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Long-Term Care/Income Funding Options

We help client's increase their incomes through a number of different sources. These funding options can be used to pay expenses, enjoy retirement more, or to pay for long-term care, either at home or in a facility. We find it is particularly useful to maximize the use of the assets from an IRA or the equity in a home to satisfy these desires, although a number of other excellent options should also be considered. 

 

Statistics show that 70% of retirees will need some form of long-term care in the future. This could be provided by short-term rehabilitation or respite care, having a care or healthcare worker come into their home, or may necessitate moving to an assisted living, memory care, or nursing home facility.

Unfortunately, paying for these services can require a substantial amount of money, sometimes for a decade or more. Obviously, this can be quite concerning for a resident and their family, as no one wants to be forced to move out of their facility due to a lack of funds.

We help counsel retirees and pre-retirees about the various options for financing the cost of long-term care, whether at home, or in a facility. Some of the options available include using assets from:

  • Personal Investments (if you are so fortunate)

  • The Sale of a Home

  • Bridge Loan

  • LTC Insurance

  • Asset-Based Life Insurance or Annuity Plans

  • Life Settlements

  • Home Equity Loan

  • Home Equity Line of Credit (HELOC)

  • Cash-Out Refinancing

  • Reverse Mortgages

  • Equity Release Mortgage

  • Shared Appreciation

  • Sale-Leaseback of a Home

  • VA Benefits

  • Single Premium Immediate Annuity

  • Medicaid

The cost of senior care services and senior living ranges depends on many factors. One factor is the type of senior care community or arrangement the individual chooses. Independent living communities, nursing homes, assisted living facilities, and in-home care offer different services, amenities, and environments, so the costs among these residential settings vary.

 

Another factor influencing the cost of senior care is the level of care an individual needs. Some older adults may be able to live independently, while others may need some assistance, and others require access to 24-hour care. The level of care a person receives influences the cost of their senior care expenses.

The geographic location of the senior care community or services provider is another factor that affects the cost. Average costs vary both by state and within the state, from town to town. 

In my home state of Tennessee, the cost for Senior care iis more than the national average. It’s important to understand the main differences between living and care arrangements when deciding the best setting for an older adult transitioning to senior care. The cost of home care, assisted living, and nursing homes can be significant, depending on your location and necessary care level. Here, we describe these differences and introduce some options to help you pay for senior care in Tennessee.

Cost of assisted living in Tennessee

Multiple factors influence the cost of assisted living in Tennessee. Many of these factors depend on the type and level of care you need. Long-term care financial company Genworth reported in 2021 that the average cost of assisted living in Tennessee is $4,105 per month. This cost has increased by 1.64% in the last year.

The level of care a person requires will impact the cost of assisted living, but where you live also matters. The monthly cost varies by as much as $1,620 a month, depending on where you live in the state. The cost of assisted living ranges from a low of $3,215 in the Clarksville area to a high of $4,835 per month in the Cleveland area of Tennessee.

Cost of nursing homes in Tennessee

The difference between nursing homes and assisted living facilities is in their accommodations and the level of care they provide. In nursing homes, the living environment is more clinical, where residents live in a private or semi-private room without a living room or kitchen area. In assisted living facilities, residents live in apartments with a private bathroom and kitchenette.

The cost of nursing homes in Tennessee is nearly 80% greater than that of assisted living facilities. The average cost for a semi-private room is $7,148 per month, and a private room is $7,665 per month. These costs vary across the state. MorristownCleveland has the lowest average cost for a semi-private room in the state at $6,692, and Morristown has the lowest average cost for a private room at $7,559 per month. The area with the highest average cost for a semi-private room in the state is Johnson City where the average price is $7,559, and Johnson City has the highest price for a private room at $8,015 per month.

Cost of home care in Tennessee

If you can stay at home but need a little help, home care is an excellent alternative to moving into a facility, which allows you to stay at home and brings care to you. There are two types of home care that can help meet your needs. One option is homemaker services, where a non-medical caregiver goes to your home to help with basic living activities, like grocery shopping, meal preparation, housekeeping, and cleaning. The other option is to hire a home health aide. A home health aide assists with bathing and toileting and can provide health monitoring, like taking their pulse and blood pressure readings. Home health aides can also monitor the person’s mental health condition they are helping.

 

The cost difference between the two care types is about 10.3%, so you should consider the type of care needed and research your care options based on the needs to save money. The average hourly cost of a home health aide is $23.96 per hour, and the homemaker service averages $23.96 an hour. Again, Johnson CityMorristown has the lowest average cost in the state, with costs averaging about 13% below the average at $20.96 per hour. The highest average cost is in NashvilleClarksville, where the cost is 4% higher than the state average at just under $24.96 an hour.

Cost of memory care in Tennessee

Memory care is the fastest-growing care segment in the U.S. as measured by the number of individuals needing the care and the number of memory care providers. Memory care specializes in the care of residents or patients with Alzheimer’s disease or other forms of dementia. Memory care is provided at a standalone memory care facility or at an additional cost in an assisted living facility or nursing home.

Memory care is typically an additional cost above assisted living or a nursing home. The incremental cost is due to these residents’ receiving 24-hour long-term care. This additional cost is between $858 and $1,128 per month in Tennessee.

For additional information on each of these options, please view the sub-headings under this menu tab.

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