We really are a nation of optimists. Only about two per cent of people currently contribute the maximum amount to their pensions and get the most tax relief available (under the current regime). The attitude of most people to old age and retirement seems to be “something will turn up” like Mr Micawber in David Copperfield by Charles Dickens. Another blog below “the P word” covers this in more detail.
However, whatever daydreams people have of their retirement always assume that they will live out their years in good health. The only ones who really have a realistic vision here are those actually have to care for their parents or others. John Major famously spoke of “wealth cascading down through the generations” but this conveniently ignores the cost of care when one cannot function as an able-bodied person. A couple have a huge advantage here but when one of them dies or needs care themselves, then old age can become a nightmare.
One could describe my professional life as a financial dentist or financial GP, since an important part of it is asking awkward questions and getting people to think about the unthinkable. Most people get scared when asked about life insurance but long term care insurance which will pay for care when one cannot keep oneself clean, move about or have to be fed with a spoon really scares people.
When asked about paying for long term care, a common answer is “I have BUPA” or other private medical insurance but it is amazing how many people do not realise that private medical insurance will not pay for permanent (chronic) conditions. Private medical insurance only pays for (acute) conditions which be cured.
If you need care, there are four main choices:
1) pay for it yourself
2) my daughter/son will look after me
3) take out insurance while you are healthy
4) pay a lump-sum to an insurance company which will guarantee to pay for care for the life of the person concerned.
Pay For It Yourself
This is the simplest. The GP will know the local care agencies and since this type of work is not very well paid, it should not be too expensive if only light care duties are required. If you can hire a carer directly, then this is much cheaper than going through an agency but there are nightmare stories here.
My Daughter/Son will look after me
The old saying goes:
A son is a son
Till he takes him a wife
But your daughter’s your daughter
For the rest of your life
If a daughter or son wants to look after their parent, then more power to them. But for cultures which no longer have the extended family, this is probably the most expensive option.
Take out Insurance while you are Healthy
This is where life gets interesting. This type of insurance pays for care at a specified level of physical or mental disability.
The first policy of this type was issued by Commercial Union back in 1992. Norwich Union, BUPA, Permanent Assurance (remember them?) and others came into the market.
But most deserted the market after reinsurance costs went up by 200% and it became obvious that applicants were only applying very late in the day so it was a question of when the applicant would claim rather than if.
How long before beneficiaries start suing their advisers or solicitors because their inheritance has been spent on the cost of care for their parents?? The polices have been available for a long time.
Pass the Risk to an Insurance Company
The saddest and most threatening question when looking at paying for care for a parent for example, is “What is going to run out first? the parent or their assets?” Facing a question like this takes a lot of courage for all concerned.
The cost of care is essentially an open-ended commitment and most of us have limited rather than unlimited resources. Insurance companies handle this type of situation every day.
I remember one case where this worked very well. The mother of a client needed a lot of care and decided that she needed to move into a home – the annual care costs were about £23,000 and this was a few years ago. Her only asset was a cottage worth about £150,000 which she sold. I arranged for her to pay a single premium of about £73,000 to an insurance company which paid her care costs every month and this benefit was indexed. She gave the balance to her son as his inheritance. He was engaged so this was the deposit on his first home.
If you are planning how you might pay for care for yourself or for someone else, please send me an E-MAIL: george@in2consulting.co.uk