Long-Term Care Insurance Costs, What You Need to Know

Shawn Plummer

CEO, The Annuity Expert

If you’re like most people, you probably don’t want to think about the possibility of needing long-term care one day. But the fact is, it’s something that could happen to any of us, and it’s essential to be prepared. This guide will discuss the cost of long-term care insurance and what you need to know before purchasing a policy. We’ll also provide tips on keeping your premiums as low as possible.

How Much Does Long-Term Care Insurance Cost?

The cost of long-term care insurance can vary significantly based on factors such as age, coverage level, and health status. On average, a 55-year-old in good health can expect to pay around $2,000 per year for a policy with $150,000 and a three-year benefit period. For a 60-year-old, the cost can be around $2,500 per year for the same coverage.

However, as people age, long-term care insurance costs increase significantly. For example, a 65-year-old in good health can expect to pay around $3,500 per year for the same coverage, and a 70-year-old can expect to pay around $5,500 per year.

What Are The Factors That Influence The Cost Of Long-Term Care Insurance?

The cost of long-term care insurance can be influenced by a variety of factors, including:

  • Age and health status at the time of application
  • Family health history
  • Benefit amount and length of coverage
  • The elimination period (the length of time a person must pay for care before benefits begin)
  • Inflation protection options
  • Additional riders or options, such as a shared care rider, allow spouses to share benefits.
  • The location you live in
  • Gender, women tend to live longer, so they tend to pay more.
  • The type of facility or care you want to be covered, such as in-home or nursing home care.

How Can I Compare And Choose The Best Long-Term Care Insurance Policy For My Needs?

  • Coverage amount: Determine how much coverage you need based on your current assets and plans.
  • Benefit period: Decide how long you want your policy to provide coverage, as policies can vary in the length of time they will pay out benefits.
  • Elimination period: This is the amount of time you must pay for care before the policy starts paying benefits. The shorter the elimination period, the higher the premium.
  • Inflation protection: As long-term care costs increase over time, consider a policy that includes inflation protection to ensure that your benefits keep pace with rising costs.
  • Premiums: Compare the premiums of different policies to determine the best value for your budget.
  • Provider network: Some policies have a network of providers that you must use for care.
  • Policy details: Read the policy details carefully to understand what is covered, what is not, and any exclusions.
  • Company rating: Look for a financially stable insurance company with a good reputation.

What Is Typically Covered In A Long-Term Care Policy?

A long-term care insurance policy typically covers a range of services. It supports designed to help individuals unable to perform activities of daily living (ADLs) due to a chronic illness, disability, or cognitive impairment. The types of services and supports that are typically covered by a long-term care policy include:

  • In-home care: Assistance with activities of daily living, such as bathing, dressing, and grooming, provided in the individual’s own home.
  • Adult day care: Supervised care and social activities provided in a community setting, typically during the day.
  • Assisted living: Supervised care and support provided in a community setting, typically for individuals who need more assistance than can be provided in their own homes but do not require the level of care provided in nursing homes.
  • Nursing home care: Skilled nursing and rehabilitation care provided in a facility.
  • Hospice care: Palliative care and support provided to individuals with terminal illnesses.
  • Respite care: Short-term care is provided to give the primary caregiver a break.

Are There Tax Advantages To Having A Long-Term Care Insurance Plan?

There are tax advantages to having an LTC insurance plan in the United States. Depending on your circumstances, you may be able to deduct a portion of the cost of your long-term care insurance from your taxes.

  • Medical expense tax deduction: The cost of long-term care insurance may be tax deductible as a medical expense if the premiums exceed a certain percentage of your adjusted gross income (AGI). For the tax year 2021, the threshold is 7.5% of your AGI for most taxpayers.
  • Long-term care insurance contract tax credit: If you purchase a qualified long-term care insurance contract, you may be eligible for a tax credit of up to 40% of the cost of the contract, with a maximum credit of $4,160.
  • Long-term care services tax credit: If you or your spouse are receiving long-term care services, you may be eligible for a tax credit of up to 20% of the cost of the services, with a maximum credit of $1,050.

What Government Programs Help Cover The Costs Of Long-Term Care Insurance?

In the United States, the primary government program that helps cover long-term care costs is Medicaid. Medicaid is a joint federal and state program that provides health coverage to individuals and families with low income and assets.

Medicaid will cover the cost of long-term care services for eligible individuals, including nursing homes, in-home, and community-based care. However, there are strict eligibility requirements, including income and asset limits, and not all long-term care services are covered in all states.

Another government program that may help cover long-term care costs is the Veterans Affairs (VA) Aid and Attendance Pension. This program provides financial assistance to wartime veterans and their surviving spouses who require the regular attendance of another person to assist in eating, bathing, dressing, undressing, medication dosing, or taking care of the needs of nature.

Additionally, the Older Americans Act (OAA) provides grants to states to support community-based care for older adults, including in-home care and adult daycare services. And the National Family Caregiver Support Program provides grants to states to support family caregivers.

How Does Home Health Aide Help Pay For Long-Term Care Insurance?

Home health aides can help pay for long-term care insurance in a few ways.

  • Cost savings: Hiring a home health aide to provide care at home can be less expensive than paying for care in a nursing home or assisted living facility. This can help reduce the overall cost of long-term care.
  • Long-term care insurance reimbursement: Some long-term care insurance policies will reimburse policyholders for the cost of home health aide services. This means that policyholders can use the insurance benefits to pay for a home health aide, which can help offset the cost of care.
  • Medicaid Waiver programs: Medicaid Waiver programs can pay for home health aide services. However, eligibility is based on the income and assets of the care recipient.

Next Steps

Long-term care insurance is essential for anyone who wants to be prepared for needing long-term care one day. Unfortunately, long-term care insurance can be expensive, but there are ways to keep your premiums as low as possible. If you’re considering purchasing a policy, request a free quote from us today. We’ll help you find the right coverage for you and your budget.

Long-Term Care Insurance Costs

Request A Quote

Get help from a licensed financial professional. This service is free of charge.

Contact Us
First
Last

Frequently Asked Questions

Do Long-Term Care Insurance Policies cover Assisted Living Facilities?

Assisted long-term care insurance policies may cover living facilities, but coverage and benefits can vary depending on the policy. Some policies specifically include coverage for assisted living facilities, while others may only cover in-home or nursing home care. Therefore, it is essential to read the policy details carefully and understand what is covered, what is not, and any exclusions.

It is also important to note that long-term care insurance policies typically have a daily or monthly benefit amount for each type of care. This means that the policy will pay a certain amount per day or month for assisted living care, which can vary from policy to policy. Some policies may have a higher benefit amount for assisted living care, while others may have a lower benefit amount or not include coverage for assisted living at all.

How Can I Use My Life Insurance Policy To Cover The Costs Of Long-Term Care?

One way to use a life insurance policy to cover the costs of long-term care is to convert the policy into a long-term care policy, also known as a “hybrid” or “linked-benefit” policy. These policies combine the features of a traditional life insurance policy with long-term care coverage and allow the policyholder to access the death benefit. At the same time, they are still alive to pay for long-term care expenses.

Another way is to use life insurance policies with a long-term care rider, an add-on feature that allows the policyholder to access a portion of the death benefit. At the same time, they are still alive to pay for long-term care expenses. This can be done by accelerating the death benefit or taking out a loan against the policy.

What Is Long-Term Health Insurance, And How Does It Impact The Cost Of Long-Term Care Insurance?

Long-term health insurance and long-term care insurance are two different types of insurance policies, and they have different purposes and cover different types of care.

Long-term health insurance is a type of health insurance that provides coverage for an extended period, typically for at least one year, for individuals unable to work due to a severe illness or injury. It pays a fixed monthly amount to the policyholder, which can be used to pay for medical expenses, such as inpatient care, outpatient care, and home health care.

Long-term health insurance can help cover some of the costs of long-term care, such as expenses on your medical records, but it typically doesn’t cover the full range of long-term care services that long-term care insurance covers. Additionally, long-term health insurance can be more expensive than long-term care insurance, as long-term health insurance has higher premiums and may require health underwriting.

How Does The Death Benefit Impact The Cost Of Long-Term Care Insurance?

The death benefit of a long-term care insurance policy is the amount of money that the policyholder’s beneficiaries will receive upon their death if the policyholder does not use the policy to pay for long-term care services. The death benefit is typically a fixed amount, usually a percentage of the policy’s face value or the premiums paid into the policy.

The death benefit can impact the cost of long-term care insurance in several ways. First, policies that offer a higher death benefit will typically have higher premiums, as the insurance company is taking on more risk.

Additionally, some long-term care insurance policies, such as “hybrid” or “linked-benefit” policies, allow the policyholder to access the death benefit. At the same time, they are still alive to pay for long-term care expenses. This can provide an additional source of funds to pay for long-term care services and potentially reduce the overall cost of long-term care.

Chronic medical conditions can potentially affect the cost of long-term care insurance. Multiple insurance companies may consider an individual’s existing chronic medical conditions when determining the risk of that person requiring long-term care in the future. If a person has chronic medical conditions that may lead to the need for long-term care, the cost of their insurance may be higher.

How Does Marital Status Affect Long-Term Care Insurance?

Marital status can potentially affect long-term care insurance. For example, some long-term care insurance policies offer discounts for married couples, as there is a likelihood that one spouse can provide care for the other.

Additionally, if one spouse has a pre-existing condition that makes them uninsurable, the healthy spouse can still purchase a policy and provide care for the other. On the other hand, if a person is unmarried or divorced, they may have to rely solely on paid care, which can be more expensive, and they may not be able to purchase a long-term care insurance policy as a single person.

It’s also important to note that many states have laws that protect the assets of the community spouse from being used to pay for the cost of long-term care of the institutionalized spouse, which can be a consideration when planning for long-term care.

Shawn Plummer

CEO, The Annuity Expert

I’m a licensed financial professional focusing on annuities and insurance for more than a decade. My former role was training financial advisors, including for a Fortune Global 500 insurance company. I’ve been featured in Time Magazine, Yahoo! Finance, MSN, SmartAsset, Entrepreneur, Bloomberg, The Simple Dollar, U.S. News and World Report, and Women’s Health Magazine.

The Annuity Expert is an online insurance agency servicing consumers across the United States. My goal is to help you take the guesswork out of retirement planning or find the best insurance coverage at the cheapest rates for you. 

Scroll to Top