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End-Of-Life Care Costs

March 23, 2022 by Jacob Sensiba Leave a Comment

End-of-life care is a treatment someone nearing death receives in the final days, weeks, months, or sometimes years of his or her life. During this time, medical care and support continue regardless of whether the patient’s condition is curable or not. Many receive professional medical care in hospitals, nursing homes, or even in their own home. Patients are then placed in either palliative care or hospice care, and the costs are paid by Medicare, Medicaid, private insurance, charities, the individual, or other payment programs. Here are some things to know about end-of-life care costs.

Eligibility for Medicare’s Hospice Benefit

  • The patient must be 65 years or older
  • Diagnosed with a serious illness
  • Certification from a doctor that he or she has six months or less to live
  • Agrees to forgo life-saving or potentially curative treatment
  • Hospice provider must be Medicare-approved

Medicare provides care for two 90-day periods in hospice, followed by an unlimited number of 60-day periods. At the start of each period of care, a doctor must re-certify that the patient has six months or less to live.

Medicare’s hospice coverage includes a broad range of services:

  • Nursing care
  • Medical social worker services
  • Physician services
  • Counseling (including dietary, pastoral, and other types)
  • Inpatient care
  • Hospice aide and homemaker services
  • Medical appliances and supplies (including drugs and biologicals)
  • Physical and occupational therapies
  • Speech-language pathology services
  • Bereavement services for families

Hospice costs not covered by Medicare

  • Room and board
  • Emergency care such as ambulance fees or emergency room costs
  • Treatment or prescription drugs attempting to cure illness

Hospice costs are paid for in the following manner: Medicare – 85.4%; Medicaid – 5%; managed care or private insurance – 6.9%; other (including charity and self-pay) – 2.7%.

Respite care is a short-term break for caregivers of terminally ill patients. The patient can stay for up to five days in a Medicare-approved nursing home, hospital, or hospice facility.

Some Costs

Studies showed 42% of people died at their home at $4,760 in their last month of life. Whereas in a hospital it cost $32,379. Dying in a nursing home was the second most expensive, hospice care was third, and the emergency room.

Now that all of this has been explained, there are some things you need to do or things you should do to prepare for these costs.

Planning

You have to save for it. A lot of retirement planning is determined by how much you are going to spend in retirement. Heck, that’s basically all of what retirement planning is. You need to save and plan for this.

Not everyone has to be concerned about it. If you have all of your debts paid off and your retirement account is in a place where you don’t have to be worried about running out of money, then you probably don’t have to think about it too much. That doesn’t negate the fact that you should plan, your planning just looks a little different. Instead of buying final expense life insurance, maybe you’re buying a plot in a cemetery.

If you have all of your debts paid off and your retirement account is in a place where you don’t have to be worried about running out of money, then you probably don’t have to think about it too much. However, that doesn’t negate the fact that you should plan; it will just mean that your planning may look a little different from that of others. For example, it may be the perfect time to think about looking into final expense policies.

Final expense insurance is a life insurance product that’s purchased to pay for burial and/or funeral expenses. It’s also called burial insurance and senior insurance. In most cases, the benefit from the insurance product reimburses the costs incurred from burial and funeral, as this can take longer for those to get paid out. This could provide significant help to you and your family when that time comes and is something that you may want to consider if you want to start thinking about these scenarios now.

Planning will look different for everyone, but your circumstances don’t excuse you from planning. So, start thinking about it today.

Final expense insurance is a life insurance product that’s purchased to pay for burial and/or funeral expenses. It’s also called burial insurance and senior insurance. In most cases, the benefit from the insurance product reimburses the costs incurred from burial and funeral, as it takes longer for those to get paid out.

End-of-life care is a necessity for most people. It’s important to plan for it.

Related reading:

How Medicaid covers hospice care

The Cost of Medicare Plan G in 2022

10 Financial Hacks for a Funeral

Disclaimer:

**Securities offered through Securities America, Inc., Member FINRA/SIPC. Advisory services offered through Securities America Advisors, Inc. Securities America and its representatives do not provide tax or legal advice; therefore, it is important to coordinate with your tax or legal advisor regarding your specific situation. Please see the website for full disclosures: www.crgfinancialservices.com

Jacob Sensiba
Jacob Sensiba

My name is Jacob Sensiba and I am a Financial Advisor. My areas of expertise include, but are not limited to, retirement planning, budgets, and wealth management. Please feel free to contact me at: jacob@crgfinancialservices.com

 

www.crgfinancialservices.com/

Filed Under: Estate Planning, Planning Tagged With: Estate plan, Estate planning, final expense insurance, life insurance, Planning, retirement planning

Are You Financially Prepared to Return to The Office?

April 12, 2021 by Tamila McDonald Leave a Comment

financially prepared to return to the office

Now that vaccine rates are rising, and restrictions on gathering are loosening. Many professionals will soon be returning to their traditional workplaces. While the idea of transitioning back may not seem like a big deal. As many people have years and years of experiencing going to an office. That doesn’t mean there won’t be an impact. Returning to the office will come with a financial burden. If you aren’t ready, it can be hard to start shouldering again. If you want to make sure you’re financially prepared to return to the office. Here’s what you need to know.

The Costs of Heading Back to the Office

Often, you can’t determine if you’re financially prepared to return to the office without first understanding the costs you may face. That way, you can estimate how they may impact your budget, giving you a chance to make adjustments in advance.

Commuting

One of the biggest shifts in your expenses will involve your commute. Since you won’t be working from home, you’ll need to tackle transportation costs that may not have been a part of your life for some time. This can include increases in fuel expenses, tolls, parking fees, and wear-and-tear costs if you drive your own vehicle. If you use public transit, then you may need a new pass or to factor in the price of tickets.

Lunch, Drinks, and Snacks

Another point you may need to cover is food and drinks. While you can certainly pack a lunch to bring with you and only drink beverages available for free at work, meals and drinks out may also be part of the equation. If you don’t plan on bringing your own, you need to factor in these costs.

Wardrobe

Additionally, you may have to spring for new clothing. You’ll need to look at your wardrobe to determine two things. First, you need to see if your clothes are in good repair. Second, you need to find out if they still fit.

Many people saw their weight change during the pandemic, as being stuck at home altered activity levels and may have also led to diet changes. Since you want to look professional when you head back to the office, you need to make sure your clothing is the right size for you now.

PPE

Finally, you may need to cover some PPE costs that you didn’t have to shoulder before. This could include a higher quality mask, particularly if you aren’t yet vaccinated, and your job doesn’t allow for six feet of separation, as well as personal stashes of hand sanitizer, gloves, or other items that may not be available through your employer.

Child Care

If you have children at home, you may need to make child care arrangements for when you head back to the office. This is especially true if your children aren’t school-aged or if schools have not reopened in your area and your kids aren’t old enough to take care of themselves.

It’s also important to note that these costs may be higher than they were pre-pandemic. Many child care facilities have seen their costs rise and may still be dealing with restrictions about the number of kids who can be on-site at a time. As a result, they might have had little choice but to raise their prices in order to sustain their operations.

How to Financially Prepare to Return to the Office

If you want to make sure that you’re financially prepared to return to the office, your biggest step is to review your budget. Estimate the cost of any expenses you’ll have to cover once you start heading to a workplace and see if you can cover them comfortably. If not, you may need to cut back in various areas, ensuring that any costs that you can’t avoid can fit into your budget.

Additionally, for any items you need to buy – like clothing or PPE – shop around. Discount retailers like TJ Maxx or Ross Dress for Less may help you stretch your budget, or you may find solid options from thrift stores.

It’s also wise to keep a close eye on your food and drink expenses. Dining out is convenient, but it typically costs far more than bringing your own meals, snacks, and beverages. If you’re worried about safety, consider investing in an insulated lunch box or thermos if you need to keep items cold or hot. That way, you don’t have to store your food or drinks in areas that all employees can access, which may give you more peace of mind.

Finally, try to make room for saving. Keeping a solid emergency fund and your retirement on target should be priorities. While you may have to scale back while you regain your financial footing, try to stay committed to setting aside as much as possible. That way, you can maintain your savings habit.

Do you have any tips or insights that can help people financially prepare for a return to the office? Share your thoughts in the comments below.

Read More:

  • 5 Details to Pay Attention to Regarding Your Job
  • Is My Credit History Important During a Job Search?
  • Just Entering the Workforce? Let’s Talk About Retirement
Tamila McDonald
Tamila McDonald

Tamila McDonald has worked as a Financial Advisor for the military for past 13 years. She has taught Personal Financial classes on every subject from credit, to life insurance, as well as all other aspects of financial management. Mrs. McDonald is an AFCPE Accredited Financial Counselor and has helped her clients to meet their short-term and long-term financial goals.

Filed Under: Personal Finance Tagged With: back to the office, Planning

Afraid To Meet With a Financial Advisor? Here’s How the First Meeting Goes – 2GYM 057

December 4, 2013 by Average Joe 1 Comment

Never met with a financial advisor and worried about what will happen? OG & Joe pull back the curtain this week and show you how the meeting SHOULD go while cautioning you against how it MIGHT go.

Subscribe to the podcast through iTunes and new episodes will show up every week!

Never subscribed to a podcast before? Here’s Apple’s fantastic tutorial.

Would you rather listen on your smartphone? Try Stitcher or the iPhone podcast app. We’re available on both platforms, as well as Windows Phone, Blackberry Podcast App, Podcatcher, TuneIn, and more!

 

Show Notes

<> Open

<> Amazon.com – Hunting for gifts this holiday season? If you’re shopping on Amazon.com, how about using the 2 Guys & Your Money Amazon link? You’ll still get the same great Amazon deals while also helping the show. Thanks! Here’s the link.

<> Meeting With a Financial Advisor For The First Time

What questions should you ask? What should you expect? What SHOULDN’T you expect? Joe & OG have a discussion (and a few disagreements) about that first meeting and how to choose an advisor.

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Filed Under: Podcast Tagged With: finance, Financial adviser, first meeting, Planning, review

5 Good Reasons to Hire a Financial Advisor and 2 Bad Ones

March 7, 2012 by Average Joe 15 Comments

The decision to hire an advisor to help with your financial planning isn’t a step I recommend lightly. I’ve been lucky: over 16 years of practice I was hired mostly for good reasons, although some others were….not so much.




Most people don’t need a financial advisor.

I’d tell individuals before they hired me that 90 percent of what I did, they could do themselves. My job was to guide them through sometimes stormy financial waters. As a bonus, I’d save them time and money by already knowing tricks they could probably find online. My staff would fill out annoying paperwork, and we had access to the best professionals in related fields. If you needed good advice, I either could provide it or knew how to find it fast.

In fact, at some points I was more of a concierge than a financial advisor….while most of my contacts were finance-related, I knew good babysitters and how to get a table at the top restaurants in town!

Here are five good reasons to hire a financial advisor:

 

1) You don’t have time.

I worked with many successful people who could have easily completed their plans alone. Most of my clients were engineers or executives working for Microsoft and Chrysler. These were intelligent people (often financially savvy, too).

They recognized that they needed a good plan drafted that they could examine and sign off on. They also needed someone to facilitate the legwork. It had to be someone knowledgeable who had their back. They needed to be able to review everything on a plane or between meetings.

 

2) You aren’t going to look at the stuff yourself.

Some of my clients were smart people, but in completely different areas. I had a client who was a very well-known artist. He needed to be forced to have consistent meetings about his meetings. Without me, he wouldn’t ever review how he was doing.

 

3) You don’t want a full financial education.

This type of client would sometimes frustrate me, but I had a large number of them as clients. Different from my artist and executive clients who were generally well educated, financially savvy people, these clients would just rather pay me to do it.

These clients were very happy to meet with me and talk financial planning. They’d listen and nod. I was pretty sure that they were getting the basics about what we were talking about. I tried to keep it entertaining, because I knew they hated being in my office.

Some were looking for the concierge treatment. For those people, we had client dinners, good coffee in the lobby and occasionally went to sporting events or concerts. They didn’t care about how the money was managed, as long as it was done with as little input on their end as possible.

These clients sometimes scared me, because if things went wrong, they had no idea why and didn’t want to learn from anyone but me. If this sounds like you, it’s better to hire a good advisor than wreck your financial ship because nobody’s at the helm.

 

4) You want a smart coach in your corner…

…to steer your plan in the right direction.

Some of my clients I knew were only going to be with me for a short time. My job was to educate them how to do it themselves. Some advisors won’t do this. I was happy to help. I liked talking strategy anyway, so if I had a willing client who was coachable, I’d take them through the process. As a bonus, I handled most of the annoying parts (like filling out Roth IRA forms) because they were paying me a fee. It wasn’t why they wanted me as an advisor, but it was definitely icing on the cake.

 

5) You want an ally to point out flaws in your strategy.

This was probably my least profitable type of relationship, but the one I appreciated the most. I had a few Do It Yourself investors who already had a complete strategy and just wanted to hire me for a couple of hours a year so they could tell me their strategy. I always had questions, then feedback, and nearly always, adjustments I’d recommend.

One client, Paul, said he specifically hired me because our philosophies clashed and he wanted to make sure his strategy looked good from the other point of view. He thought about his plan so often that he usually had a winning approach, even though I definitely would have rarely completed the plan the way he did.

 

 

There are a couple of important reasons NOT to hire an advisor:

 

1) You want someone to do it for you.

There’s a subtle difference between this person and the one in #3 above. The person in #3 was happy to meet with me every few months and talk about money. They wanted some small amount of “here’s why we’re doing this.”

Then there’s the person who just wanted “take this cash and make it work.”

I care about my former clients. I never can care about your money more than you do. I’m the money babysitter, you’re the parent. Act the part.

 

2) You want to day trade with a partner.

I had two clients who could never get through their skull that I was very happy that they day traded…but leave me out of it.

Initially we’d separate the portfolio into two sections: the “long term investment” portion, that I’d help steer, and then the “play money” portion that they’d day trade. I’d make clear that they were on their own with the play money account.

Invariably, these two clients would call in a panic and tell me that Jim Cramer had just said something on television and they needed to sell…but what did I think first? Should they sell? Should the go contrarian and buy more? Could I look up some charts for them? Maybe call a couple fund managers and ask their opinion off the record?

No thank you.

The math on my practice worked this way: 150 families, all of whom paid for and should demand my attention.

If I met with each client on average 3 times per year for an hour and a half, that meant 675 hours of meetings. Additionally, I’d call each client twice a year minimum and talk for 20 minutes (assuming there weren’t urgent financial events afoot or you hadn’t called me first). That was another 50 hours.

We won’t even approach all of the emails I sent or returned daily. Remember that I mentioned Microsoft employees? Those people love email.

After 10 hours of preparation time a week and 10 hours of strategy/internal and analysis time (not to mention any marketing we were doing), that left 30 hours for client meetings. After holidays, I worked about 48 weeks a year.

Where was I going to find time to day trade your account?

 

 

That’s my story. Now it’s your turn: have you interviewed advisors? How did the meeting go? What did you like/didn’t like about their approach?

 

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Filed Under: Hiring Advisors, money management, Planning, successful investing Tagged With: Certified Financial Planner, Financial adviser, Financial services, Planning

The Secret “Get Rich” Equation

October 18, 2011 by The Other Guy 1 Comment

My mom used to tell me, “there’s a time and place for everything,” which sounds like good, solid meat-and-potatoes mom-speak until you learn that she followed it up with “and now’s the time for gin!”

But the point holds. There is a time and place for everything, including gin, stocks, bonds and real estate.

Every investment has a proper use.

So, today, we’re going to begin the journey toward the pot o’ gold, friends. We’re going to put on our boots and hunt for the secret “get rich” equation that’ll help us choose the perfect investment.  Like a good doctor, we’ll focus on a patient with a problem.

Luckily, we happen to have one right here.  Julie is a good friend of Average Joe. She’s 32 and wants to retire at 60. She’s in the medical field, and hopes to accumulate enough to have the option to retire even earlier.  On the other hand, she currently enjoys her career and isn’t sure if she’ll even want to retire that early.  Because of this, she’s looking for flexibility.  Good for her. I like to hear stories about people loving their work.

This also helps us eliminate investments.  Hear the word “flexibility?” That immediately eliminates several investment choices, narrowing the field.

Isn’t this fun?

And to go faster, we can chuck any discussion about how much money Julie has already saved or which investments she’s currently using. Sure, both are important, but our goal today is to show you how to start choosing the right investment, not to oogle Julie’s assets.

Get your mind out of the gutter. You know what I mean.

Diatribe:  Countless advisors I’ve met begin this process in the wrong place, as do plenty of online helpers. This isn’t rocket science. We don’t have to start with today’s hottest investment or the perfect opportunity.  Instead, we begin with a simple equation.

I’m back off my soapbox.

The equation is this:  Money (times) Return (equals) the Goal.

It’s painfully simple. Julie is going to need so much money and have it perform to a certain specification to reach her end game. It’s math time, boys and girls. If we know two of the factors, we can solve for the third.  In this case, what do we know?  We already have the goal, and Julie knows the amount of money she currently has stashed away.  At this point, she needs to solve for the minimum return she’ll need (at this current pace) to reach her objective.

Ta-da! Once we know the return we need, it’s time to begin choosing investments.

But, before we do that, let’s not gloss over some problems.

We made some assumptions. If someone else performs an analysis on your behalf, you must understand what assumptions were used! If you don’t you’re bound to forget the entire equation.  Here are Julie’s assumptions:

–          She’s going to continue to save at the same rate until retirement. This could easily change (for better or worse).

–          The tax treatment of her assets will not lessen her return between now and retirement (we’re assuming that her return factor will be an after-tax amount).

There are others, but those are the biggies.

Tomorrow we’ll accomplish a single goal:  I’ll show you free places online where you can complete this equation.  I know, isn’t it exciting?

–          Joe

 

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Filed Under: Planning, successful investing Tagged With: Asset Allocation, investment factors, Planning

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