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What If I Don’t Qualify for Long-Term Care Insurance?

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By Stephanie Cheney, Founder & CEO, Licensed Insurance Agent | Last reviewed: October 10, 2026

If you don’t qualify for one long-term care policy, you may still have options. Different products use different underwriting, and some alternatives, like certain annuity-based long-term care coverage, use simplified health questions. You can also build a plan around savings, home equity, and family support, and learn how Medicaid works in your state.

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Why do applications get declined?

Common reasons include current health conditions, recent surgery, already needing help with daily activities, or cognitive concerns.

What should you ask first?

Ask your agent why, and whether another product with different underwriting might fit. For some conditions, timing matters, and an application may be considered differently after more time has passed.

What other insurance options might exist?

  • Annuity-based long-term care coverage, some of which uses simplified underwriting

  • Life insurance with long-term care or chronic illness benefits

  • Short-term care insurance, available in some states, which covers shorter periods with simpler underwriting

Availability, features, and eligibility vary by product and state. The NAIC’s consumer guide notes that some life insurance policies and annuity contracts offer long-term care benefits through add-on riders. (NAIC Shopper’s Guide)

Woman with short gray hair and glasses reads from a sheet of paper at a wooden table, gesturing as she talks

How do you plan without coverage?

  • Set aside savings specifically for care

  • Consider how home equity could fit in

  • Agree on family roles ahead of time. See How to Divide Caregiving Between Siblings.

  • Understand Medicaid rules in your state, and talk with an elder law attorney. See Long-Term Care Insurance vs. Medicaid.

What about the rest of the plan?

Home changes and a support network matter even more without coverage. See Making Your Home Age-Ready, Room by Room. Your Area Agency on Aging can point you to local resources; find it through the Eldercare Locator.

If you work with Staying Power and the first path doesn’t fit, your agent will go through what else is available for your situation.

Frequently asked questions

Can I reapply later?

Possibly. Depending on the reason, an application may be considered differently later. Ask your agent.

What is short-term care insurance?

Coverage for shorter periods of care, often less than a year, available in some states and often with simpler underwriting.

Get more details about long-term care insurance

Sources

  • Eldercare Locator (ACL)

  • NAIC: A Shopper’s Guide to Long-Term Care Insurance (2022)

About the author

Stephanie Cheney is the founder and CEO of Staying Power and a licensed insurance agent (OK License #3004465615 · TX License #3562695). She became a caregiver at 20 and saw firsthand what caregiving asks of a family: time, career, and money. After her father died, her mother bought long-term care insurance in her 50s. When brain surgery in her 60s left her mother needing full-time care, that coverage meant Stephanie could keep working and hire help when she was away. Her mother has lived with her for about 10 years. Stephanie started Staying Power to help people plan to stay in their own homes as they age, beginning with how they'll pay for care.

Disclosure

Staying Power is a licensed insurance agency. This article is intended to solicit insurance business and is provided for educational purposes only. It is not tax, legal, medical, or financial advice, and it is not a recommendation to purchase, an offer of coverage, or a quote. Long-term care insurance is subject to medical underwriting and is not available to everyone. Benefits, limitations, and exclusions vary by policy, carrier, and state. Medicare and Medicaid rules vary by state and change over time; see Medicare.gov and your state Medicaid agency for current details.

More in Choosing Coverage

  • Long-Term Care Insurance for Couples: How Joint Coverage Works

    How joint long-term care coverage works, how a shared benefit pool is used, and how it compares to two individual policies.

  • When Should You Buy Long-Term Care Insurance?

    Why your age and health when you apply shape what you'll pay and whether you'll qualify, and signs it may be time to look.

  • How Much Long-Term Care Insurance Do I Need?

    How to choose a monthly benefit and benefit period, how they add up to your total coverage, and what else changes the math.

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Staying Power is a licensed insurance agency. Insurance products are offered through licensed insurance agents and are issued and underwritten by third-party insurance companies. Products, features, and availability vary by state and are subject to underwriting approval. Individual care needs and expenses vary; no policy is guaranteed to cover the entire cost of care. Policy guarantees are backed by the claims-paying ability of the issuing insurer. Any values shown in interactive tools are illustrative only and do not constitute a quote, offer, or guarantee of coverage or benefits. This site provides general information and is not financial, legal, or tax advice.

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