I was just at a big charity fundraiser filled with “power gays” (as one guest put it), well-off gentlemen of a certain age heavily involved in philanthropy and business within the LGBT community. The topic of aging came up with several people voicing concern about what is in store for our soon-to-be-elderly LGBT population.
On the one hand, there’s a lot of denial going on with our emphasis on youth in gay male culture. On the other, there was a whole generation of gay men who perished during the height of the AIDS crisis, meaning that today’s Boomers and Gen Xers don’t necessarily have a road map to follow (or the ability to learn from the mistakes) from those who came before us. Furthermore, with marriage equality, comes a whole new paradigm meaning that we’re making it up as we go along.
American LGBT Baby Boomers beginning to enter retirement age now helped advance the LGBT rights movement in this country. During their adult lives, they saw changes including the declassification of homosexuality as a mental or criminal disorder and victories for marriage equality both in the courts and at the ballot box. To be sure, health care and aging will be a challenge for all Boomers — nobody has saved or invested near enough to cover the costs — but LGBT boomers face a few extra challenges. These may include gay-specific issues such as homophobia in nursing homes or health care providers of the Kim Davis persuasion. And as a community that still has more single people than coupled, we are more vulnerable to increased costs of long-term care incurred by single and/or childless seniors.
Also a concern for many is the long-term effect of HIV treatment. Once an assumed death sentence, HIV has become much more of a chronic illness. That said, current treatments are still terribly hard on the body, strict diligence is absolutely necessary, and a cure remains elusive. How years of these treatments will change the quality of retirements for people living with HIV has yet to be seen.
Long-term care is defined as the assistance or supervision that a person who is physically or cognitively impaired needs to get through the day. With few exceptions, no federal or state program will pay for custodial assistance over an extended period of time. Quite often, and traditionally, much of this care may be given by children or family members. With so many in the LGBT community less likely to be partnered or parents, they are at greater risk of not having family relations in place to help with this care.
About 70 percent of people 65 and over will need some form of long-term care during their lives, according the Department of Health and Human Services. The prices are shocking, and they’re certain to rise exponentially between now and when you actually need care. For example, currently in Florida, a semiprivate nursing home room costs around $78,000 per year, while a private room in New York will run a whopping $131,000 per year.
The average Boomer has nowhere near that amount saved, let alone set aside enough to cover health care expenses. In fact, only one-seventh of Boomers, gay or straight, have purchased any long-term care insurance at all. Unfortunately, there are many misconceptions about how long-term care will be paid for. People may expect Medicare or their health insurance to cover these costs but guess what? They won’t.
Since a majority of people who purchase long-term care coverage are married, it follows that so far the LGBT community, much of which is single, is less covered than the population as a whole. But there is good news for married same-sex couples. The calculations used to quality for Medicare coverage are often more advantageous for a married pair versus two “single” individuals. Plus, all married couples will have fewer hurdles to jump through to avoid tax problems when one spouse is paying for care of the other.
Single people are at more risk of needing to pay for care since they don’t have a spouse to provide it. But whether one is married or single, most of the responsibility for cost and care will fall on the individual, or individually purchased insurance.
Similarly, people without children are also at a greater risk for sky-high medical bills. You may have heard about the sandwich generation, providing care or support for aging parents, while still raising kids. But who will be taking care of the childless Baby Boomers when they need help — especially if they have used funds they needed for their own retirement to pay for their own aging parents’ care?
What should you do? Make sure your retirement plan is on track, and takes into account potential future health care expenses. Also consider purchasing a long-term care policy, hybrid long-term policy, or a life insurance policy with living benefits that can cover long-term care needs. I often recommend purchasing the insurance sooner than later, to avoid the risk of being uninsurable due to pre-existing conditions and to bring down your premiums.
Things are looking up for us — we are living longer, happier, and healthier than ever. What you can do for yourself now is prepare for the future by making sure you have a plan prepared for both the fun and challenging times ahead.
DAVID RAE, CFP®, AIF®, is a Los Angeles-based retirement planning advisor with Trilogy Financial Services, focusing on helping the LGBT community become more fiscally fabulous for over a decade. Follow him on on Facebook or www.davidraefp.com
Securities and advisory services offered through National Planning Corporation (NPC), Member FINRA/SIPC, a Registered Investment Adviser. Additional advisory services offered through Trilogy Capital, a Registered Investment Adviser. Trilogy Capital and NPC are separate and unrelated companies.