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What Is Long-Term Care, and Who Needs It?

A woman in her 40s and her mother cooking together in the mother's kitchen

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

Long-term care is ongoing help with everyday activities (like bathing, dressing, eating, or getting around) for people who can’t fully manage on their own because of age, illness, injury, or cognitive decline. It’s usually provided at home, and someone turning 65 today has almost a 70% chance of needing some form of it.

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What counts as long-term care?

Long-term care includes help with activities of daily living:

  • Bathing

  • Dressing

  • Eating

  • Using the bathroom

  • Continence

  • Moving from a bed to a chair

It also includes help with tasks like managing medications, preparing meals, handling finances, and getting to appointments. (LongTermCare.gov)

Where does long-term care happen?

Most long-term care is provided at home. It can also happen in adult day care, assisted living, or a nursing home. (LongTermCare.gov)

Older man checking on his wife as she reads in an armchair in their living room

Who provides long-term care?

Much of it comes from family and friends, usually unpaid. Paid care comes from home care aides, agencies, and facility staff.

Who needs long-term care?

Someone turning 65 today has almost a 70% chance of needing some type of long-term care services and supports. (LongTermCare.gov) Needs can come from aging, a chronic illness, an injury, or cognitive decline, and they can last a few months or many years.

A woman trimming an older man's hair at home

Isn’t long-term care just a nursing home?

Many people picture a nursing home when they hear “long-term care.” Most care actually happens at home, and planning ahead can make it more likely you’ll get care where you want it.

How do people plan for it?

Staying Power is a licensed insurance agency that helps people plan to age at home, starting with how they’ll pay for care.

Start with how it would be paid for. See Does Medicare Cover Long-Term Care?, How Much Does Long-Term Care Cost?, and How Does Long-Term Care Insurance Work?, or answer a few questions to see what care costs and how to fund it.

Frequently asked questions

What’s the difference between long-term care and health care?

Health care treats illness or injury. Long-term care helps with everyday activities over an extended period. Health insurance and Medicare generally don’t cover long-term custodial care.

Is long-term care only for older adults?

No. Needs can arise at any age from illness or injury, though the likelihood increases with age.

How do I find local long-term care services?

The Eldercare Locator connects you with your local Area Agency on Aging.

Get more details about long-term care insurance

Sources

  • LongTermCare.gov (ACL)

  • LongTermCare.gov (ACL): Where Can You Receive Care

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

  • Eldercare Locator (ACL)

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.

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