March 5th 2026
By Ari Parker
Long-term care insurance costs $1,500–$5,500+ annually depending on age and coverage. Learn how premiums are calculated, cost-saving strategies, and affordable alternatives.
Long-term care insurance helps cover expenses that Medicare and most health insurance plans don't, like nursing home stays, assisted living, and in-home care. But how much does it actually cost?
The answer depends on several factors, including your age, health, gender, and the coverage you choose. Most people pay between $1,000 and $9,000 per year, though premiums vary widely between insurers.
And if the cost is giving you pause and you’re wondering if it’s worth it, the trade-off is straightforward: You can pay premiums now for coverage later, or risk paying out-of-pocket for care that can cost $100,000 or more annually.
Understanding what drives long-term care insurance rates can help you find the right balance between affordability and protection.
Long-term care insurance premiums ranged from $1,750–$6,325 annually for people in their mid-50s to mid-60s in 2024, with women paying more than men due to longer life expectancy.
Age is the biggest cost factor. Buying a policy at 55 instead of 65 can save thousands over the life of your coverage.
Couples can save up to 30% with shared-benefit policies, and choosing a longer elimination period or lower daily benefit can reduce premiums further.
Long-term care insurance costs vary considerably based on your age, gender, and the insurer you choose, so if you’re wondering “how much is long-term care insurance,” you’re not alone.
According to the American Association for Long-Term Care Insurance (AALTCI), a 55-year-old man paid an average of $1,750 annually in 2024 for a traditional policy with $165,000 in benefits and 2% annual inflation protection. A 55-year-old woman paid $2,800 for the same coverage. These numbers are priced for the state of Indiana, and it’s important to note that costs vary by state.
The younger you are when you purchase a policy, the lower your annual premium. The table below shows average annual costs for a single policyholder with $165,000 in initial benefits and 3% compound annual inflation protection.
| Purchase age | Men | Women |
|---|---|---|
| 55 | $2,075 | $3,700 |
| 60 | $2,585 | $4,400 |
| 65 | $3,135 | $5,265 |
However, there is one benefit of waiting: older policyholders can claim larger tax deductions. Those aged 51–60 can deduct up to $1,760 annually. For those 61–70, the limit rises to $4,710, and for those 71 and older, it's $5,880.
Couples can save significantly with shared-benefit policies, with discounts of up to 30% compared to two full-price policies. AALTCI's 2024 data shows the following combined annual premiums for couples:
Age 55: $2,080 combined
Age 60: $2,600 combined
Age 65: $3,750 combined
Shared-benefit policies allow both spouses to draw from a combined pool of coverage. If one spouse needs more care, they can use benefits that would have gone to the other. This creates flexibility and stronger asset protection for families.
Women consistently pay more for long-term care insurance than men, as you can see in the data above. This is because women tend to live longer. This makes them more likely to need extended care, since a longer life means they face higher rates of age-related conditions like Alzheimer's disease that require long-term care.
While age and gender can heavily impact your long-term insurance cost, there are multiple other factors that all impact how much your annual premium will be. Let’s review each.
As we’ve already discussed, age is an enormous factor in what you’ll pay for your long-term care insurance premium. A policy purchased at 55 will cost significantly less than the same policy purchased at 65, even if your health hasn't changed. Insurers price policies based on how long they expect to collect premiums before paying out benefits.
The daily benefit is the maximum amount your policy will pay per day of care. This covers care settings like nursing homes, assisted living facilities, or in-home care, as well as services like meal preparation, personal hygiene assistance, and housekeeping.
Daily benefits typically range from $50 to $400, but this is highly plan-dependent. Higher daily benefits mean higher premiums, but they also provide more comprehensive coverage. When setting your daily benefit, research the average cost of care in your area to ensure your coverage will be adequate.
The benefit period determines how long your policy will pay for care. Common options include two, three, five, or ten years, with lifetime coverage also available.
Longer benefit periods mean higher premiums but more protection. When evaluating options, consider the benefit period alongside the daily benefit amount. A longer benefit period with a lower daily benefit might leave you underinsured for expensive care.
The elimination period is the number of days you must pay out-of-pocket before your insurance coverage begins. Options typically include 30, 60, 90, or 180 days.
A longer elimination period reduces your premium, but can increase your initial out-of-pocket costs. A 90-day elimination period is common and balances affordability with reasonable upfront expenses.
If you're purchasing a policy in your 50s or early 60s, inflation protection is especially valuable since you may not need care for decades.
Inflation protection guards against rising healthcare costs over time. Most insurers offer 3% or 5% annual inflation protection options.
Keep in mind, there are different types of inflation protection, each of which can impact cost differently:
No inflation protection (level benefits): Your benefit pool stays the same for the life of the policy. A $165,000 policy remains $165,000 whether you need care in 5 years or 30 years.
Simple inflation protection: Your benefit increases by a fixed percentage of your original benefit amount each year.
Compound inflation protection: Your benefit increases by a percentage of your current benefit amount each year, similar to compound interest.
While this feature increases your initial premium, it can significantly boost your coverage over time. According to AALTCI, a $4,500 monthly benefit with 3% inflation protection purchased at age 57 grows to $10,600 by age 87 and $12,290 by age 92.
The table below shows how different inflation protection options affect both your annual premium and your future benefit pool. All figures are for a 55-year-old with $165,000 in initial benefits.
| Inflation Protection | Annual Premium (Men) | Annual Premium (Women) | Benefit Value at Age 85 |
|---|---|---|---|
| None (level benefits) | $950 | $1,500 | $165,000 |
| 2% compound | $1,750 | $2,800 | $298,900 |
| 3% compound | $2,075 | $3,700 | $400,500 |
| 5% compound | $3,690 | $6,400 | $679,100 |
Insurers evaluate your health through underwriting, which considers pre-existing conditions, family medical history, and lifestyle factors like smoking. Better health typically means lower premiums, while certain conditions may result in higher rates or disqualification from coverage.
You have several policy options to consider, and the policy you choose will impact your premium. Options include:
Traditional long-term care insurance pays benefits only if you need care. If you never use it, premiums aren't returned.
Hybrid policies combine life insurance with long-term care benefits. If you don't use the LTC coverage, your beneficiaries receive a death benefit.
Short-term care insurance covers care for a limited period (usually up to one year) at lower premiums than traditional policies.
If premiums seem out of reach, consider these strategies:
Buy younger. Purchasing a policy in your 50s locks in lower rates than waiting until your 60s.
Choose a longer elimination period. Opting for 90 or 180 days instead of 30 days can lower premiums significantly.
Reduce your daily benefit. A lower daily benefit means lower premiums, though you'll need to cover more costs out-of-pocket.
Shorten your benefit period. A three-year benefit period costs less than a five-year or lifetime policy.
Consider shared-benefit policies for couples. These offer substantial savings over two individual policies.
Shop around. Premiums vary widely between insurers for identical coverage. Get quotes from at least three to five companies.
Ask about discounts. Some insurers offer discounts for good health, non-smokers, or purchasing online.
If traditional long-term care insurance doesn't fit your budget or situation, consider these alternatives:
Hybrid life/LTC policies provide long-term care benefits while also offering a life insurance death benefit if you don't need care.
Short-term care insurance covers care for up to a year at lower premiums.
Health savings accounts (HSAs) allow you to save tax-free for future medical expenses, including long-term care.
Medicaid planning may help if your assets are limited, though eligibility requirements are strict.
Self-insuring through dedicated savings may work for those with substantial assets.
Each option has trade-offs. A financial advisor can help you determine which approach makes sense for your situation.
Long-term care insurance costs vary widely based on age, health, gender, and coverage choices. Most people pay between $1,000 and $9,000 annually, with younger, healthier buyers securing the lowest rates.
The "right" decision depends on your age, health, assets, and family situation. If you're in your 50s or early 60s and in good health, locking in a policy now could save thousands compared to waiting. If premiums feel unaffordable, strategies like longer elimination periods or hybrid policies can help.
Consider consulting with a financial advisor to evaluate how long-term care insurance fits into your overall retirement plan.
At age 60, long-term care insurance typically averages between $1,200-$3,800 for men and between $1,900-$6,700 for women. Actual policy costs depend upon a number of variables, including the prospective insured person’s health, gender, and whether they are seeking inflation protection, among others.
Yes, long-term care insurance is available to people with existing health conditions. However, some conditions, such as Alzheimer’s, may be a disqualifying factor for some insurers and some plans. Shopping around and comparing plans is crucial to finding a plan that is both affordable and covers your conditions and needs.
Long-term care insurance premiums can increase over time, especially if the policy holder has not opted for an inflation protection plan as part of their policy. Inflation and rising health care costs are two of the main reasons premium costs can soar over time. In 2024, there were approved premium increases of 28%, forcing as many as 12% of policy holders to reduce the amount of coverage in their policy.
Aflac. (n.d.). Hybrid life and long-term care insurance. Retrieved from https://www.aflac.com/resources/life-insurance/hybrid-life-and-long-term-care-insurance.aspx
American Association for Long-Term Care Insurance. (2023). Long-term care insurance facts 2023. Retrieved from https://www.aaltci.org/long-term-care-insurance/learning-center/ltcfacts-2023.php
American Association for Long-Term Care Insurance. (2024). Long-term care insurance facts 2024. Retrieved from https://www.aaltci.org/long-term-care-insurance/learning-center/ltcfacts-2024.php
American Association for Long-Term Care Insurance. (n.d.). Higher long-term care insurance couples discount ending.Retrieved from https://www.aaltci.org/news/long-term-care-insurance-news/higher-long-term-care-insurance-couples-discount-ending
CBS News. (n.d.). What is a long-term care insurance benefit period? Retrieved from https://www.cbsnews.com/news/what-is-a-long-term-care-insurance-benefit-period/
Internal Revenue Service. (n.d.). Long-term care insurance. Retrieved from https://apps.irs.gov/app/vita/content/00/00_25_005.jsp
LTC News. (n.d.). Daily benefit. Retrieved from https://www.ltcnews.com/resources/glossary/daily-benefit
Morningstar. (2025, August 11). Does long-term care insurance add up? Retrieved from https://www.morningstar.com/retirement/does-long-term-care-insurance-add-up
National Council on Aging. (n.d.). What are the three types of long-term care insurance? Retrieved from https://www.ncoa.org/article/what-are-the-three-types-of-long-term-care-insurance/
Baum, F., Musolino, C., Gesesew, H., Popay, J. (2021, Jan 14). Trends in long-term care insurance coverage, 2000–2018. Journal of the American Geriatrics Society, 69(4), 971–978. https://pmc.ncbi.nlm.nih.gov/articles/PMC7829786/
