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Is Long-Term Care Insurance Worth It?

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

It depends on your situation. Long-term care insurance tends to make the most sense for people in their 50s and 60s who want to stay home as they age, have savings they’d like to protect, and are healthy enough to qualify. It makes less sense if you can comfortably pay for years of care yourself.

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What does long-term care cost?

At national median rates, close to full-time help at home runs about $6,700 a month, assisted living about $6,200, and a semi-private nursing home room about $9,585, according to CareScout’s 2025 Cost of Care Survey. (CareScout) For the full breakdown, see How Much Does Long-Term Care Cost?.

Whether those numbers are manageable depends on how long care lasts, which no one can know in advance.

What are the other ways to pay?

  • Savings: flexible, but care spends the same dollars you set aside for everything else.

  • Family: often steps in, usually at a real cost in time, income, and stress.

  • Medicaid: covers long-term care, but only after you’ve spent down most of what you have. See Long-Term Care Insurance vs. Medicaid.

  • Medicare: covers short-term skilled care, not ongoing help with daily living. See Does Medicare Cover Long-Term Care?.

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Who is long-term care insurance a good fit for?

It tends to make the most sense if you:

  • Want to stay in your own home as you age

  • Have savings and assets you’d like to protect

  • Would rather your family not become your caregivers

  • Are healthy enough to qualify today

The NAIC’s consumer guide suggests considering coverage if you have many assets or a good income, don’t want to use most of your assets and income to pay for care, can afford the premiums including possible increases, don’t want to burden family or friends, and want to choose where you receive care. (NAIC Shopper’s Guide)

Who might it not be a good fit for?

  • People who can comfortably pay for years of care out of pocket

  • People whose health conditions would prevent approval

  • People for whom the premium would strain their budget: coverage only helps if you can keep it in place

The NAIC advises against buying if you can’t afford the premiums, don’t have many assets, rely only on Social Security or SSI, or are on Medicaid. It also offers a rule of thumb that a policy may be unaffordable if premiums would be more than about 7% of your income. (NAIC Shopper’s Guide)

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What if you never need care?

With a traditional policy, premiums generally aren’t returned if you never use the coverage. With a linked-benefit policy like the coverage we offer, a death benefit goes to your beneficiaries instead. See What Happens If I Never Need Long-Term Care?.

How do you decide?

Staying Power is a licensed insurance agency that helps people decide whether long-term care coverage fits their plan.

The most useful step is getting real numbers for your situation: what care costs where you live, and what coverage would cost for your age and health. A licensed agent can walk through both. Start with a few questions.

Frequently asked questions

At what age is long-term care insurance worth buying?

There’s no single right age. Your premium is based on your age when you apply, and your eligibility is based on your health when you apply. See When Should You Buy Long-Term Care Insurance?.

Can I be turned down for long-term care insurance?

Yes. Coverage is medically underwritten, so your health history affects both eligibility and price.

Does long-term care insurance cover the full cost of care?

It pays up to the monthly benefit and benefit period you choose. Depending on your coverage and your actual costs, it may not cover the entire amount.

Get more details about long-term care insurance

Sources

  • CareScout: 2025 Cost of Care Survey

  • 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 cost figures

Cost figures are national medians from CareScout's 2025 Cost of Care Survey and are not projections. Actual costs vary by location, provider, and level of 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 Long-Term Care Basics

  • How Does Long-Term Care Insurance Work?

    How long-term care insurance works: when benefits start, how they're paid, and how traditional, hybrid life, and hybrid annuity policies differ.

  • Can Long-Term Care Insurance Pay a Family Member as a Caregiver?

    Some long-term care policies can pay a family member to provide care. Here's how it works, what's required, and what to discuss first.

  • What Happens If I Never Need Long-Term Care?

    What happens to your premiums if you never need care, and how linked-benefit policies pay a death benefit instead.

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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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