Retirement planning

One Risk, One Tool: Chris Maduri on Annuities and Paying for Care

Retirement planner Chris Maduri argues that each retirement fear needs its own tool, and explains how a medically underwritten income annuity can help fund care that is needed now.

By Guests on AirPublished 16 October 2026
Chris Maduri talking about annuities and long-term care on the Serving Seniors Podcast
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Episode 99: How Seniors Can Protect Retirement Income with Annuities and Home Equity

Video from Matt Helton.

Generated from the canonical interview transcript and validated against source data by Guests on Air.

How can retirees pay for long-term care and still protect their income?

Chris Maduri matches each risk to a tool: life insurance for a death benefit, long-term care cover for care, and an annuity for income that cannot run out. When care is already needed, a medically underwritten income annuity prices in a shorter life expectancy, so guaranteed income can cover the care gap for far less money.

Annuities and long-term care rarely draw a crowded seminar, yet they sit at the center of the questions seniors worry about most. On the Serving Seniors Podcast, host Matt Helton asked Chris Maduri, retirement planner and coach at Vibrant Retirement, why annuities carry such a poor reputation and what has changed in the products since the early 2000s.

Chris Maduri has spent close to two decades in the industry, starting at a mutual fund company around the time of the financial crisis and then moving to the insurance side. That move meant learning annuities from scratch, then coaching financial advisers, and now working with both advisers and the general public on how money behaves once a career ends.

The heart of the conversation is a simple rule. Each retirement fear needs its own tool, and no single product should be asked to do every job. That rule runs from guaranteed income through to the hardest case of all, a family that has to pay for care now rather than at some distant point in the future.

Key takeaways

  • Buy life insurance for a death benefit, long-term care cover for care, and an annuity for lifelong income.
  • Many modern income annuities carry fees near 1%, and that fee pays for a guarantee that income never stops.
  • A medically underwritten income annuity can cost far less when health is failing, and it helps fund the care gap.
  • The best time to plan for long-term care is usually in the fifties, while people are still working and healthy.

1. Why annuities earned a bad name, and what changed

Chris Maduri does not wave the doubts away. Variable annuities were all the rage in the early 2000s and were meant to give tax deferral to people already investing in mutual funds. The problem, as Chris Maduri describes it, was that they came loaded with fees and expenses that dragged on the owner's ability to grow the asset.

Since then, the insurance industry has studied what people disliked and changed the products. Most of the annuities Chris Maduri sells carry fees under one and a half percent, and typically around 1% when a guaranteed income rider is added. That rider exists for one purpose: income keeps arriving even if the account value falls to zero.

That purpose speaks to the biggest fear in retirement, which is running out of money. A paycheck that arrives every month for life removes that fear, and Chris Maduri argues the product is mostly misunderstood. The fair test is an adviser who explains the limits of the contract as well as its strengths, so there are no surprises later.

2. Match each retirement fear to its own tool

Many people want an all-in-one product, and they object that an income annuity leaves no death benefit if the money runs out. Chris Maduri answers that the death benefit is not the point of an income annuity. The goal is to draw enough income over a long life that the insurance company ends up carrying much of the cost.

So the annuity forms a baseline for income, never the whole portfolio. The money held in ETFs, mutual funds or other investments is the money that passes to heirs. Chris Maduri points out that, apart from a pension or Social Security, no other product can guarantee an income stream for however long someone lives.

The rule is easy to remember. Someone worried about a death benefit should buy an insurance policy, someone worried about long-term care should buy a long-term care policy, and someone worried about running out of income should buy an annuity. Each tool then does one job well, rather than one product doing several jobs badly.

3. Paying for care when it is needed now

Chris Maduri sees long-term care as one of the biggest issues ahead, as populations keep aging and cognitive decline becomes a very real concern. The ideal time to plan for care is usually in the fifties, while people are still working and have few medical problems. Many families, though, have waited too long and need care straight away.

Chris Maduri
“Long-term care is possibly the biggest issue that we're going to be seeing as populations keep aging.”
- Chris Maduri
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Full-time care in a private facility can cost more than 200,000 dollars a year, so even a wealthy household can spend a million dollars in five years. Chris Maduri has started working with a medically underwritten single premium immediate annuity, which turns a lump sum into guaranteed income for life and helps fund whatever the care gap is.

The pricing is what makes it work. A standard income annuity assumes an average life expectancy, but when medical underwriting shows a shorter one, the same guaranteed income costs much less. The money saved can then go to heirs or a favorite charity. Chris Maduri works with about 75 insurance companies to find the highest guaranteed payouts.

About Chris Maduri

Chris Maduri, podcast guest

Retirement & Life Transitions Expert

Nearly 20 years Helping people prepare for retirement4 Pillars of sustainable retirement planning3 Buckets in his wealth-building approachSales Director Named by Financial Marketing Group in 2013

Chris Maduri has spent nearly two decades helping people prepare for more than retirement - he helps them prepare for the life that comes after work.

Because retirement isn't simply the day the pay cheque stops.

It can change your identity, your marriage, your relationship with your time, your health, your family and your sense of purpose. And Chris believes that's the part of retirement planning most people don't talk about.

Chris began his career just before the 2008 Financial Crisis, an experience that fundamentally shaped how he thinks about risk. Watching carefully constructed plans come under pressure taught him that assumptions can fail - and that a retirement plan needs to work in the real world, not just on paper.

But after nearly two decades in the industry, Chris has come to see that financial preparation is only one part of the equation.

The bigger question is: What are you actually retiring to?

Chris describes retirement as the "fourth quarter of life" - and, if you've done things right, a little overtime.His work explores what it takes to make that chapter meaningful: having financial confidence, maintaining your health, protecting the people you love, staying connected to a sense of purpose and knowing how you want to spend the years you've worked so hard to create.

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