Planners were also asked how they determine their client is health care and long-term care costs. The most common approach involves conducting a needs analysis that preemptively allows the planner to anticipate additional income needs for health care costs. About one-third of MMPs recommend that their middle market clients use reverse mortgage to cover health care or LTC costs, and about one-quarter recommend clients use health savings accounts to cover these costs. It is common for planners to simply include health care costs as a portion of a retirement needs calculation rather than sitting aside earmarked assets to cover retirement health care costs.