all affect how much the average long-term care premium costs annually, which averages out to $2,300.

A benchmark for long-term disability premiums is 1 to 3% of your annual salary, but less expensive coverage might be offered through an employer or professional association.

Depending on your work, age, gender, health, and other characteristics, the cost of long-term disability premiums varies greatly. 

Why Is Long-Term Care and Long-Term Disability Important?

The following factors should be taken into account while weighing the importance of long-term disability vs. long-term care:

In the event of an accident or sickness that renders you unable to care for yourself, LTCI may be used to pay for care while you are still employed. In retirement years, LTCI is increasingly frequently utilized.

When you are working, LTDI can be used to replace your income in the event of an accident or illness that prevents you from working. During retirement, DI is not utilized.

How Do I Qualify for Long-Term Care and Disability Insurance?

Long-term care eligibility differs significantly from long-term disability status. To qualify for long-term care insurance, a policyholder must obtain confirmation from a competent healthcare professional that they are usually no longer able to perform at least two of the following tasks without help:

Bathing; continence; dressing; eating; using the restroom; and transferring, or being able to get into and out of a chair or bed.

Additionally, if they suffer from a disabling ailment, such as schizophrenia, dementia, or Alzheimer’s disease.

After an “elimination period” that typically lasts between 30 and 90 days, the insurance company starts paying out reimbursements.

You might be eligible for long-term disability compensation if you:

  • Invest in a long-term disability insurance strategy.
  • Make a long-term disability claim with your insurance.
  • Possess a medical condition that your insurance coverage recognizes as a disability, not just a physical injury brought on by an accident that prevents you from working.

Long-Term Care vs Long-Term Disability: What Is Right for Me?

The two types of insurance that you should take into account as part of your overall financial strategy are long-term care insurance vs long-term disability insurance.

So much financial planning entails taking care of various demands during various phases of life. The expense of elderly care assistance with ordinary daily activities may be covered with the aid of long-term care insurance.

You must evaluate your particular situation and retirement resources before choosing between long-term care and long-term disability insurance. Purchasing insurance may make sense if you can afford the premiums and if doing so won’t prevent you from continuing to save money for retirement.

It might not be necessary to get a policy if you are “self-insured” by having sufficient retirement funds and the financial means to pay between $150,000 and $250,000 for long-term care services out of pocket.

You might be unsure of your next steps if you’re involved in an insurance dispute. We’d be pleased to arrange a no-obligation meeting with an AEL lawyer to talk about your long-term disability insurance.

How Aaron Engle Law Can Help You!

Long-term care insurance vs long-term disability insurance, as mentioned above, addresses very distinct demands in your life and work. If a sickness or injury keeps you from working for an extended period, you can protect yourself by applying for long-term disability insurance benefits.

Things can get confusing when dealing with long-term disability benefits. To force the insurance companies to fulfill their obligations, we are often forced to appeal and sue the insurance company to get them to live up to their end of the bargain.

Your free consultation is the first step in our attorneys’ contingency fee practice. Contact us right away if you’ve been injured or are suffering from a medical condition that prevents you from working, even if you’re unsure if you have a case. You have everything to gain and nothing to lose.