Why Long-Term Care Planning Belongs in Your Retirement Plan
Pat Kerfoot

Retirement planning is often focused on building savings, managing investments, and creating reliable income. Yet one essential part of a secure retirement can be overlooked: preparing for the possibility of long-term care. While most people hope to remain self-sufficient as they age, many will eventually need assistance with daily activities.

Long-Term Care Planning Month is a helpful reminder to consider how future care needs could affect both your retirement goals and your family’s financial well-being. Creating a plan is not about assuming something will go wrong. It is about making informed choices while you have time, options, and control.

At Kerfoot Financial Services, I help pre-retirees, retirees, and high-net-worth individuals look at long-term care planning as part of a broader retirement income planning and wealth management strategy. Understanding a few important basics can make it easier to evaluate the options that may fit your circumstances.

How Common Is the Need for Long-Term Care?

Every situation is unique, but needing some form of long-term care later in life is a possibility for many people. Support may be needed gradually as a person’s health changes, or it may become necessary after an illness, injury, or other unexpected health event.

Long-term care needs also look different from one individual to the next. One person may need temporary help for a limited period, while another may need ongoing assistance with everyday routines. Because the timing and level of care are difficult to predict, preparing in advance can help you respond thoughtfully rather than make major decisions under pressure.

Understanding What Long-Term Care Can Involve

Long-term care is often mistakenly associated only with nursing homes. In practice, it can include many forms of support for people who need assistance with activities of daily living and can no longer complete those tasks independently.

Care may involve help with bathing, getting dressed, eating, taking medications, or moving safely from place to place. Depending on a person’s needs and preferences, that support may be available in settings such as:

  • In-home care provided by a caregiver
  • Adult day care programs
  • Assisted living residences
  • Skilled nursing facilities

The most appropriate setting depends on the individual, their health needs, and the support available around them. Planning ahead can provide greater flexibility when it is time to consider where and how care should be received.

Will Medicare Cover Long-Term Care Expenses?

One of the most common misunderstandings in long-term care planning is the assumption that Medicare will pay for all care-related costs. Medicare may cover certain short-term skilled care services in qualifying circumstances, but it generally does not cover ongoing custodial care for assistance with routine daily activities.

This distinction can be surprising for families who believed that Medicare would provide complete protection. The care a person ultimately needs may not fall within Medicare’s usual coverage, leaving the family to determine how ongoing expenses will be handled.

Knowing this before a care need arises can help you prepare for potential costs and reduce the risk of unexpected financial strain. It also gives you more time to consider how insurance, personal savings, and other planning tools could fit into your retirement strategy.

The Impact of Having No Plan in Place

Without a long-term care plan, families may have to make emotionally difficult decisions at an already stressful time. They may rely on personal savings, draw from retirement assets, or depend heavily on relatives to provide caregiving support.

Those approaches may be workable in some circumstances, but care expenses can grow over time. Family members who take on caregiving responsibilities may also face significant pressure as they try to balance those duties with their careers, households, and personal obligations.

Planning in advance creates an opportunity for important conversations about preferences, available resources, and potential care arrangements. It allows decisions to be made deliberately rather than urgently, which can reduce uncertainty for everyone involved.

Ways to Prepare for Future Care Needs

There are several ways to address possible long-term care expenses, and the right approach depends on your financial position, personal priorities, and overall retirement plan. A thoughtful review can help determine which options deserve consideration.

Some people set aside dedicated savings for future care costs. Others consider long-term care insurance that may help cover qualifying expenses. Certain life insurance policies with long-term care benefits may also be part of a broader insurance strategy.

Fixed annuities or fixed indexed annuities may play a role in retirement income planning for some individuals, depending on their goals and circumstances. The key is to consider long-term care planning alongside your income needs, assets, and desired level of financial security rather than treating it as a separate issue.

Why Earlier Planning Offers More Flexibility

Timing matters when planning for long-term care. Waiting until a health event has occurred may reduce your available choices and add pressure for both you and the people closest to you.

Starting earlier gives you more room to explore strategies, compare insurance solutions, and consider how you would prefer to receive care if it became necessary. It also makes it easier to incorporate possible care expenses into your overall retirement planning and retirement income planning process.

Most importantly, early preparation can help preserve your independence. By considering these questions before a crisis, you retain more control over the financial decisions and personal preferences that may shape your future care.

Building Greater Confidence for the Future

Long-term care planning is about more than preparing for a possible expense. It can help protect retirement resources, preserve flexibility, and lessen the emotional and financial demands that unexpected care needs may place on loved ones.

At Kerfoot Financial Services, I provide personalized service to help clients evaluate how long-term care considerations may fit within their larger financial picture. As an independent insurance and investment practice associated with AmeriFlex Group under the Cambridge umbrella, I can work with clients in the Pacific Northwest and nationwide to explore planning strategies that support their goals.

Whether your plan involves dedicated savings, insurance solutions, or a combination of strategies, taking time to understand your options can bring greater clarity and confidence. If you would like to discuss long-term care planning as part of your retirement or wealth management strategy, contact Kerfoot Financial Services to explore the choices available to you.

About the Author

Portrait of a man in a dark suit with arms crossed, standing indoors and smiling gently.
I'm Pat Kerfoot, a CFP® professional and independent financial advisor based in Post Falls, Idaho and Las Vegas, Nevada.


I built this practice on a straightforward belief: people approaching retirement deserve a real relationship with an advisor who knows their name, understands their situation, and is accountable to them — not to a product quota or a corporate call center.