Female, Age 84 · North Carolina
Diagnosed with Vascular Dementia
Need: $55,000 / yr care gap

A smarter way to fund the cost of care — guaranteed monthly income for life, priced on your loved one’s actual medical reality rather than population averages.

The Immediate Care Plan works across every major care setting — so families keep their options open and communities get a reliable funding partner.
Specialized dementia & Alzheimer's care
Skilled nursing & medical support
Help with daily activities
Private in-home caregivers
Adult day care, hospice & more
Cost of Care − Income = The Care Gap
If care costs $8,000/month and monthly income is $3,500, the gap is $4,500/month — roughly $54,000 a year. $300,000 in savings can be gone in just 5½ years.
of long-term care recipients cannot afford care costs from income or insurance alone.
Source: National Council on Aging
Nursing homes and assisted living facilities can cost anywhere from $6,000 to $12,000+ per month. Most families simply don't have the ongoing cash flow to sustain these expenses indefinitely without draining everything they've worked for.
This creates a terrifying gap between what care costs and what you can afford. Without a plan, you risk losing the house, depleting savings intended for a healthy spouse, and scrambling when funds finally run dry.
Average monthly shortfall
Many families burn through their life savings in just a couple of years trying to keep up with escalating care demands.
Result without a plan
100% of assets exposed to facility costs
Result with our review
Legal protection of home & savings
The Immediate Care Plan (ICP) converts a single, lump-sum premium into guaranteed monthly income for life — designed specifically to close the gap between care costs and existing income.
Built on a Single Premium Immediate Annuity chassis, but with one decisive advantage: full medical underwriting that prices the contract on the individual, not population averages.
A traditional SPIA prices on age, gender, location and rates. The ICP prices on your loved one’s actual life — which often means significantly less capital required.
Comprehensive review of health history and current conditions.
Detailed evaluation of specific medical diagnoses and prognosis.
Assessment of activities of daily living and mobility status.
Direct insights from those providing day-to-day care.
Diagnosed with Vascular Dementia
Need: $55,000 / yr care gap
Dementia, failing 6 of 8 ADLs
Need: $76,800 / yr care gap
Based on real-life cases. Results vary by individual underwriting.
Optional riders include an Enhanced Death Benefit (period certain 1–5 years) and a Cost of Living Adjustment to keep pace with rising care costs.
After successful caregiver interview
Application, suitability form, POA and supporting documents are submitted.
Attending Physician Statement is requested; ~40-minute caregiver interview via ExamOne.
Lumos' experienced senior-care team analyzes the medical picture to calculate income.
A fully underwritten guaranteed proposal is delivered — valid for 45 days.
Dedicated experts specializing in asset protection, financial strategy, and securing quality long-term care for your family.

Immediate Care Plan Advisor
Gerard Ladalardo specializes in the Immediate Care Plan (ICP) process, helping families navigate the financial challenges of long-term care while protecting the assets they've worked a lifetime to build.
When a loved one suddenly requires assisted living, memory care, skilled nursing, or in-home care, families are often faced with difficult financial decisions and limited guidance. Gerard works directly with families to evaluate their unique situation, explain the options available to them, and develop personalized strategies that can help provide ongoing funding for care while preserving as much of their estate as possible.
With years of experience in retirement and long-term care planning, Gerard understands that every family's circumstances are different. Rather than offering a one-size-fits-all solution, he takes an educational approach — helping families understand the advantages and trade-offs of each option so they can make informed decisions with confidence.
Gerard's mission is to bring clarity during one of life's most challenging transitions. Through the Immediate Care Plan process, he helps families reduce financial uncertainty, protect their legacy, and create a sustainable plan that supports both the care needs of their loved one and the financial well-being of the entire family.

Director of Long-Term Care Planning at AdvisorShare
Mitchell DeFrancesco is one of the nation's leading experts in Immediate Care Planning (ICP), a specialized process designed to help families protect their assets and navigate the financial challenges associated with long-term care. As Director of Long-Term Care Planning at AdvisorShare, Mitchell has dedicated his career to helping individuals and families create solutions when a loved one requires care — whether at home, in an assisted living facility, or in a nursing home.
His expertise lies in identifying strategies that can help preserve family wealth, maximize available benefits, and provide a clear path forward during what is often one of the most stressful and emotional times in a family's life. Through the Immediate Care Plan process, Mitchell works closely with families to evaluate their unique situation, educate them on available options, and develop customized strategies designed to address both immediate care needs and long-term financial goals.
Known for his ability to simplify complex planning concepts, Mitchell has helped countless families better understand their options and avoid costly mistakes when facing a long-term care event. His mission is simple: to provide clarity, guidance, and solutions that help families protect what they have worked a lifetime to build while ensuring their loved ones receive the care they deserve.
Whether you’re a family weighing options or an administrator looking for a constructive answer to give residents, a 30-minute conversation is the fastest way to know if the Immediate Care Plan fits.
Asset Care Plan
NV Lic #3579628 · Licensed in NV, AZ, CA, TX, NC, SC, FL, NJ