Long-Term Care Insurance

Most people will need some form of long-term care, but Medicare doesn't cover it. Here's what you need to know.

What long-term care is

Long-term care (LTC) is help with daily activities like bathing, dressing, eating, and moving around. It's not medical care - it's personal care you might need if you can't fully take care of yourself due to aging, illness, or disability.

Long-term care includes:
  • • Nursing home care
  • • Assisted living facilities
  • • Home health aides
  • • Adult day care
  • • Memory care for Alzheimer's/dementia
Medicare doesn't cover this. Medicare only covers short-term skilled nursing care after a hospital stay (up to 100 days). It does not cover long-term custodial care like nursing homes or home health aides.

The cost problem

Long-term care is expensive, and most people will need it at some point:

$9,000+
Average monthly cost for a private nursing home room
$5,000+
Average monthly cost for assisted living
$30/hour
Average cost for home health aide services
70%
Percentage of people 65+ who will need some LTC

The average length of care needed is about 3 years. At $9,000/month, that's over $300,000 - more than many people's total savings.

How long-term care insurance works

Long-term care insurance pays a daily or monthly benefit when you need care. You can use the money for any type of care - nursing home, assisted living, or home care.

How you qualify for benefits

Typically, you need to be unable to perform 2 or more "activities of daily living" (bathing, dressing, eating, toileting, transferring, continence) or have cognitive impairment.

Elimination period

Most policies have a waiting period (30–90 days) before benefits start. You pay out of pocket during this time. Longer elimination periods = lower premiums.

Benefit period

How long the policy pays: 2 years, 5 years, or lifetime. Most claims last 2–3 years, but longer coverage provides more protection.

Daily/monthly benefit

How much the policy pays per day (e.g., $150–300/day). Choose enough to cover care costs in your area.

Is LTC insurance right for you?

Long-term care insurance isn't for everyone. Here are the key factors:

Best time to buy

Ages 50–65 typically. Younger = lower premiums. Older or with health issues = may not qualify or premiums may be too high.

Consider if you have

Significant assets you want to protect, family history of conditions requiring long-term care, or no family nearby to provide care.

May not make sense if

You have limited assets (Medicaid would cover care), very high assets (can self-insure), or can't afford premiums without strain.

Hybrid policies: Some life insurance policies now include long-term care benefits. If you don't use the LTC benefit, your beneficiaries receive a death benefit. This addresses the "use it or lose it" concern with traditional LTC insurance.

Planning tools

Related coverage options

Want help planning for long-term care?

Our licensed agents can help you understand your options and evaluate whether long-term care insurance makes sense for your situation.

This is a solicitation for insurance. Medicare has neither reviewed nor endorsed this information.