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Published: Jun 24, 2021 5 min read
Male nurse giving instructions to senior patient when to take his pills in nursing home
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An average healthy 65-year-old couple has a 75% chance that one partner will require significant long-term care in later life and a one-in-four-chance that both will need such care, according to a new report that aims to quantify one of the biggest wildcards in retirement planning.

Some people die without needing any care in older age, while others (dementia patients in particular) need assistance for years. For most older adults, the reality lies somewhere in the middle, according to the report by HealthView Services, a Danvers, Massachusetts-based company that provides health care cost data to financial advisors.

“One of the most important things is to know what the numbers are,” says Ron Mastrogiovanni, CEO of HealthView Services.

In other words, understand the likelihood that you’ll need care and how much it might cost. While home-based care has grown in popularity during the pandemic, families might not know that staying home can be a lot more expensive than relocating to a facility, Mastrogiovanni says. Twelve hours of home care a day roughly equates to the same cost as a nursing home, while 24/7 home care costs double what a bed in a facility costs.