Retirement planning often focuses on big numbers like housing costs and healthcare premiums. But a crucial expense frequently gets overlooked: long-term care. While many anticipate the financial demands of retirement, few truly grasp the potential burden of prolonged medical or personal assistance. This oversight can leave retirees scrambling for funds, forced to deplete savings, sell assets hastily, or rely on unpaid family members who may not be equipped or willing to handle the responsibilities.
The stark reality is that nearly 70% of retirees will require some form of long-term care – a figure most retirement calculators fail to acknowledge. CBS News reports that these costs can easily climb into six figures, potentially turning your dream retirement into a financial nightmare. Medicare, often perceived as comprehensive health insurance, offers surprisingly limited coverage for long-term care. This leaves individuals vulnerable to substantial out-of-pocket expenses for services like assisted living facilities or in-home nursing care.
The Problem With Traditional Planning
Traditional retirement planning often relies on predictable averages and fixed costs – a flawed approach when dealing with long-term care. Unlike mortgage payments or utilities, the need for assistance evolves over time. It might begin modestly, perhaps requiring a few hours of help around the house each week. However, these needs escalate gradually, eventually transitioning to full-time support as conditions worsen. This phased nature of care makes it difficult to project costs accurately using static calculations.
Lily Vittayarukskul, co-founder and CEO of Waterlily, emphasizes this crucial point: “Most retirement calculators are built for clean math and predictable averages, but the journey of long-term care is rarely clean or predictable.” This lack of foresight can result in a jarring financial shock down the line.
The Emotional Burden: Why We Avoid Planning
Beyond the fiscal implications, long-term care often carries an uncomfortable emotional weight.
“Long-term care expenses are a major reason the average American will need nearly $200,000 for retirement healthcare,” explains Whitney Stidom, vice president of consumer enablement at eHealth. “It’s important to save for these costs early and understand what Medicare does and doesn’t cover, including as it relates to long-term care versus services such as skilled nursing.”
While planning for medical bills may seem routine, anticipating the need for assistance with everyday tasks like bathing or meal preparation can feel deeply unsettling. This emotional discomfort often leads families to avoid crucial conversations about their future needs until a crisis forces their hand. As Jeremy Clerc, founder and CEO of Assisted Living Magazine, observes, “We routinely see families scrambling when an aging parent suddenly needs care.” He stresses that long-term care planning isn’t just about cost; it’s also about emotional preparedness for both retirees and their loved ones who may shoulder the responsibility of caregiving or financial support.
Creating a Proactive Plan: Don’t Wait for a Crisis
The good news is that proactive planning can mitigate these risks. Waterlily utilizes a clear, linear approach to help individuals navigate this complex terrain.
Here are the key steps:
- Craft a Care Blueprint: Consider your health history, family support system, and location to anticipate likely timing, intensity, and local costs for care needs rather than relying solely on national averages.
- Quantify the Cost: Translate your blueprint into today’s dollars, projecting year-by-year expenses with inflation factored in, to identify potential funding gaps.
- Strategically Choose Funding Sources: Create a dedicated “care bucket” within your finances. Explore options like long-term care insurance, hybrid policies or annuities, and consider using health savings accounts (HSAs) for eligible expenses while trimming other recurring costs.
- Establish Support Networks: Appoint financial and healthcare proxies to ensure clear decision-making if needed. Initiate open conversations with family members about potential caregiving roles to minimize reliance on expensive professional services.
While confronting the realities of aging can be daunting, taking proactive steps now will safeguard your future financial well-being and empower you to enjoy a more secure and fulfilling retirement.



















