Documentation
Understand how Celuvra models long-term care risk and compares LTC strategies, or integrate our actuarial engine into your application via the REST API.
Quickstart
Enter your profile and get a complete LTC strategy analysis in under 5 minutes.
Read moreLongevity Risk Engine
SSA period life tables with health-status mortality adjustments. Survival probabilities and conditional longevity.
Read moreMarkov Health Model
Four-state Markov chain: Independent, ADL Need, Facility Care, Death. Transition rates from HHS/ASPE.
Read moreMonte Carlo Simulation
10,000 wealth trajectory simulations varying LTC onset age, duration, care intensity, returns, and inflation.
Read moreStrategy Comparison
Buy LTCI vs. self-insure vs. hybrid with expected cost, worst-case, ruin probability, and breakeven.
Read moreTax & Partnership
IRS LTCI deduction limits, HSA contributions, tax-free benefits, and state LTC Partnership Program modeling.
Read moreAPI Endpoints
/v1/calculate/v1/care-costs/:state/v1/life-table/:age/:sex/v1/signup/v1/login/v1/account/v1/checkoutAuthentication
All API requests require an API key passed via the X-API-Key header.
curl https://celuvra-api.smarttechinvest.com/v1/care-costs/california \ -H "X-API-Key: cel_your_api_key_here"
Longevity Risk Engine
We use SSA Period Life Tables (2024 edition) to compute survival probabilities by age and sex. For each user, we calculate the conditional probability of reaching ages 80, 85, and 90+ -- the ages where LTC need is highest. Health status adjustments use relative mortality multipliers from SOA LTC Experience Studies (smoker/non-smoker, BMI ranges, family history).
Remaining life expectancy at current age drives the premium payment window for LTCI strategies and the investment horizon for self-insurance strategies.
Markov Health State Transition Model
Our four-state Markov chain models transitions between: Independent (no LTC need), Needs Help with ADLs (2+ activities of daily living), Facility Care (nursing home or assisted living), and Death. Transition probabilities are calibrated by age and sex using HHS/ASPE LTSS risk projections and SOA disability incidence rates.
The model computes expected duration in each state and the overall probability of ever entering facility care -- a critical input for the self-insure vs. buy decision.
Monte Carlo Wealth Simulation
For each strategy, we run 10,000 simulations varying six key parameters: age at LTC onset (Markov-derived), duration of need, care intensity level, investment returns (normally distributed around user's expected return), care cost inflation (3-5% range), and LTCI rate increases (for buy strategy).
- Expected (mean) cost -- the average lifetime LTC cost across all scenarios
- Worst-case (P95) -- the 95th percentile cost for planning purposes
- Ruin probability -- the percentage of scenarios where assets reach zero
- Breakeven age -- the age at which buying LTCI becomes cheaper than self-insuring
Three-Strategy Comparison
We model three distinct strategies and compare them on expected total cost, worst-case cost, probability of financial ruin, and breakeven analysis:
Buy Traditional LTCI
Annual premiums, benefit period, daily benefit, inflation rider, elimination period. Includes rate increase risk modeling.
Self-Insure
Wealth accumulation path with investment returns, minus expected LTC costs. Includes Medicaid spend-down threshold modeling.
Hybrid Life/LTC
Single premium or 10-pay life policy with LTC acceleration rider and extension of benefits. Death benefit if never used.
Tax Efficiency & Partnership Programs
LTCI premiums are tax-deductible up to age-based IRS limits ($5,880 for age 60-70 in 2026). We model the after-tax cost of each strategy based on your income and filing status. For states with LTC Partnership Programs (43 states participate), we model the dollar-for-dollar Medicaid asset protection and compute the effective return on partnership-qualified policies.