Long Term Care

California Long Term Care Insurance Cost Information

Each person has a unique set of long term care needs but if you're living in California it does not matter whether you require in-home care or skilled care in a nursing facility because either way you’ll be forced to fork out a chunk of money.

One year of care in California is very costly already so what more three years or five or even ten years of long term care?  This explains why this U.S. state has never vacated its slot in the Top 10 most expensive states for long term care.

Genworth Financial, a leading Fortune 500 global financial security company, conducted an extensive survey on the median cost of care for 2012. Their studies reveal that the average median rate for assisted living facilities (private one bedroom) in California amounted to $42,000 per year. A private room in a nursing home, on the other hand, would cost an average median rate of $93,988, whereas a semi-private room would be around $81,760 a year.

Long Term Care insurance in California
Region Homemaker Services Hourly Rate
Home Health Aide Hourly Rate
(Medicare Certified)
Assisted Living Facility Monthly Rate
(Private room)
Nursing Home Daily Rate
(Semi-private room)
Nursing Home Daily Rate
(Private room)
Bakersfield $19 $19 $2,925 $242 $265
Chico $19 $19 $3,450 $213 $230
East Bay $25 $25 $3,750 $245 $270
El Centro n/a n/a $3,250 n/a n/a
Fresno $19 $20 $3,000 $229 $254
Hanford-Corcoran $22 $22 $2,700 $190 $215
Los Angeles County $20 $20 $3,600 $195 $240
Madera-Chowchilla n/a n/a $2,800 $202 $208
Merced $18 $20 $3,248 $190 $216
Modesto $18 $18 $3,039 $214 $226
Napa $24 $26 $3,800 $245 $297
Orange County $20 $21 $3,500 $235 $281
Oxnard-Thousand Oaks-Ventura $20 $22 $4,000 $201 $245
Redding $18 $18 $3,150 $230 $245
Riverside-San Bernardino-Ontario $20 $20 $3,150 $190 $205
Sacramento - Arden-Arcade - Roseville $24 $24 $3,650 $225 $260
Salinas $22 $21 $4,380 $230 $275
San Diego-Carlsbad-San Marcos $23 $22 $3,075 $213 $266
San Francisco-Oakland $25 $27 $4,250 $395 $400
San Jose-Sunnyvale-Santa Clara $25 $25 $3,500 $258 $301
San Luis Obispo-Paso Robles $23 $24 $4,500 $195 $245
San Mateo $24 $25 $3,950 $268 $298
Santa Barbara-Santa Maria-Goleta $24 $26 $4,400 $285 $350
Santa Cruz-Watsonville $23 $25 $4,750 $231 $240
Santa Rosa-Petaluma $25 $25 $3,800 $270 $325
Stockton $18 $19 $3,000 $215 $235
Vallejo-Fairfield $23 $24 $3,000 $246 $262
Visalia-Porterville $20 $20 $3,500 $187 $202
Yuba City $21 $22 $3,095 $180 $198
Rest of State $23 $23 $3,250 $231 $359

Undeniably, long term care costs can ruin the finances and goals of many families in California. About 4.4 million adults in California are aged 65 and above, and more than 500,000 of these senior residents have an income that falls below the federal poverty level. Approximately 27% of the senior population is on Medi-Cal (California's Medicaid program) where women account for 15.3% of the figures. Medicaid spending in the State of California amounted to $42 billion in 2010, where the disabled accounted for the largest shares (42%) followed by the seniors (27%). California is one of the top 4 most expensive states in the nation to receive care.

San Luis Obispo Long Term CareCalifornia Long Term Care Insurance Partnership Program

California Partnership for Long Term Care is a partnership between the Department of Health Care Services of the State of California and private insurance companies. The program aims to relieve the financial burden on the State's medical assistance program since Long Term Care is financed through a combination of private insurance and Medi-Cal.

California Long Term Care Partnership Policy

Partnership qualified long term care insurance policies offered by private insurance companies must meet requirements set by the Partnership Program and these include the special feature called Medi-Cal Asset Protection. An individual under a qualified Long Term Care Partnership policy may apply for Medi-Cal to receive ongoing care after he has used up his long term care insurance benefits, and he will not be required to comply with the program’s spend down rule or to exhaust his assets or resources.

A Partnership qualified policy’s "lifetime asset protection" also allows you to "purchase policies with coverage equal to the amount of assets you want to protect from approximately $47,000 up to your total assets."

For example, lets say you have assets (outside of your house and car) of $200,000. You buy a 4-year Partnership qualified Long Term Care insurance policy with a maximum benefit of $150 per day. The total coverage of the policy is therefore $150 times 4 years (1460 days) or $219,000. Upon reaching the fourth year and you would still need care you can access Medi-Cal Benefits without spending down your $200,000 of savings. Because of the asset protection feature, you are assured that your assets or resources are protected for life. You and your loved ones will not have to worry about depleting your resources which you hope to preserve for future use.

Types of Partnership Policies

There are two kinds of Partnership policies. The Comprehensive type covers care at home and community, and care in facilities (nursing homes and residential care facilities). The other kind of Partnership policy is the Facility Only type and only covers care in a facility. Both policies offer one to six years of coverage. All Partnership policies include the following features:

Facts on Partnership Policies in California

Data collected by the State of California Department of Health Care Services during the third quarter of 2008 revealed that Californians between ages 55 and 74 were the highest purchasers of Partnership policies. Most policyholders are married women. The most popular choice among purchasers is the comprehensive policy type - 33% chose a three year policy length while 10% chose Lifetime coverage. Policy benefits were mostly used for assisted living facilities and personal care.

Obtaining a Partnership Policy

Partnership policies may only be purchased from approved insurance companies. Licensed insurance companies in California must meet regulations and requirements set by the Partnership. Below is a list of carriers offering Partnership policies in the state of California:

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California Long Term Care Insurance References