Is long-term care insurance worth it? (2024)

Is long-term care insurance worth it? Who would likely benefit from this type of coverage? What is the policy's biggest drawback? Find the answers here

Is long-term care insurance worth it? (1)

Guides

By Mark Rosanes

Contents

  1. Is long-term care insurance worth it?
  2. How much does long-term care insurance cost?
  3. Who would most likely benefit from long-term care insurance
  4. What is the best age to get long-term care insurance?
  5. What is the biggest drawback of long-term care insurance?
  6. What factors should you consider when purchasing long-term care insurance?

Senior-age Americans have around 70% chance of needing long-term care support or services, according to the latest government estimates. Access to these services, however, comes at a steep price. Without the right coverage, the high cost can easily deplete your retirement funds.

Unfortunately, health insurance doesn’t cover these types of expenses. To be protected, you will need to get long-term care insurance.

In this client education article, Insurance Business answers the question, “Is long-term care insurance worth it?” We will discuss the policy’s pros and cons, how much premiums cost, and the right age to get coverage.

If you’re planning for your own care or helping an older loved one, you’ve come to the right place. Find out the answers to the most pressing questions about long-term care insurance in this guide.

Is long-term care insurance worth it?

There’s a strong likelihood that you will need long-term care services once you turn 65 based on the figures gathered by the Administration for Community Living (ACL).

The agency’s data also shows that men will require long-term care support for an average of 2.2 years, while women will be needing it for 3.7 years. Regardless of gender, a quarter of American seniors may require care services for at least five years.

Without long-term care insurance, you’ll have to pay for these expenses out of pocket – but they don’t come cheap. To give you a picture of how much care support and services cost, here’s a summary from industry giant Genworth.

Average cost of care support and services in the US

AVERAGE COST OF LONG-TERM CARE SERVICES

Type of service

Average monthly rate

Average yearly rate

Homemaker services

$5,720

(44 hours per week)

$68,640

Home health aid

$6,292

(44 hours per week)

$75,504

Adult day health care

$2,058

$24,696

Assisted living facility

$5,350

$64,200

Nursing home facility, semi-private room

$8,669

$104,028

Nursing home facility, private room

$9,733

$116,796

Source: Genworth, Cost of Care Survey 2023

Given the steep costs, long-term care services can eat into your retirement savings very quickly. Purchasing long-term care coverage can help to address this.

You can also get assistance through Medicaid, but there are certain restrictions. One, your options will be limited to nursing homes that accept payments from the government-sponsored program. You will also need to exhaust most of your savings to get coverage. Despite this, Medicaid won’t pay for all your assisted living expenses.

Learn more about how long-term care insurance works in this comprehensive guide.

How much does long-term care insurance cost?

The tables below contain data from the American Association for Long Term Care Insurance’s (AALTCI) latest price index. The figures show how much you can expect to pay in annual premiums for a long-term care insurance policy worth $165,000.

The costs are categorized by age, gender, and marital status. The data also includes the cost of policies with inflation growth provisions.

Is long-term care insurance worth it? (2)

Is long-term care insurance worth it – cost for policies purchased at 55 years old

AALTCI’s price index shows that the value of the policy can grow to $298,900 once the holder reaches 85 years old for plans with a 2% inflation growth provision. For those with 3% provisions, the value can top $400,500 and $679,100 for policies with a 5% inflation benefit.

Is long-term care insurance worth it? (3)

Is long-term care insurance worth it – cost for policies purchased at 60 years old

Long-term care insurance coverage can be worth $270,700 on the policyholder’s 85th birthday if the plan has a 2% inflation growth provision. The value increases to $345,500 and $588,750 for policies with 3% and 5% inflation benefits.

Is long-term care insurance worth it? (4)

Is long-term care insurance worth it – cost for policies purchased at 65 years old

The value of long-term care insurance plans with 2% inflation growth provisions can rise to $245,000 after the policyholder turns 85. The policies can be worth $298,500 and $437,800 if they have respective inflation benefits of 3% and 5%.

The figures above are for “Select” long-term care insurance policies. These are more expensive than “Preferred” plans, according to the AALTCI. The industry non-profit adds that the rates are for seniors living in Illinois. Your premiums can be higher or lower, depending on different factors, including where you live.

Check out this guide for a more detailed discussion about how much long-term care insurance costs.

Who would most likely benefit from long-term care insurance?

Each state has its own criteria on who can qualify for long-term care insurance benefits. Most will require you to get certification that you can no longer perform at least two of the six activities for daily living (ADL). These are:

  1. eating: feeding yourself
  2. bathing: getting in and out of the bathroom to clean yourself
  3. dressing: putting on or taking off your clothes
  4. continence: controlling urinary and bowel movements
  5. toileting: getting on and off the toilet
  6. transferring: getting in and out of a bed or a chair

Those suffering from a debilitating condition may be eligible for coverage. These conditions may include:

  • Alzheimer’s disease
  • schizophrenia
  • dementia
  • multiple sclerosis
  • Parkinson’s disease
  • Lou Gehrig’s disease

One of the biggest myths about long-term care insurance is that it is designed for seniors who need assistance because of age-related impairments.

Krystie Dascoli, voluntary benefits practice leader at Marsh McLennan Agency, notes that anyone can develop conditions or get into accidents that can impact their long-term health. This highlights the need for long-term care insurance across different age groups.

“Long-term care can happen at any time in someone’s life, not just due to old age or chronic illness,” she explains. “This is a great program to complement other financial wellness programs such as term life and disability insurance.”

What is the best age to get long-term care insurance?

Some industry experts recommend taking out long-term care insurance while you’re young. This can help you access lower premiums, although you will need to pay for the policy longer.

Dascoli suggests getting coverage while you’re still gainfully employed.

“Rates will go up significantly with age, so buying a long-term care policy early in the working years is ideal,” she says.

If you’re already 65 years old but haven’t purchased long-term care insurance, taking out coverage should still be a consideration, she adds.

“A big mistake we see individuals make is waiting until after retirement to purchase long-term care insurance. By purchasing long-term care plans during their working years and through their employer, individuals will have the opportunity to buy this insurance without answering medical questions and usually have access to higher face amounts. This is especially important for anyone with pre-existing medical conditions.”

The American Association of Retired Persons (AARP) says your early to mid-60s is the “sweet spot” if you’re single. For married couples, the best time to get long-term care insurance is at 55 years old.

The group adds that premiums may be higher when you buy coverage at this age range than it would have been in your late 40s to early 50s. The benefit is you’ll be paying less premiums overall until you reach 80.

Check out this breakdown of long-term care insurance cost by age to find out when the best time is to buy coverage based on your personal situation.

What is the biggest drawback of long-term care insurance?

Long-term care insurance is often an expensive form of coverage. So, it may not always be accessible to low-income individuals.

One of the biggest drawbacks of getting long-term care insurance is the risk of losing all the premiums you have paid over the years. If you end up not needing long-term care services, you won’t be eligible for coverage. This means the money you’ve spent for coverage goes down the drain.

“An individual who purchases a standalone long-term care policy has a 50/50 chance of using it,” Dascoli notes. “Standalone or traditional long-term care insurance is a 'use it or lose it' type of policy. An insured could hold on to this type of policy for many years and never use it.”

She recommends buying an alternative form of coverage instead, called hybrid life insurance.

“This is a multi-use policy that not only pays a death benefit, but also pays out when the individual is diagnosed with a terminal illness or needs long-term care,” she explains. “We promote the hybrid policies more because, at some point, the individual will use it and it also builds cash value.

“The only real downside to either of these policies is that premiums can be steep, especially the older an individual gets. It is important to purchase a hybrid policy at a young age to offer the most financial protection long-term.”

What factors should you consider when purchasing long-term care insurance?

To find the long-term care insurance policy that fits your potential care needs, there are several factors you need to consider:

Benefit amount

Long-term care insurance costs vary depending on the quality of care services and where you plan to access them. Care services from a private nursing facility, for example, cost higher than those for at-home care. Consider the type of care you expect to receive and how much this will cost you.

Term length

Term lengths range from two years to a lifetime. Your medical history is a major determining factor for how long you must pay for the policy. If your family has a history of a debilitating illness, it may be better to choose a longer benefit period.

Age

Buying long-term care insurance at a younger age can help reduce your yearly premiums, although you will need to make payments longer. Getting coverage closer to senior age can raise your annual costs, but with a shorter payment period, you may end up paying less premiums overall.

Waiting period

Insurers impose waiting periods of 30, 60, or 90 days before you can start receiving benefits and reimbursem*nts. This means you will need to cover for medical expenses out of pocket for a certain timeframe. If you choose a longer waiting period, you may be able to access lower premiums.

Inflation benefits

Inflation can cause medical costs to soar. This is why long-term care insurance providers offer add-ons to protect against this. This feature increases your daily benefits to catch up with inflation but pushes up your premiums.

Tax benefits

Many insurers offer tax-qualified policies. These come with tax-free benefits and deductible premiums. The deduction amount varies depending on the taxpayer’s age.

Insurer reputation

It’s important that you practice due diligence when choosing an insurance company. Go with an insurer that is both financially stable and committed to providing clients with the best possible care.

Here’s a checklist of what you need to consider in choosing a long-term care insurance that’s worth it. You can download and print the list for easy reference.

Is long-term care insurance worth it? (5)

Is long-term care insurance worth it – policy checklist

You can also head to our Best in Insurance Special Reports page if you want to find a long-term care insurance provider that offers top-notch coverage. The companies featured in our special reports have been nominated by their peers. They have also been vetted by our panel of experts as dependable and respected market leaders. By partnering with these insurers, you can be sure that your needs are well taken care of.

Is long-term care insurance worth it? When do you think is the right time to buy coverage? Let us know in the comments.

Related Stories

  • What disqualifies you from long-term care insurance?

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Is long-term care insurance worth it? (2024)

FAQs

Is long-term care insurance worth it? ›

Is a long-term care insurance policy worth it? A long-term care insurance policy is usually worth it for most people because it protects against the risk of paying for nursing home, assisted living or custodial care. Without coverage, your out-of-pocket expenses for long-term care could be more than $54,000 per year.

What is the biggest drawback of long-term care insurance? ›

One of the biggest drawbacks of getting long-term care insurance is the risk of losing all the premiums you have paid over the years. If you end up not needing long-term care services, you won't be eligible for coverage.

What percentage of people actually use their long-term care insurance? ›

If you purchase that type of coverage, your lifetime chance of using policy benefits will fall somewhere between 35% and 50% -- because most people buy this coverage and use it to get care in their own home.

Is it worth buying long-term care? ›

Long-term care insurance can be an excellent investment if you're worried about potentially needing to pay for long-term care. Nursing home and assisted living care can be expensive and long-term care coverage can lessen your family's financial burden and offer you peace of mind.

How long do most people use long-term care? ›

About one in five of all adults (22 percent) will have a care need for more than five years. The average duration of care is higher for women (3.6 years) than for men (2.5 years).

What percentage of your income should you spend on long-term care insurance? ›

Income and Assets: You may choose to buy a long-term care policy to protect assets you have accumulated. On the other hand, a long-term care policy is not a good choice if you have few assets or a limited income. Some experts recommend you spend no more than five percent of your income on a long-term care policy.

Who would most likely need long-term care insurance? ›

Gender: Women are more likely to need paid long-term care than men, and the duration of that care also tends to be longer. According to the Department of Health and Human Services research, 51% of women aged 65 and over will need paid long-term care. Meanwhile, 39% of men who are 65-plus will need such care.

Do all Americans have sufficient coverage for long-term care services? ›

Despite the widespread need for long-term care, the U.S. has no national program to cover the costs of long-term care. While certain states have implemented their own programs, the resulting patchwork of funding has left many Americans with no sustainable way to pay for the services they require.

What is the largest source of payment for long-term care? ›

The most common source of assistance is Medicaid, which offers several state-based programs to people who are eligible based on income or disability. These programs include home- and community-based services, adult foster care, and Medicaid personal care services.

Why do only a few million people carry private long-term care insurance? ›

Private long-term care insurance is expensive, and relatively few older adults are covered by such policies. This leaves many adults struggling to afford the cost of residential or home-based long-term care and supports or unprepared to handle these costs if they arise in the future.

Do long-term care premiums increase as you age? ›

Premiums for long-term care insurance are based on your age when you apply. Costs increase on your birthday. The annual rate increases are generally 2-4 percent in your 50s but start to be 6 to 8 percent per-year in your 60s.

What are 5 factors that you should consider when buying long-term care insurance? ›

  • Duration of Benefits. Long-term care (LTC) policies are typically sold for 12 or more months of care. ...
  • Benefit Triggers. Before LTC insurance companies will pay benefits, certain conditions must be met. ...
  • Waiting Periods. ...
  • Daily Benefit Amount. ...
  • Maximum Policy Benefits. ...
  • Inflation Protection. ...
  • Insurance Agents.

What is the average cost of long-term care in the United States? ›

According to the Genworth 2021 Cost of Care Survey, the monthly median cost of nursing home care in the United States is $7,908 for a shared room and $9,034 for a private room.

What percentage of Americans over 65 have long-term care insurance? ›

Furthermore, while 70 percent of Americans over the age of 65 are likely to need long-term care, only 10% of this age group actually carries long-term care coverage. This represents only about 7.5 million Americans, or approximately 3.3% of the entire population​.

Will 70% of Americans need long-term care? ›

Roughly 70% of people age 65 and older will need some type of long-term care during their lifetime.

What is life expectancy in long-term care? ›

We found that median survival was 2.2 years, while the yearly mortality rate was 31.8%. Factors associated with mortality were higher age, higher comorbidity, more severe dementia, higher PADL-dependency, less severe psychotic symptoms, and a lower BMI.

What is the disadvantage of long-term plan? ›

Disadvantages of Long-term Goals

Long-term goals can sometimes feel overwhelming, as they require sustained effort and patience, and progress may not be immediately visible. Setting overly ambitious long-term goals can lead to frustration and discouragement if they are not met within the desired timeframe.

What is the downside of LTC? ›

A primary concern for individuals considering long-term care insurance is the cost of premiums. The ongoing financial commitment can be significant and there is always the risk of paying for coverage that may never be utilized.

Why do people not plan for long-term care? ›

I think it's both price and complexity. The more people understand what they are paying for, the more they are willing to make the commitment to paying. The horror stories of getting long-term insurance activated are well-known among people trying to secure payments to care facilities for their parents.

What is the main disadvantage of term insurance? ›

Term Life Insurance Pros: It's customizable, specific to your timeline, and usually costs less than whole life insurance. Term Life insurance Cons: If you outlive the term length, your coverage will end and you won't receive any benefits.

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