Should you self-insure, or buy the policy?

A three-year care event in Metro Atlanta can run near $350,000. A five-year cognitive decline can approach $600,000. This 24-page guide gives you the numbers, the care paths, and a four-step framework for deciding which side of that risk you want to carry.

Cover of the guide, A Practical Framework for Deciding Whether to Self-Insure or Purchase Long-Term Care Insurance
  • Current Metro Atlanta costs for home care, assisted living, memory care, and skilled nursing
  • How care actually unfolds, stage by stage
  • A real family story, from stroke to claim
  • Six questions to ask before you decide

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The numbers

Long-term care planning starts with three numbers

Before you can decide whether your own assets can absorb a care event, you need a realistic sense of two things: how likely care is, and what it would actually cost. The guide builds all three figures from Metro Atlanta market data rather than a national average.

70%

Estimated chance you will need care

Federal estimates suggest someone turning 65 today has roughly a 70% chance of needing some type of long-term care service or support. Most of it is not in a nursing home.

$350,000

Cost of a three-year care event

A physical or medical decline, in today's dollars, before physician services, medications, and therapies. This is the baseline planning scenario in the guide.

$600,000

Cost of a five-year care event

A longer cognitive decline, the harder stress test. Roughly one in nine Americans age 65 and older are living with Alzheimer's disease or another dementia.

Care cost estimates reflect Metro Atlanta market ranges as of July 2026 and are subject to change. Planning ranges are illustrative, not quotes or guarantees.

The framework

Four steps, in order, to an informed answer

The guide is not built to sell you a policy or to talk you out of one. It walks the same sequence an advisor might walk with you.

  1. 1

    Estimate a realistic care event

    Build the stress test from local cost ranges and real care trajectories rather than a national headline average.

  2. 2

    Adjust for time and inflation

    At 3% compound inflation, a $350,000 event in today's dollars becomes roughly $732,000 in 25 years. Care costs do not wait for your timeline.

  3. 3

    Express the event as a share of net worth

    Illustratively, if a care event could consume 15% to 20% of assets, self-insuring may be considered. At 30% to 50%, insurance may warrant careful consideration.

  4. 4

    Compare the risk to the premium and your values

    Sample policy designs, premiums, and benefit pools are laid out side by side so the tradeoff is visible instead of theoretical.

A man in his sixties working at a bench, making notes
Most people work this decision out in their fifties and sixties, while there is still time to choose.
An active retired couple walking outdoors together

Protect the people you love, help preserve the assets that matter most.

An adult daughter sitting close with her mother at home

A stroke, a policy, and the week everything changed

Alice is in her early 70s, has no debt, roughly $1 million in IRAs, and travels whenever she likes. On paper she is exactly the person who could "just self-insure." Then a neighbor noticed she had not walked the dog.

The guide follows what happened next in detail: the elimination period, the Medicare gap, the claim paperwork, and what her family had to fund out of pocket before a single dollar was reimbursed.

"Thank God the neighbor called 911. And thank God she kept that policy."

Paula, Alice's niece

Individual experience. Outcomes vary.

The contents

What is inside the 24 pages

  • What long-term care actually costs PAGE 6
  • How care typically unfolds PAGE 8
  • Aunt Alice's stroke PAGE 10
  • How long-term care insurance works PAGE 13
  • From planning targets to policy design PAGE 15
  • Simple vs. compound inflation PAGE 17
  • Self-insure or buy coverage? PAGE 18
  • Key questions before you decide PAGE 21
Guide page showing the probability of needing long-term care
The odds, in plain numbers
Guide page comparing sample long-term care policy designs
Sample policy designs compared
Guide page listing key questions to ask before deciding
Six questions to ask

Policy illustrations in the guide are representative educational examples. They are not recommendations of any carrier or product, and they do not reflect an offer of insurance.

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Figures as of 6/4/2026. Atlanta, Tampa, Denver, Phoenix, and Dallas.

Next step

Read it first. Then talk it through with someone.

Download the guide and work the four steps against your own numbers. If you would like a second set of eyes on what you find, an advisor can walk through it with you.

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Capital Investment Advisors, LLC ("CIA") is an investment adviser registered with the U.S. Securities and Exchange Commission. Registration does not imply any level of skill or training. CIA does not provide legal, accounting, tax preparation, or insurance brokerage services and does not sell insurance products.

This guide and this page are for general educational purposes only and do not constitute personalized investment, insurance, legal, or tax advice. Long-term care cost figures, care duration ranges, and inflation assumptions are based on third-party data and Metro Atlanta market ranges as of July 2026. Actual costs may vary significantly by location, provider, and individual circumstances. Insurance illustrations, premiums, and benefit amounts are educational only, are based on assumed ages, health classifications, and state of residence, and are subject to underwriting. Please consult a licensed insurance professional and your financial advisor before making any long-term care planning decisions.

Investing involves risk, including the possible loss of principal. Past performance is not indicative of future results.