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People often need long-term care when they have a serious, ongoing health condition or disability. The need for long-term care can arise suddenly, such as after a heart attack or stroke. Most often, however, it develops gradually, as people get older and frailer or as an illness or disability gets worse.
Premiums for "qualified" long-term care insurance policies (see explanation below) are tax deductible to the extent that they, along with other unreimbursed medical expenses (including Medicare premiums), exceed 7.5 percent of the insured's adjusted gross income in 2021.
The Health Insurance Portability and Accountability Act of 1996 allowed for premiums paid on long-term care insurance policies to qualify as a deductible medical expense. Of course, as with any tax write-off, certain criteria must be met before the expense can be deducted.
42%: Percentage of people older than age 85 who need long-term care services, 2018. 47%: Estimated percentage of men 65 and older who will need long-term care during their lifetimes. 58%: Estimated percentage of women 65 and older who will need long-term care during their lifetimes.
Under a qualified plan, the benefits you receive generally aren't considered taxable income and you can deduct the premiums you pay as medical expenses as long as your total qualified medical expenses exceed 10% of your adjusted gross income.
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LTCi claims payments The most common age for LTCi claims to begin is between 86 and 90 (27.2 percent), followed by age 81 to 85 (25 percent). Only 17.5 percent of claims are paid to insured who are 91 or older.
The program was established in 2002 as a result of an act of Congress, the Long-Term Care Security Act of 2000 (Public Law 106-265).
Benefits begin after a 90-day waiting period in which you or a covered family member has an eligible physical or cognitive disability. You qualify for benefits if the disability creates a need for you to receive continual help from another person to carry out any three of the six activities of daily living.
Benefit triggers are the criteria that an insurance company will use to determine if you are eligible for benefits. Most companies use a specific assessment form that will be filled out by a nurse/social worker team.
5-year window. The optimal age to shop for a long-term care policy, assuming you're still in good health and eligible for coverage, is between 60 and 65, financial advisers say. Couples might take a look five years earlier.

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