According to Boston College’s Center for Retirement Research, when LTC costs are taken into consideration, two-thirds of Americans may be unable to maintain their standard of living after retirement. The center’s report, “Long-Term Care Costs and the National Retirement Risk Index,” determined that if seniors are able to purchase an LTCI policy, with an annual premium of $3,500, 64 percent would be at risk of lower living standards. If seniors pay for LTC using the equity in their homes, 63 percent would be at risk.