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Retirement Planning’s Blind Spot: Where Long-Term Care Fits

A couple in their 60s planning retirement with folders and a notepad at the dining table

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

Long-term care is one of the biggest gaps in most retirement plans. Most people don’t know what care actually costs, or what’s covered when they need it. Planning for it means deciding in advance whether you’ll pay from savings, rely on family, or use long-term care insurance.

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Why do care costs get left out?

  • Many people assume Medicare will cover it. It doesn’t cover ongoing custodial care.

  • Timing and duration are unpredictable, which makes it hard to model.

  • It’s an uncomfortable thing to plan for.

What could 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. (CareScout) See How Much Does Long-Term Care Cost?.

What are your options?

  • Self-fund: set aside a dedicated pool for care, separate from other retirement goals.

  • Family: often part of the plan, but it comes with real costs to them.

  • Long-term care insurance: a dedicated source of funds for care, so your other savings can stay focused on everything else.

  • Medicaid: available after you’ve spent down most of your assets. See Long-Term Care Insurance vs. Medicaid.

A couple in their 60s going over their retirement plan at the dining table

Where does long-term care insurance fit?

It turns an unpredictable cost into a planned one. With the coverage we offer, premiums are guaranteed never to increase, and if you never need care, a death benefit goes to your beneficiaries.

What should you ask your financial advisor?

  • Does my plan account for long-term care costs?

  • What would happen to my plan if I needed several years of care?

  • How would paying for care affect my spouse or partner?

Staying Power is a licensed insurance agency that helps people fit long-term care into their retirement plan.

A licensed long-term care agent can work alongside your advisor. Get started to see what care costs and how to fund it.

Frequently asked questions

Should my financial advisor handle long-term care insurance?

Some advisors are licensed to sell it. A licensed long-term care agent can also work alongside your advisor.

Can I use an HSA to pay long-term care insurance premiums?

Some long-term care insurance premiums may be eligible for HSA reimbursement or a tax deduction, subject to age-based limits. Talk with a tax advisor.

Get more details about long-term care insurance

Sources

  • CareScout: 2025 Cost of Care Survey

  • Medicare.gov: Long-Term Care Coverage

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.

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 Paying for Care

  • Does Medicare Cover Long-Term Care?

    Medicare covers short-term skilled care, not ongoing help with daily living. Here's what it pays for, what it doesn't, and how people plan for the gap.

  • Long-Term Care Insurance vs. Medicaid: What’s the Difference?

    Medicaid pays for long-term care after you spend down your assets. Long-term care insurance is bought in advance. Here's how they compare.

  • How Much Does Long-Term Care Cost?

    National median costs for in-home care, assisted living, and nursing homes, what drives them, and how people plan to pay.

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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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