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Rising Medical Costs? How Persons with Disabilities Can Build a Strong Financial Safety Net

Dec 1, 2025 | Updates | 0 comments

Financial planning for persons with disabilities requires additional structure and foresight. Higher medical expenses, recurring assistive-care costs and long-term support needs mean households must build stronger buffers and adopt more conservative planning assumptions. Below is a practical framework suited for individuals, families and guardians.

1. Budgeting for Higher Fixed Costs

People with disabilities typically face a larger set of non-negotiable monthly expenses such as:

  • Medical treatment and therapy
  • Assistive devices and equipment maintenance
  • Mobility aids
  • Caregivers or specialised support staff
  • Accessibility modifications

These costs cannot be deferred, reduced or postponed. Financial plans must therefore prioritise stability, liquidity and predictability.

2. Larger Contingency and Backup Funds

Standard emergency corpus guidelines (three to six months of expenses) are often insufficient. A more resilient structure includes:

  • Emergency Fund: 9–12 months of monthly expenses
  • Backup Fund: A separate pool for equipment repairs, replacements or unexpected medical events
  • Depreciation Fund: For high-cost assistive devices that may need replacement

This ensures that essential care is not disrupted during crises or job transitions.

3. Conservative Withdrawal and Retirement Planning

While investment principles remain the same, parameters change. Individuals with disabilities may need:

  • More conservative monthly withdrawal rates
  • Higher medical inflation assumptions
  • Larger retirement corpus targets
  • A focus on steady income streams rather than aggressive growth

This helps maintain long-term financial stability without compromising essential care.

4. Importance of Simple, Transparent Investment Structures

Financial products should prioritise:

  • Liquidity
  • Transparency
  • Easy management by caregivers or dependents

Typical recommended options include:

  • Flexi-cap or multi-cap mutual funds
  • Large-cap funds for stability
  • Standard debt instruments such as FDs, G-Secs and short-term debt funds

Avoid complex or high-risk instruments where continuity of management may be difficult for caregivers.

5. Digital Accessibility Considerations

Many investment and banking platforms still lack fully accessible interfaces for persons with visual or physical disabilities. Common issues include:

  • Inaccessible navigation
  • Unlabelled buttons
  • Inconsistent screen-reader compatibility

Households may need to shortlist platforms with proven accessibility features or rely on assisted-access channels for online transactions.

6. Special Needs Trusts: A Structured Long-Term Solution

A Special Needs Trust (SNT) is one of the most effective ways to ensure lifelong financial security for persons with disabilities.

What an SNT does

  • Holds and manages assets for the beneficiary
  • Ensures uninterrupted care even after parents/guardians are no longer present
  • Provides protection from mismanagement
  • Allows for controlled withdrawals based on predefined rules

Why it matters

Medical, mobility and caregiving expenses continue for life. A trust ensures a disciplined, legally protected mechanism to meet these needs.

7. Investment Policy Statement (IPS) for Special Needs Trusts

An IPS governs how the trust corpus must be invested and withdrawn.

Illustrative IPS Structure

CategoryIllustrative Guidance
PurposeEnsure lifetime financial security for the beneficiary
GovernanceAnnual review; trustees must document decisions
Investment Objective2–3% real return; avoid >10% annual drawdowns
Withdrawal Rules2.5–3.5% per year; larger withdrawals require dual approval
Risk ManagementMaintain 12–24 months of expenses in liquid assets
Asset AllocationEquity 15–35%, Debt 50–70%, Liquid 10–25%
Permitted InstrumentsOnly regulated products (MFs, ETFs, G-Secs, FDs)
Special ProvisionsAdd 3% to standard inflation for medical/therapy expenses

This framework protects the corpus from premature depletion and supports consistent care.

8. Planning for Dependents

Families supporting children or adults with disabilities should clearly define:

  • Future guardianship
  • Long-term care responsibilities
  • Transition plans for property and financial assets
  • Will and estate planning
  • Trust structures for continuity

Early preparation ensures that dependents are protected against uncertainty.

Conclusion

For individuals with disabilities and families supporting them, financial planning must be more resilient, conservative and structured. Larger buffers, accessible investment platforms, simplified portfolios and trust-based frameworks can significantly reduce long-term vulnerability. With the right structures in place, households can ensure both day-to-day security and lifetime financial stability.