Long-term care insurance: Does experience matter?

J Health Econ. 2015 Mar:40:122-31. doi: 10.1016/j.jhealeco.2015.01.001. Epub 2015 Jan 12.

Abstract

We examine whether long-term care (LTC) experience helps explain the low demand for long-term care insurance (LTCI). We test if expectations about future informal care receipt, expectations about inheritance receipt, and LTCI purchase decisions vary between individuals whose parents or in-laws have used LTC versus those who have not. We find parental use of a nursing home decreases expectations that one's children will provide informal care, consistent with the demonstration effect. Nursing home use by in-laws does not have the same impact, suggesting that individuals are responding to information gained about their own aging trajectory. Nursing home use by either a parent or in-law increases LTCI purchase probability by 0.8 percentage points, with no significant difference in response between parents' and in-laws' use. The estimated increase in purchase probability from experience with LTC is about half the previously estimated increase from tax policy-induced price decreases.

Keywords: Behavioral economics; D81; Expectations; G22; Informal care; Insurance; J14; Long-term care.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Caregivers / psychology
  • Caregivers / statistics & numerical data
  • Female
  • Home Care Services / statistics & numerical data
  • Humans
  • Insurance, Long-Term Care / statistics & numerical data*
  • Male
  • Middle Aged
  • Models, Statistical
  • Nursing Homes / statistics & numerical data
  • Parents
  • Risk Assessment
  • United States