Understanding Long-Term Care Insurance
Long-term care (LTC) insurance helps cover costs associated with chronic illness, disability, or aging. According to the U.S. Department of Health and Human Services, more than half of Americans over 65 will need assistance with basic activities at some point. LTC insurance can pay for home modifications, in-home care, assisted living, and more.
Key Features of Long-Term Care Insurance
- Covers services like home health care, adult daycare, and nursing home facilities
- Can include riders for meal delivery, medical equipment, and home modifications
- Benefits are typically triggered when you can’t perform two out of six Activities of Daily Living (ADLs)
- Premiums can be tax-deductible, and benefits are usually tax-free
Types of Long-Term Care Insurance
- Standalone Policies: Separate from life insurance, solely for care costs. These are becoming less common.
- Hybrid Policies: Combine LTC coverage with life insurance or annuities. Benefits for LTC reduce the death benefit or cash surrender value.
- Long-Term Care Riders: Added to life insurance policies to access death benefits for LTC expenses.
Top Long-Term Care Insurance Providers
Best for Seniors: Mutual of Omaha

- Available to people between 30 and 79 years old
- Benefit periods range from 24 to 60 months
- Discounts for couples and individuals in good health
- Flexible elimination period options
Best for Comparison Shopping: GoldenCare

- Works with multiple providers for both standalone and hybrid LTC policies
- Offers Medicare Advantage, prescription drug plans, and critical illness plans
- A+ rating from the Better Business Bureau
Best Hybrid LTC Insurance: Nationwide
- Combines life insurance with LTC benefits through CareMatters policies
- Cash indemnity benefit with no restrictions on usage
- Highly rated for customer service
Best for Couples: New York Life
- Offers standalone LTC policy with discounts for couples
- Covers up to 80% of expenses at home or in facilities
- Four levels of coverage with lifetime maximum benefits between $50,000 and $250,000
Best for Customer Service: MassMutual
- Hybrid whole life insurance policies with LTC riders
- High customer satisfaction ratings from J.D. Power
- Includes guaranteed LTC benefit, death benefit, and increasing surrender value
Best for High Benefit Limits: Northwestern Mutual
- Offers standalone LTC policies up to age 79
- Benefit limits up to $15,000 per month
- Spousal discount available
Best for Inflation Protection: Brighthouse Financial
- Offers indexed universal life insurance with LTC rider
- Benefits can grow with a market index or fixed rate
- Cash indemnity benefit
Cost Considerations
- Average annual cost for a 55-year-old: $950-$1,500
- Costs vary based on age, health, and policy details
- Premiums can be tax-deductible
Pros and Cons of Long-Term Care Insurance
Pros:
- Allows staying at home with caregiver support
- Tax benefits for premiums and payouts
- Protects assets from LTC costs
Cons:
- Can be expensive, especially for retirees
- Doesn’t cover all LTC expenses or family caregivers
- May have strict approval guidelines
Frequently Asked Questions
- What’s the oldest age to get LTC insurance?: Most companies cap at 70s, but Mutual of Omaha goes up to 79.
- When should I buy LTC insurance?: AARP recommends purchasing in your 50s or early 60s.
- What disqualifies you from LTC insurance?: Age, pre-existing conditions like Alzheimer’s or cancer.
By understanding your options and choosing the right LTC insurance, you can better prepare for future care needs while protecting your financial security.