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Aging in Place as a Couple: When One Partner Becomes the Caregiver

An older man pushing his wife in a wheelchair outside their house

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

When one partner needs care, the other is often the first to step in, which can strain their health, finances, and the relationship. Couples can plan ahead by talking through what each would want, agreeing when to bring in outside help, making the home work for both, and deciding how care would be paid for.

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What does spousal caregiving ask?

Physical work, time, and emotional energy, often at an age when the caregiving partner has health needs of their own.

What should you talk about now?

  • If one of us needed help every day, what would we want?

  • When would we bring in outside help?

  • Would we stay in this home?

  • How would we pay for care, and what would that leave for the other partner?

When should you bring in help?

Agree on it in advance. Setting the signal ahead of time, like when daily care starts taking more than a few hours, makes it easier to act on later.

A husband helping his wife into her cardigan in their living room

How can couples pay for care?

Couples can buy individual long-term care coverage or joint coverage. The joint coverage we offer shares one benefit pool that either partner can use, and if neither needs care, a death benefit is paid after the second person passes. See Long-Term Care Insurance for Couples. The NAIC calls this “shared care”: benefits either person uses are subtracted from the shared total. (NAIC Shopper’s Guide)

How do you protect the healthier partner?

Staying Power is a licensed insurance agency that helps couples plan how care would be paid for.

Paying for one partner’s care can draw down savings the other will need later. Planning ahead helps keep both futures intact. Get started to see what care costs and how to fund it.

Related reading: Planning Ahead for Cognitive Decline and Making Your Home Age-Ready, Room by Room.

Frequently asked questions

Can long-term care insurance pay me to care for my spouse?

It depends on the policy and the plan of care. Ask a licensed agent how this works for the coverage you’re considering.

Is joint coverage better than two individual policies?

Each has tradeoffs. Joint coverage offers flexibility; individual policies give each person a dedicated benefit.

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.

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 Planning by Life Stage

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  • Aging in Place in Your 40s: What to Think About Now

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  • Aging in Place in Your 50s: What to Think About Now

    Your 50s are a practical window for aging-in-place planning: real numbers, your home, your parents, and how you'll pay for care.

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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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