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What Happens If I Never Need Long-Term Care?

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

It depends on the type of policy. With a traditional long-term care policy, if you never need care, the premiums you paid generally aren’t returned. With a linked-benefit policy, like the coverage Staying Power offers, a death benefit goes to your beneficiaries if you never use the long-term care benefit.

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Why do people ask this?

It’s a common hesitation: paying premiums for years for coverage you might never use. It’s worth weighing against the other side of the odds: someone turning 65 today has almost a 70% chance of needing some type of long-term care services, according to the Administration for Community Living. (LongTermCare.gov)

How do traditional and linked-benefit policies differ?

A traditional policy covers long-term care only. A linked-benefit, or hybrid, policy combines long-term care coverage with life insurance, so a benefit is paid whether or not you need care. See How Does Long-Term Care Insurance Work?. The NAIC notes these are also called “hybrid,” “linked benefits,” or “combo” policies. (NAIC Shopper’s Guide)

What if I use some of my benefits?

With the coverage we offer, even if you use some or all of your long-term care benefits, a guaranteed minimum death benefit is still paid to your beneficiaries. Benefits paid for long-term care reduce the death benefit, down to that guaranteed minimum. The NAIC gives a general example for policies of this type: with a $100,000 death benefit and $60,000 used for care, the beneficiary would receive $40,000. (NAIC Shopper’s Guide)

Two older women working together in a vegetable garden

What if I can’t keep paying premiums?

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.

What if I change my mind?

The coverage we offer has a cash surrender value, so the policy remains a liquid asset. How much you’d receive depends on the refund-of-premium option you choose when you buy.

Staying Power is a licensed insurance agency that explains how this works before you decide.

To see what coverage could look like for you, answer a few questions.

Related reading: Long-Term Care Insurance for Couples and Paying for Long-Term Care Insurance.

Frequently asked questions

Is the death benefit taxable?

Life insurance death benefits are generally paid income tax-free to beneficiaries. Talk with a tax advisor about your situation.

Do I get my premiums back if I cancel?

With the coverage we offer, you’d receive the policy’s cash surrender value, which depends on the refund-of-premium option you selected.

What is a linked-benefit policy?

A policy that combines long-term care coverage with life insurance, so a benefit is paid whether or not you need care.

Get more details about long-term care insurance

Sources

  • LongTermCare.gov (ACL): How Much Care Will You Need

  • 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 Long-Term Care Basics

  • Is Long-Term Care Insurance Worth It?

    Who long-term care insurance fits, who it doesn't, what care actually costs, and how to decide whether coverage makes sense for you.

  • 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.

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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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