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Paying for Long-Term Care Insurance: One-Time, Short-Term, or Ongoing Payments

A couple around 60 setting up a payment on a tablet at their kitchen table

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

Long-term care insurance can be paid all at once or over time. With the coverage Staying Power offers, you can pay one time, over 5 or 10 years, until age 65, or until age 100, annually or monthly. Shorter schedules mean higher payments that end sooner. Longer schedules spread smaller payments over more years.

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What are the options?

  • Single payment: pay once, using savings you already have

  • 5 or 10 years: higher payments for a set period, then you’re done

  • Until age 65: finish paying around retirement

  • Until age 100: the smallest payments, spread over the most years

Some schedules are only available at certain issue ages. The NAIC describes the same two approaches, continuous payment and limited payment (single pay, 10- or 20-pay, or pay-to-65), and notes that premiums usually cost less under continuous payment because limited payment collects a greater portion of the premium with each payment. (NAIC Shopper’s Guide)

Why pay over a shorter period?

You finish paying sooner, often before retirement income replaces a paycheck.

Why spread payments out?

Smaller payments are easier on monthly cash flow, and you aren’t committing a large sum up front.

A woman in her 60s paying a bill on a tablet at her kitchen counter

What if you stop paying?

With the coverage we offer, if you stop paying scheduled premiums, the portion of the long-term care benefit you’ve already paid for is locked in as a reduced paid-up benefit. See What Happens If I Never Need Long-Term Care?.

Can the payment change?

With the coverage we offer, premiums are guaranteed not to increase, as long as they’re paid as scheduled and you take no loans or withdrawals.

Staying Power is a licensed insurance agency that shows payment schedules side by side.

A licensed agent can show you schedules side by side. Start with a few questions.

Related reading: What Determines Your Long-Term Care Insurance Premium? and When Should You Buy Long-Term Care Insurance?.

Frequently asked questions

Can I pay monthly or annually?

With the coverage we offer, multi-year schedules can be paid annually or monthly.

Which schedule is best?

It depends on your cash flow, savings, and when you plan to retire. An agent can compare them for your situation.

Can I change my payment schedule later?

Ask your agent, since options vary by policy.

Get more details about long-term care insurance

Sources

  • LongTermCare.gov (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.

About the coverage described

Features described reflect the coverage Staying Power offers, issued by Nationwide Life and Annuity Insurance Company through the CareMatters product line. Guarantees are backed by the claims-paying ability of the issuing insurer. Benefits may be reduced by loans, withdrawals, or unpaid charges. Features vary by product and state; coverage is governed by the terms of the issued policy.

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.

Staying Power is not affiliated with or endorsed by any government agency. State license information is available on our license information page.

This website is intended to solicit insurance business.

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