Best Alternatives To Long Term Care Insurance

It’s highly probable we will need extra medical care as we age. At some point, we may even need assistance to take proper care of ourselves. This could even result in residing in a health care facility that will provide daily personal care. Prior to arriving at these facilities, the first step to avoid or delay the need for a health care facility may be using in-home care providers. Either solution has a cost, and the cost may be substantial depending on the needed care. Due to the likelihood of need and the substantial cost, many insurance companies offer what is calledlong-term care insuranceor sometimes referred to as LTCI. Most people have some familiarity with LTCI, or at least the concept. In this article, we will provide a brief overview and provide a little more discussion of the legitimatealternatives to long-term care insurance.

*This blog is for educational purposes only and should not be considered legal advice. The use of the Paths Law Firm website does not constitute a client-lawyer relationship.

An Overview Of Long-Term Care Insurance

Long-term care insurance is unique, as its sole purpose is to prepare and provide for the possibility of assisted care or nursing home care. Long-term care insurance will cover many aspects of care, but specifically includes nursing home care costs, personal daycare costs for adults, and home healthcare, when necessary. Of course, no one knows with certainty what the future holds, but making a plan in case it is needed is essential. In fact, planning in advance is a necessary characteristic, as with all insurance; if you need the insurance, it’s too late then to seek it. But, there are alternatives to long-term care insurance that should be considered before purchasing a policy.

Is Long-Term Care Insurance Really Necessary?

This is a question many ask at some point while planning for their own future. It is certainly a legitimate question frequently brought to mind when parents begin to age or a loved one receives a diagnosis bringing an uncertain future with it. Investing in a long-term care insurance policy is always a good idea to discuss with your planning professionals, i.e. financial advisor, accountant, and estate planning attorney. This conversation and planning must be explored before a solution is needed. Part of the discussion should also be the investigation of alternatives to such an insurance policy.

long term care insurance alternative

Short-Term Care Insurance

Instead of long-term care insurance, another consideration in the alternative, or as a supplement, is short-term care insurance. Short-term care insurance policies are designed to pay or supplement the costs associated with preventive care, doctor visits, urgent care, and emergency care. Most policies may also cover prescriptions. A short-term care insurance policy may be more affordable, but has limits in time, daily coverage, or total coverage which you should be certain to check. The cost of premiums for coverage will be based on these same criteria. The term for coverage is usually 180 days to one year. Generally, short-term care insurance policies have no elimination period or waiting period, so the benefits start as soon as the policyholder requires care. An elimination period is common with long-term care insurance policies and they are designed to work as a deductible: basically, they are the number of days one must pay for care before the long-term care insurance policy begins coverage. If a policyholder recovers before all benefits are exhausted, future claims may be filed for additional benefits.

Critical Care Or Illness Insurance

Anotheralternative to long-term care insurance is critical care or critical illness insurance. This type of insurance pays out cash to the policyholder, usually in a one-time lump sum payment in place of receiving monthly benefit payments. This insurance is designed for individuals suffering from serious conditions such as heart attacks, stroke, or diagnosed with cancer. These benefits can last up to a total of six months. In some cases, monthly benefits will be available but not to the degreelong-term care insurance will provide.

Annuities With Long-Term Care Riders

Annuities can be taken out as a way of avoiding the need for long-term care insurance. The IRS has made recent changes so money can be invested annuity-like instruments that can be used, along with the long-term care insurance, to provide income for long-term care issues. This strategy allows a steady stream of payments that are released along with the benefits from the insurance policy. This allows the long-term care insurance to be supplemented by personal funds without tying-up all your investments and not requiring the larger long-term care insurance premiums. You may want to coordinate this plan with an Elder Law Attorney and a Medical underwriting company to assist with payment options.

alternatives to long term care

Deferred Annuities For After Retirement

In the same way, annuities can be used along with long-term care insurance, deferred annuities can also be used to a greater degree. These are applicable after a person retires and in most cases, old enough to qualify for Social Security and Medicare. Since this type of investment is not designated for long-term care, it is an option solely for unexpected expenses. Keep in mind, this money cannot be used to cover anything prior to a person retiring from their place of employment.

Asset-Based Policies

In some cases, a person’s assets can also be more heavily relied upon. For example, if an individual has a 401(k) or other investment, these funds can be reallocated and used for the purpose of long-term care. This may be a last resort as this could be the only money an individual has after they retire.  Financial advisors are usually well versed in these options and are legitimate for combining long-term care provisions and investments in general. This too is an option to combine with long-term care insurance and the alternatives to long-term care insurance mentioned. AnElder Law Attorney and the rest of your team can help you determine what options may be best for you in the long run in order to protect your assets and your loved ones.

Investigate and Get Quotes Before You Make a Decision

There will always be insurance companies providing LTC Insurance. The key is knowing what the requirements are to qualify, the benefits available, and what you need, as well as the premiums or other costs. This should all be compared to the alternative options available to help determine what is right for you. If you choose to purchase a long-term care insurance policy, be sure to investigate the companies you are considering and get quotes from several carriers. It is always best to obtain multiple quotes as some carriers may have discounts available based on military status, good health, marital or domestic partner discounts, or discounts based on associations, common employer discounts, and even multi-life discounts. 

investigating alternatives to long term care insurance

Preparation is The Key

Preparing for the future should always involve financial retirement plans, however, many people don’t always think past the idea of relaxing in their golden years. Having a long-term care plan in case of illness can help remove much of the financial stress and burden. Regardless of the type of policy chosen to protect against long-term care costs, just having a plan puts people far ahead of the curve. In the end, it may be critical care insurance, short-term care insurance, or just one of the other options is all that’s needed. Either way, it’s important to look to the future and prepare for what may occur. Preparing for the future is important and should not be something put off. 

At Paths Elder Law, our experts are here to help. We have the experience and knowledge to help. Our Elder Law Expert will work with you to go through all of the available options to create a future plan with your other professionals to meet your estate planning and long-term care needs. We provide legal services to seniors and their families to provide peace of mind and prevent undue financial stress. Contact Paths Law Firm to schedule your consultation. Thoughtful planning today can help secure your future.

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We are legal experts focusing on wills, trusts, medicaid, guardianships, and asset protection for seniors and veterans in Missouri.

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Paralegal

Jennifer Scott

jennifer scott

Jennifer serves as an Estate Planning Paralegal, providing comprehensive support to the firm’s attorneys and clients. She assists in the preparation of wills, trusts, powers of attorney, and other estate planning documents, ensuring accuracy, clarity, and alignment with each client’s objectives.

Before transitioning into estate planning, Jennifer gained extensive experience as a Family Law Paralegal, this background enables her to navigate sensitive client circumstances with professionalism, discretion, and a strong understanding of family dynamics.

Jennifer is recognized for her attention to detail, strong organizational skills, and commitment to delivering a thoughtful and reassuring client experience. She approaches each matter with integrity and a focus on ensuring clients feel informed and supported throughout the process.

Outside of the office, Jennifer enjoys practicing yoga, watching sunsets, and spending time in nature—activities that provide balance and inspiration in her personal life.

Assistant to Russell Fracassa

Peyton Osborne

Peyton Osborne

Peyton serves as the Assistant to Russell Fracassa, bringing dedication, reliability, and compassion to her role at Paths Law Firm.

With prior experience supporting small businesses in administrative and operational capacities, she has developed strong organizational skills and a sharp attention to detail that help ensure both attorneys and clients are well supported.

She is currently studying at the University of Missouri–Kansas City as an Honors Student, demonstrating a strong commitment to excellence in both her academic and professional pursuits. Peyton’s work ethic and drive are reflected in the care she brings to each task and interaction.

Outside of the office, Peyton enjoys spending time with her family, reading, and exploring new places.

Probate Paralegal

Shaye Kotze

Shaye Kotze

Shaye entered the field of civil law in 2022 and has quickly developed a strong foundation in client service and legal support.

Her academic background includes an Associate of Science degree in Healthcare Services and Informatics Administration and a Bachelor of Science in Interdisciplinary Studies, with an emphasis in Health and Human Services, Social Sciences, and Humanities.

This unique blend of legal experience and healthcare-focused education allows Shaye to approach her work with both analytical precision and genuine empathy — especially when supporting families navigating complex and sensitive situations.

Outside of the office, Shaye enjoys spending time with her husband and their one-year-old daughter. Whether she’s baking sourdough, working on arts and crafts, or enjoying time outdoors, she values creating meaningful moments with her family.

Receptionist

Malia Blosser

Malia Blosser

Malia serves as the first point of contact for many of our clients, helping create a welcoming and supportive experience from the very first phone call. As our receptionist, she assists with scheduling, communication, and ensuring that each interaction reflects the care and professionalism our firm values.

She understands that many families who contact our office may be navigating stressful or uncertain situations, and she strives to make every conversation feel comfortable and reassuring.

Outside of work, Malia enjoys spending time with her husband and their two children. She loves reading, watching movies, and baking with her kids — creating meaningful memories both at home and at work.

Of Counsel

Janeece L. Dent-Bennett

Janeece L. Dent-Bennett

Janeece Dent-Bennett was born in Lexington, Missouri, in 1960 and graduated from Lexington High School in 1979.  She graduated with a Bachelor of Science in Business Administration with a major in Accounting from University of Central Missouri in Warrensburg, MO in 1982. 

In 1985, Janeece graduated with distinction from the University of Missouri-Kansas City School of Law.

Upon graduation from law school, Janeece joined the former Shughart Thomson & Kilroy, P.C. law firm (now Polsinelli) in Kansas City, Missouri, with a primary practice in corporate and business law. 

She started her own law practice in 1989 and has since practiced law in Lee’s Summit, Missouri, serving clients throughout the state of Missouri with a primary emphasis in Wills, Trusts, Estate Planning, Probate, and Business Transactions.

Janeece is married and has 3 children.  Jillian Dent is an attorney in Kansas City, Missouri.  Nathan Dent is a Certified Public Accountant in Denver, Colorado.  Andrew Bennett is an Electrical Engineer in North Kansas City, Missouri.  Her husband Mark Bennett is an IT specialist contractor for the USDA.

Recently, Janeece closed her former solo law practice of 36 years and joined Paths Law Firm in Lee’s Summit, MO as Of Counsel.

Legal Assistant

Reese M. Lehr

Reese Lehr

With a strong background in customer service and a passion for helping others, Reese brings dedication and a positive attitude to her role as a Legal Assistant at Paths Law Firm. She supports the team by managing client correspondence, organizing policies, and stepping in wherever needed to ensure clients receive the highest level of care. Known for her strong work ethic and adaptability, Reese is always ready to tackle new challenges and contribute to the firm’s mission.

Reese is currently enrolled in the Honors Program at the University of Missouri–Kansas City, where she continues to pursue academic excellence. Outside of work and school, she enjoys spending time outdoors and cherishing meaningful moments with her family and friends. Her enthusiasm, reliability, and drive make her a valuable part of the Paths Law Firm team.

Office Assistant

Christine G. Yates

Christine G. Yates
Christine serves as the Office Assistant at Paths Law Firm, where she supports day-to-day operations with a strong work ethic and a positive attitude. A student at Faith Christian Academy, Christine is passionate about pursuing a future career in both business and law, with a goal of serving her community and making a meaningful impact.
 
Outside of the office, Christine is a multi-talented individual who enjoys spending time with family and friends, playing musical instruments, practicing martial arts, cooking, exploring the outdoors, and constantly learning new skills. Her energy, curiosity, and dedication make her a valued member of the Paths team.

Legal Assistant

Bailey E. Harrison

Bailey
Bailey is a skilled Legal Assistant with a focus on elder law, providing dedicated support to both clients and attorneys. With a strong background in customer service and a certification from the University of Arkansas’ paralegal program, Bailey brings exceptional organizational skills, attention to detail, and a client-centered approach to their work.
 
Committed to efficiency and professionalism, Bailey assists in navigating complex legal matters with compassion and precision. Outside of work, Bailey maintains a balanced lifestyle by reading, staying active, and spending quality time with their cats.

Community Relations

Jeane M. Fracassa

Jeane M. Fracassa

Jeane Fracassa – a dedicated and accomplished professional who retired with an impressive 38-year service record from the Kansas City Missouri Police Department. Throughout her illustrious career, Jeane served as a Civian Supervisor in the Communications Unit, where she played a pivotal role in ensuring efficient and effective communication within the department.

Even in retirement, Jeane’s commitment to community service remains unwavering. Currently, she serves in various capacities within Community Relations at Paths Law Firm. Actively engaged in the Lee’s Summit and Overland Park communities, she proudly represents the law firm.

In all aspects of her life, Jeane Fracassa exemplifies the values of community, compassion, and family. Her commitment to making a difference and her love for exploration make her a remarkable individual, whose presence brightens the lives of those she encounters. Whether at work, with family, or during her travels, Jeane’s genuine care for others and her zest for life make her a truly remarkable and inspiring person.

Attorney

Kathleen E. Overton

Kathleen E. Overton, Attorney

Kathleen Overton is an attorney and owner at Paths Law Firm. She has more than 17 years of experience advocating for those with special needs and navigating the state and federal agencies formed to help the disabled and elderly. At Paths Law Firm, Kathleen’s practice focuses on helping the elderly qualify for nursing home Medicaid, creating estate plans to protect beneficiaries, as well as a lot of time planning and forming businesses. Kathleen also enjoys helping clients form non-profit organizations and obtain 501(c)(3) tax exempt status.

 

After attending law school at the University of Oklahoma, Kathleen began representing clients before the Social Security Administration. Eventually her practice switched to federal court appeals and Kathleen spent years representing clients before the Eastern and Western District of Missouri, the District of Kansas, and the Eighth Circuit Court of Appeals. Kathleen has since focused her practice on estate planning and elder law after watching clients struggle to find ways to financially care for loved ones with special needs or aging parents.

 

Kathleen lives in the Northland with her husband and four children. She spends her free time attending soccer matches and ballet performances with her children and starting endless home improvement projects with her husband. 

DIRECTOR OF OPERATIONS

Sydney R. Morris

Sydney R. Morris

Sydney serves as the Director of Operations at Paths Law Firm, overseeing the firm’s internal processes, team coordination, and strategic initiatives. Since joining the firm in 2017, she has grown from an experienced paralegal and internal accountant into the central force behind the firm’s operational excellence. 

She graduated with honors from the University of Missouri–Kansas City in 2022 with a Bachelor of Science in Accounting. Sydney is also a proud alumni member of Bloch Launchpad, Phi Theta Kappa, and the National Honor Society.

Outside of the office, Sydney enjoys spending time with her husband, reading, baking, and going on long walks.

FINANCIAL MANAGER

René A. Fracassa

René A. Fracassa

René is the Financial Manager at Paths Law Firm overseeing all aspects of revenue, expenses, and financial planning. She is also responsible for general office management, including assisting in many of the administrative matters that periodically arise. 

René earned her Bachelor of Science in Hotel and Restaurant Management from Central Missouri State University in Warrensburg, Missouri and soon thereafter worked her way through management at The American Restaurant where she worked almost 17 years before relocating to the country of China.

In her spare time, René is currently quite active managing multiple generations of her family, including parents and grandkids.  René has had great impact on the lives of many women teaching discipling and teaching and abundance of Bible Studies. Her former career in management and event planning trained her well to juggle all the activity.

MARKETING MANAGER

Hilary R. Tichota

Hilary Tichota

Hilary plays a vital role in managing the Marketing Department at Paths Law Firm.  She is excellent at bringing new ideas and sharing valuable resources with the law firm and our community. Hilary has been with the law firm since the beginning, working in nearly every role which is invaluable in her marketing endeavors as she brings a unique set of skills into the Marketing Department.

Hilary is nearly complete in her Bachelor’s of Arts Degree in Marketing at Park University.  She has earned the honor of being listed in National Honors Society, Phi Theta Kappa, and the Dean’s List. Hilary is always looking for new and innovative ways to share the law firm’s message.

ATTORNEY

Russell A. Fracassa (Rusty)

Attorney Russell A. Fracassa

When asked what he wants to do, his reply was “I just want to sit at the kitchen table and work directly with people.” Rusty enjoys working with clients providing experienced advocacy and supporting them through their unfamiliar and overwhelming situations. Due to all the challenges faced by seniors, it is essential to work with an experienced elder law attorney who has expertise in the law, issues, and concerns affecting seniors and their families.

Rusty brings more than 30 years legal experience and expertise working for seniors and their families as an elder law attorney in Kansas City and surrounding. Prior to law school, Rusty was an accountant and his first couple years practicing law was as a tax attorney. This provides invaluable experience in his current practice of law. Rusty’s focus is helping protect seniors’ assets from taxes and long-term care costs, benefit qualification, and navigating more complex family scenarios in their estate planning.

Rusty has personally experienced the loss every parent fears, caring for a spouse suffering with cancer and the treatment, and working with aging parents through all stages of their lives.  He intimately understands the challenges faced by individuals and their caretakers when capacity or health declines, how to prepare for it, and the legal matters while in the midst of it.  He may not be able to eliminate his client’s grief, but he strives to provide clients with peace of mind.

In 2010, Rusty’s faith and love led him and part of his family to China as Christian missionaries. He and his wife, went permanently, but ended up dedicating 3 years to that ministry. They returned to Missouri to help with grandchildren after a family tragedy and later began anew with Paths Elder Law. The goal is providing compassionate care through legal advocacy.

Rusty has multiple degrees and advanced study spanning his Bachelor’s of Arts in Business Administration – Accounting at Rockhurst College (now Rockhurst University), Masters of Arts in Accounting and in Intercultural Studies, as well as his Juris Doctorate from the University of Missouri at Kansas City School of Law.

When Rusty is not practicing law, he enjoys spending time with his family, grandchildren, and excessive eating at local restaurants.

Practice Areas

  • Wills and Trusts
  • Estate Planning
  • Asset Protection
  • Medicaid Benefits
  • VA Benefits
  • Probate
  • Guardianship and Conservatorships
  • Education

 

BSBA and Master’s in Accounting, Master’s in Inter-Cultural Studies, and Doctorate in Juris Prudence

  • Rockhurst University
  • Liberty University
  • University of Missouri – Kansas City


Admissions to Practice

  • Missouri


Professional Memberships and Affiliations

  • State Bar of Missouri
  • National Academy of Elder Law Attorneys (long-time Member)
  • Elder Counsel (Charter and Ongoing Member)
  • Missouri Association of Trial Attorneys (Past Member)
  • Kansas City Metropolitan Bar Association
  • Missouri State Bar Committees – Elder Law, Estate Planning, Probate