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This is then making LTCI unaffordable to the middle class?
(1) Are premiums for existing LTCI policies likely to increase at a much higher rate than in the past making LTCI unaffordable to the middle class?
(2) Are premiums for an identical LTCI policy significantly different from one region to another of the country since the costs for LTC are so different from one state to another since the costs for LTC vary so widely from one state to another - almost a threefold difference (e.g. Texas vs New York)?
(3) What information do you have for Continuing Care at Home programs such Longwood at Home and Cadbury (NJ)? Are such CCAH programs a better choice than LTCI policies?

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Continuing Care at Home doesn't seem to be available in our area, and in fact I could only find evidence of it in the Northeast, from a Google search. So I am by no means an expert.

It seems to me that Long Term Care Insurance and CCAH have a similarity in that you buy in while you are healthy and young. The younger you are, the cheaper the premiums, but the longer you pay those premiums - so it may be a wash. There seem to be two levels to CCAH, the full service where you pay only the same premium each month, and a half level, where you pay your lower premium and then 1/2 of the actual cost as a co-payment.

With LTCI, you do the work of finding what you need and paying for it (is the argument against it on the CCAH websites) and with CCAH you get a liaison who does the work for you on your behalf. Sounds like a good idea to me.

All of the costs of everything medical related are only going to go up as the population ages. The questions you have asked are really unanswerable as no one can predict the future. And there is not usually a reason for anyone on this forum to investigate the costs from one coast to the other.

I'm not sure if you are asking for personal knowledge or if you are conducting a survey, but I don't think there is a one size fits all answer.

We are a forum of caregivers who are doing the best that we can given what we have to work with. Care at home is ideal for some, and not for others. My crystal ball is a little cloudy, so I can't predict how it will play out for myself personally. I have purchased LTCI, hopefully it will take care of what I need.
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I think you are confusing CCRC with CCAH. A member of CCAH remains in his/ her home and when needed a care coordinator arranges the needed service of caregiver who come home to provide that service. In CCRC a member is a resident of the CCRC campus and receives care as needed and is transitioned from Assisted Care to Nursing care (and Menory Care) to hospice care as needed. So there is a significant difference between CCRC and CCAH. Do you agree?
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LTCI-- you pay premiums while you are still healthy. They pay the NH.
CCRC-- Collects both the insurance premiums and the payout from insurance. They also require a large lump sum buy in and rents start out at $6K per month at the Independent Living level.
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LTCI is a insurance policy which is used to pay for a service, such as assisted care, nursing care etc. Similarly members of Continuing Care at Home also pay a monthly fee and in return recrive assisted care, nursing care etc. when needed, delivered at home of the member. So aren't they similar and therefore can be compared?
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1. They will probably be higher, but only because people will be buying more coverage, e.g. $500 per day as opposed to $200 per day.
2. The companies are smart enough to pool their risk across several markets. Unlike car insurance, they simply won't sell to you if you are over 80
3. This site does not provide ratings, but your state health department does.
4. The comparison is not logical, because LTCI is insurance and CCAH is a service.
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