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How We Plan to Self-Fund Long-Term Care Without Going Broke (Part 2)

Writer: Sarah Glass
Sarah Glass
Sep 15
2 min read
Harvard University with 3 flags with the Harvard logo

In my previous post, I outlined why my husband and I are leaning away from traditional long-term care (LTC) insurance. But choosing to self-fund isn't just a preference. We need a tactical playbook to address the clear risks.

Here is how we plan to cover the gaps:


1. Automating the Investments


Managing portfolio risk as we age is the simplest problem to solve. By utilizing target-date funds or automated glide-path portfolios, our asset allocation automatically shifts from growth-oriented equities to conservative holdings over time without manual intervention.


2. Creating a "Mental Bucket" (and Guardrails)


To manage behavioral risk, we are opening a dedicated sub-account purely for LTC. I’m naming it “Going Ga-Ga” (far more memorable than “Long-Term Care Reserve”). Naming and separating the account mentally locks it away from routine retirement withdrawals. Most custodians allow you to manually edit the name of your sub-accounts, so take advantage and get creative!


3. Preparing for Cognitive Decline


If mental impairment occurs, execution falls on loved ones. We are looping our adult children into our financial strategy now and designating a trusted financial advisor they can consult when the time comes.


While hybrid life insurance policies with LTC riders offer a middle ground, the math often remains tough to justify.

4. Leaning on Community & Family


Facility care isn't the only form of LTC. We are lucky in that we have a strong network of friends, family, and neighbors to lean on for general help. They can help coordinate or provide non-clinical support.


5. Tapping the "Hidden" Funding Backstop


It would be dishonest of me not to acknowledge that our retirement savings alone can’t mitigate the catastrophic risk of needing an unknown number of years of intensive nursing care without adding in some kind of insurance. 


Retirement savings alone might struggle under catastrophic scenarios (like 5+ years in a facility). While hybrid life insurance policies with LTC riders offer a middle ground, the math often remains tough to justify.


Instead, our true backstop is built into our home:

Paid-off Mortgage: In 15 years, our mortgage will be fully retired.

  • Facility Downsized: If we require a care facility, selling the home unlocks significant equity to pay for it.

  • In-Home Care Option: If we remain at home, a reverse mortgage offers liquidity for home aides.


Closing


Putting all these pieces together gives us a robust framework to skip traditional LTC insurance with confidence.


You don't have to figure out your wealth-building strategies on your own. Schedule an initial consult with your Fulla wealth advisor today.




 
 
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