{"id":355825,"date":"2016-04-04T10:46:14","date_gmt":"2016-04-04T15:46:14","guid":{"rendered":"https:\/\/ability-fl-prod.internetbrands.com\/ability-law\/healthcare\/patient-rights\/ltc-long-term-care-insurance-risks-and-benefits.html"},"modified":"2026-08-17T19:50:00","modified_gmt":"2026-08-18T00:50:00","slug":"ltc-long-term-care-insurance-risks-and-benefits","status":"publish","type":"page","link":"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/ltc-long-term-care-insurance-risks-and-benefits.html","title":{"rendered":"Should I Buy LTC (Long-Term Care) Insurance?"},"content":{"rendered":"\n<div class=\"wp-container-core-columns-is-layout-9d6595d7 fl-sectionWithSidebar fl-container fl-flex fl-flex-wrap fl-gap30\">\n<div class=\"fl-page-articles fl-section-main fl-section-main-full-width\"><h1 class=\"fl-no-margin-top\">Should I Buy LTC (Long-Term Care) Insurance?<\/h1>\n\n<section class=\"fl-gutenberg-byline\">\n    <div class=\"fl-gutenberg-byline-content\">\n                    By <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/susan-buckner-j-d\/\">Susan Buckner, J.D.<\/a> | Legally reviewed by <a\n                href=\"https:\/\/www.findlaw.com\/company\/our-team\/jordan-walker-j-d\/\">Jordan Walker, J.D.<\/a>\n                | Last updated\n        <time>\n                            August 17, 2026\n                    <\/time>\n    <\/div>\n\n    \n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-legally-reviewed\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Legally Reviewed\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>This article has been written and reviewed for legal accuracy, clarity, and style by <a href=\"https:\/\/www.findlaw.com\/company\/our-team.html\">FindLaw\u2019s team of legal writers and attorneys<\/a> and in accordance with <a href=\"https:\/\/www.findlaw.com\/company\/company-history\/editorial-policy.html\">our editorial standards<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n\n    <details class=\"fl-gutenberg-byline-toggle fl-gutenberg-byline-fast-checked\">\n        <summary>\n            <i class=\"fl-gutenberg-byline-icon\" aria-hidden=\"true\"><\/i>\n            Fact-Checked\n        <\/summary>\n\n        <div class=\"fl-gutenberg-byline-toggle-content\">\n            <p><em>The last updated date refers to the last time this article was reviewed by FindLaw or one of our <a href=\"https:\/\/www.findlaw.com\/company\/our-team\/contributing-authors.html\">contributing authors<\/a>. We make every effort to keep our articles updated. For information regarding a specific legal issue affecting you, please <a href=\"https:\/\/lawyers.findlaw.com\/?fli=bylinelink\" target=\"_blank\" rel=\"noopener\">contact an attorney in your area<\/a>.<\/em><\/p>\n\n        <\/div>\n    <\/details>\n<\/section>\n\n\n<div class=\"fl-key-takeaways fl-mb30\" data-testid=\"fl-key-takeaways\">\n    <div class=\"fl-card-content\">\n        <div class=\"fl-card-body fl-card-bg-teal fl-flex fl-flex-column\">\n                            <h2 class=\"fl-card-title fl-h2 fl-no-margin\">Key Takeaways<\/h2>\n                        <p>Long-term care (LTC) insurance offers benefits and risks for individuals considering their future medical care plan needs. The primary benefit of LTC insurance is financial protection because it helps cover the high costs of long-term health care in nursing homes, assisted living facilities, or at home. LTC insurance policies can offer flexibility in choosing care options and may prevent the need to rely solely on family members or government programs like Medicaid, which can limit facility choices.<\/p>\n\n        <\/div>\n    <\/div>\n<\/div>\n\n\n<p>But long-term care insurance can also carry significant risks, including high premium costs, limited availability of policies, and the possibility of being denied coverage due to age or preexisting health conditions. Not everyone will need long-term care, and some may find alternative options more suitable.<\/p>\n<p>Careful consideration of personal health status, family support, and financial situation is essential before purchasing LTC insurance. Understanding its risks and benefits will help you make an informed decision. Keep reading to learn more.<\/p>\n<p>Some families benefit from consulting an attorney or financial advisor before purchasing an LTC insurance policy. An experienced <a href=\"https:\/\/lawyers.findlaw.com\/elder-law\/\" target=\"_blank\" rel=\"noopener\">attorney near you<\/a> can assess whether an LTC policy and\/or other estate planning tools can protect your finances and assets in your Golden Years.<\/p>\n<h2><strong data-redactor-tag=\"strong\" data-verified=\"redactor\">What Is Long-Term Care?<\/strong><\/h2>\n<p><a href=\"https:\/\/www.findlaw.com\/elder\/elder-care-law\/long-term-health-care.html\">Long-term care<\/a> includes nursing homes, assisted living facilities, and memory care centers. Long-term care facilities provide support for older residents needing assistance with one or more &#8220;activities of daily living,&#8221; or ADLs.<\/p>\n<p>As people age, daily routines become more difficult. Recently widowed individuals living alone for the first time in decades\u00a0may need help working through\u00a0<a href=\"https:\/\/www.scientificamerican.com\/article\/shades-of-grief\/\" target=\"_blank\" rel=\"noopener\">grief and related mental health<\/a>\u00a0issues.<\/p>\n<p>Long-term care facilities provide assistance, in varying degrees, in the six essential ADLs:<\/p>\n<ul>\n<li>Bathing and grooming<\/li>\n<li>Personal hygiene<\/li>\n<li>Eating and drinking unassisted<\/li>\n<li>Dressing, including donning medical devices or prosthetics<\/li>\n<li>Transferring and mobility<\/li>\n<li>Continence<\/li>\n<\/ul>\n<p>As the level of care increases,\u00a0<a href=\"https:\/\/www.findlaw.com\/elder\/elder-care-law\/nursing-home-cost.html\">so does the cost<\/a>.\u00a0Assisted living facilities can cost more than $15,000 per month, even without high-level medical support. Without a long-term income or deep reserves, residents may have difficulty sustaining the cost of top-quality care.<\/p>\n<h2><strong data-redactor-tag=\"strong\" data-verified=\"redactor\">Long-Term Care Insurance Coverage<\/strong><\/h2>\n<p>Medicare covers inpatient hospital stays, hospice and home health care, and healthcare services such as lab tests. <a href=\"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/tips-on-how-to-be-a-good-patient.html\">Medicare has additional coverage<\/a> (parts B, C, and D) that includes prescription drug coverage, medical equipment, and ambulance transportation fees.<\/p>\n<p>Medicare Supplement Insurance, or &#8220;Medigap,&#8221; covers out-of-pocket expenses not paid by the policyholder&#8217;s primary insurance. Medigap pays deductibles, copayments, and other costs. Most older individuals will have all their short-term medical expenses covered between Medicare and private insurance.<\/p>\n<p><a href=\"https:\/\/acl.gov\/ltc\/costs-and-who-pays\/what-is-long-term-care-insurance\" target=\"_blank\" rel=\"noopener\">Long-term care insurance<\/a>\u00a0reimburses the purchaser for the costs of care. Issuers offer a range of policies depending on the purchaser&#8217;s age, needs, and geographic location.<\/p>\n<p>Some policies are time-limited and only cover your care for a few years. Others will pay out for the rest of your life. The long-term care insurance market has recently declined, and most policies have limits.<\/p>\n<h2>Do I Need Long-Term Care Insurance?<\/h2>\n<p>Not everyone qualifies for long-term care insurance, and\u00a0others\u00a0may\u00a0not need it. Common reasons for denial of insurance include:<\/p>\n<ul>\n<li>Mental or nervous disorders, except for organic brain disorders<\/li>\n<li>Long-term care for drug addiction or alcohol dependency<\/li>\n<li>Attempted suicide or self-inflicted injuries<\/li>\n<li>Receiving government payment for care and treatment<\/li>\n<\/ul>\n<p>In general, agents determine who qualifies for insurance on a case-by-case basis. A medical condition that already affects one or more ADLs may result in <a href=\"https:\/\/www.findlaw.com\/consumer\/insurance\/can-i-sue-an-insurance-company-for-denying-my-claim.html\">denial of coverage<\/a>. Other policies may have additional exclusions or waiting periods before becoming effective.<\/p>\n<p>LTC insurance is not part of your primary care insurance. Your <a href=\"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/tips-on-how-to-be-a-good-patient.html\">choice of care facility<\/a> may impact your ability to access your current health care provider. This means that before selecting insurance and a residential facility, ensure your health care professionals are covered and can treat you at the location.<\/p>\n<hr \/>\n<p>An attorney can\u2019t tell you whether to buy a long-term care policy. But they can tell you exactly what you\u2019re buying, how it works, and whether it realistically protects you based on your goals, finances, and state laws. <a href=\"https:\/\/lawyers.findlaw.com\/\" target=\"_blank\" rel=\"noopener\">Find local legal help<\/a>.<\/p>\n<div>\n<hr \/><\/div>\n<h2><strong data-redactor-tag=\"strong\" data-verified=\"redactor\">Factors To Consider When Buying LTC Insurance<\/strong><\/h2>\n<p>A long-term care insurance plan (LTC insurance) is often\u00a0expensive. Even after enrollment, premiums can still go up. The\u00a0<a href=\"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/hipaa-the-health-insurance-portability-and-accountability-act.html\">Health Insurance Portability and Accountability Act<\/a> (HIPAA) allows policyholders to deduct premium costs based on their age. Because of this, aging affects the cost of premiums and potential annual increases. Other state and federal laws may also impact the cost.<\/p>\n<p>According to the <a href=\"https:\/\/www.ncoa.org\/article\/how-much-does-long-term-care-insurance-cost-and-is-it-worth-it\/\" target=\"_blank\" rel=\"noopener\">American Association for Long-Term Care Insurance<\/a> (AALTCI), the average annual premium for an adult over 60 is between $1,200 and $1,900. Couples pay around $2,600 in premiums annually. This may not seem excessive until you remember you may have a fixed income and that insurance premiums are subject to increases. You may also have other medical costs and living costs to deal with.<\/p>\n<p>Some things to think about when purchasing LTC insurance include:<\/p>\n<ul>\n<li><strong data-redactor-tag=\"strong\" data-verified=\"redactor\">Age<\/strong>:\u00a0HHS estimates that about 70% of Americans 65 and older will eventually need some type of assistance. Although it&#8217;s hard to know what your needs will be as you age, your premiums will be lower if you are under 65.<\/li>\n<li><strong data-redactor-tag=\"strong\" data-verified=\"redactor\">Health<\/strong>:\u00a0A preexisting health condition is not a complete bar, although it may raise your premiums. More concerning is\u00a0a condition that limits one or more ADLs. Consider your family history as well. Are you at risk for genetic illnesses later in life?<\/li>\n<li><strong data-redactor-tag=\"strong\" data-verified=\"redactor\">Income<\/strong><span class=\"redactor-invisible-space\">\u200b:<\/span>\u00a0Medicare does not cover nursing home care, so you may need to consider other options both now and in the future. Medicaid, a separate joint federal-state program for low-income individuals, provides some coverage and covers long-term care for those who qualify.<\/li>\n<li><strong data-redactor-tag=\"strong\" data-verified=\"redactor\">Family members and friends<\/strong><span class=\"redactor-invisible-space\">\u200b:\u00a0<\/span>In-home health care is an alternative since Medicare pays reimbursement for\u00a0<a href=\"https:\/\/www.findlaw.com\/healthcare\/patient-rights\/home-care-options-for-elders.html\">home care<\/a>. LTC insurance may be unnecessary if your relatives can assist with some of your health care services.<\/li>\n<\/ul>\n<h2><strong data-redactor-tag=\"strong\" data-verified=\"redactor\">Other Options for Long-Term Care<\/strong><\/h2>\n<p>Insurance companies encourage potential enrollees to get LTC insurance, pitching it as a necessity. If you are in their target age bracket and in good health, expect to hear insurance agents extoll the benefits of long-term health insurance coverage when you purchase or renew your existing health benefits package.<\/p>\n<p>If you want <a href=\"https:\/\/www.findlaw.com\/elder\/elder-care-law\/dealing-with-the-cost-of-long-term-elder-care.html\">long-term care<\/a> but aren&#8217;t sure about long-term coverage, there are other alternatives to consider. Review your options <a href=\"https:\/\/www.findlaw.com\/hirealawyer\/choosing-the-right-lawyer\/health-and-health-care-law.html\">with an attorney<\/a>, financial planner, and any involved family members while keeping the following in mind:<\/p>\n<ul>\n<li><strong data-redactor-tag=\"strong\" data-verified=\"redactor\">Savings and investments<\/strong>: If you have a substantial stock portfolio or other financial assets, you can pay for your expenses out of pocket. This option gives you maximum flexibility and freedom to choose your living accommodations. The downside is the costs may burn through your savings.<\/li>\n<li><strong data-redactor-tag=\"strong\" data-verified=\"redactor\">Medicaid programs: <\/strong>Unlike using your savings, state Medicaid programs pay up to 50% of nursing home costs, leaving you with much lower expenses. The drawback is that this limits your choice of Medicaid-approved healthcare facilities.<\/li>\n<li><b>Use your life insurance policy for cash<\/b>: Some policies allow policyholders to use part of their policy for medical expenses and long-term care (&#8220;accelerated death benefits&#8221;). Some benefit plans allow you to sell the entire policy for its cash value, a so-called life settlement. The downside to this option is you lose part or all of the policy&#8217;s value.<\/li>\n<li><strong data-redactor-tag=\"strong\" data-verified=\"redactor\">Buy an annuity:<\/strong> If you have the funds, buying an annuity can provide a steady income to pay for long-term care for the remainder of your life. There is no real benefit to an annuity over an insurance policy, but you can buy an annuity regardless of your age or health.<\/li>\n<li><strong data-redactor-tag=\"strong\" data-verified=\"redactor\">Consider group health insurance<\/strong>: If you&#8217;re still employed, ask if your existing carrier or HMO has long-term care coverage. If so, opt in during the next enrollment period. The advantage of a group health plan is that you cannot be denied, regardless of any preexisting condition. If you leave the job, you should be able to continue your coverage through COBRA.<\/li>\n<\/ul>\n<h2><strong data-redactor-tag=\"strong\" data-verified=\"redactor\">Have Questions About LTC Insurance? A Healthcare Attorney Can Help<\/strong><\/h2>\n<p>The decision to purchase long-term care insurance depends on many different factors. You may also have questions about state laws and health regulations. Reach out to a\u00a0<a href=\"https:\/\/www.findlaw.com\/hirealawyer\/choosing-the-right-lawyer\/health-and-health-care-law.html\">healthcare attorney<\/a>\u00a0to learn more about ways to plan for your future.<\/p>\n<div class=\"fl-page-articles fl-section-main fl-section-main-full-width\">\n<p>FindLaw\u2019s\u00a0directory of\u00a0<a href=\"https:\/\/lawyers.findlaw.com\/health-health-care-law\/\" target=\"_blank\" rel=\"noreferrer noopener\">healthcare attorneys<\/a> can get you started. Enter your city or ZIP code for a list of qualified legal professionals near you. Because your state\u2019s laws are relevant, your attorney should be licensed in your state. Your search results will also show important details about prospective attorneys, like ratings and whether they offer free case evaluations.\u00a0<\/p>\n<\/div>\n\n\n<div class=\"was-this-helpful\">\n    <div\n            class=\"was-this-helpful__question-container\"\n            aria-labelledby=\"was-this-helpful__question\"\n            role=\"group\"\n    >\n        <span\n                id=\"was-this-helpful__question\"\n                class=\"was-this-helpful__question fl-text-lg-bold\"\n        >Was this helpful?<\/span>\n        <button\n                class=\"was-this-helpful__button fl-text-sm\"\n                aria-label=\"Yes\"\n                value=\"yes\"\n        >\n            <span class=\"was-this-helpful__button-text fl-text-bold\">Yes<\/span>\n            <i class=\"was-this-helpful__button-icon\">\n                <svg width=\"22\" height=\"22\" viewBox=\"0 0 22 22\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <g 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