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The Independent UK
The Independent UK
National
Ken Sweet

Be Well: Medicaid 'spend down' strategy can cover high long-term care costs. But do not go it alone

Be Well Medicaid Spend Down - (Copyright 2025 The Associated Press. All rights reserved)

The U.S. Department of Health and Human Services estimates that more than half people over age 65 will need help with daily activities such as bathing, dressing or eating at some point, either for an extended period or the rest of their lives. Some research suggests that share may be as high as two-thirds.

Yet relatively few older Americans have private long-term care coverage. AHIP, a trade association representing the U.S. health insurance industry, estimates that only 3% to 4% of Americans over 50 have an active policy that covers extended care. Medicare, the main health insurance program for older Americans, generally does not pay for continuing support services in a nursing home or assisted-living community.

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