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What Determines Your Long-Term Care Insurance Premium?

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

Your premium is based on your age when you apply, your sex, tobacco use, and health, plus the coverage you choose: how much the policy pays, for how long, whether benefits grow with inflation, how you pay, and whether you buy individual or joint coverage.

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The NAIC’s consumer guide says premiums vary with your age and health when you buy, and with the level of coverage, benefits, and options you choose. (NAIC Shopper’s Guide)

Which factors are about you?

  • Age when you apply. Premiums generally increase with age.

  • Sex. It’s one of the factors insurers use to set price.

  • Tobacco use.

  • Health. Underwriting places you in a pricing class based on your health history. See What to Expect in Long-Term Care Insurance Underwriting.

Which factors do you choose?

  • Monthly benefit amount

  • Benefit period

  • Inflation protection

  • Premium schedule

  • Individual or joint coverage

See How Much Long-Term Care Insurance Do I Need?.

The NAIC also notes that a longer elimination period lowers the premium, and that inflation protection and nonforfeiture benefits can significantly raise it. (NAIC Shopper’s Guide)

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Can your premium go up after you buy?

Premiums on many traditional policies can increase over time. 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.

How can you manage the cost?

  • Cover a portion of expected care costs rather than all of them

  • Choose a shorter benefit period

  • Compare payment schedules

  • Apply earlier, while age and health work in your favor. See When Should You Buy Long-Term Care Insurance?.

Staying Power is a licensed insurance agency that shows people coverage options across a range.

The fastest way to get a real number is to answer a few questions and talk with a licensed agent.

Frequently asked questions

Why does tobacco use affect my premium?

Insurers price tobacco use as a higher risk, as with most types of insurance.

Are long-term care insurance premiums tax-deductible?

They may be partly deductible as a medical expense, subject to age-based limits. Talk with a tax advisor. See What Is a Tax-Qualified Long-Term Care Policy?.

Will my premium change if my health changes after I buy?

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

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.

A note on taxes

Tax treatment depends on your situation and current law. Consult a qualified tax advisor before making decisions based on tax considerations.

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.

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