Qualitative methods were used to examine how couples perceive and articulate their intentions and behaviors in regard to managing the risk of financing long term care. Two overall decision making styles for addressing the risk of long term care were identified: scrambling and advance planning. Scramblers may or may not have any intentions to address the risk of long term care. Advance planners are goal oriented and are working to achieve their definition of financial security. Some are focused on preparing for a long and healthy later life, whereas others are addressing the risk of long term care. Key words: decision making, elderly economic well-being, financial security, long term care.

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