A: Long-term care insurance is great if you can qualify for it and can afford it, as it covers both the assisted living "level of care" and the nursing home "level of care," whereas Medicaid (the main benefit that can be achieved by protecting your assets via the Living Trust Plus) only covers the nursing home level of care; however, the Living Trust Plus can also allow you to obtain assisted living coverage through the Veterans Aid and Attendance benefit if you're a qualified veteran.
The assisted living "level of care" is needed when you need assistance with 2 or 3 of the 6 Activities of Daily Living (ADLs); these 6 ADLs are generally categorized as: bathing; dressing; eating; transferring (moving from bed to chair, chair to standing, etc.); toileting (physically getting to the toilet, using it appropriately, and cleaning up appropriately); and continence (retaining control of your bladder and bowel or being able to clean up after yourself if you have occasional "accidents"). The assisted living level of care can take place at home or in an assisting living facility.
The nursing home "level of care" is generally needed when you need assistance with 4 or more of the 6 Activities of Daily Living, but a moderate to severe cognitive impairment (especially when coupled with needing assistance or guidance or queuing for ADLs) can also lead to needing the nursing home "level of care." The nursing home level of care can take place at home or in an nursing home.
Many Living Trust Plus® clients have long-term care insurance, but many don't because can't afford it or have one or more medical conditions that prohibit them from getting it. For many clients, the Living Trust Plus® is the best possible alternative to purchasing long-term care insurance, but many clients have the ideal combination of both long-term care insurance and the Living Trust Plus, keeping in mind that most long-term care insurance policies provide only limited coverage for a limited period of time, often 3 years or 5 years. Occasionally, clients have such good long-term care insurance -- a very high daily coverage amount along with lifetime/unlimited coverage benefits, that they have no need for the Living Trust Plus.