Life & Disability

Long-Term Care Insurance Basics

A large, common, and often uninsured cost that neither health insurance nor Medicare fully covers.

Long-term care, extended help with daily living due to age, illness, or disability, is one of the largest and most commonly uninsured costs a family faces. Health insurance and Medicare cover much less of it than people assume, which is the gap long-term care insurance is built to fill.

What it covers

Long-term care insurance helps pay for custodial care: assistance with activities of daily living like bathing, dressing, and eating, delivered at home, in assisted living, or in a nursing facility. This is distinct from medical treatment, and it is precisely the category that standard health coverage and Medicare largely exclude for extended durations, leaving families to pay out of pocket or spend down assets.

How policies work

Traditional policies pay a daily or monthly benefit up to a limit, after an elimination period, once you need help with a set number of daily activities. Costs and terms vary widely, and premiums on older-style policies have sometimes risen. Because of that, hybrid policies, life insurance or annuities with a long-term care benefit, have grown popular, offering a benefit whether or not care is ever needed.

The tradeoffs

Long-term care coverage can be expensive, and the decision involves weighing the real risk of a large future cost against premiums paid for years. It is often most relevant to those with assets to protect but not enough to comfortably self-fund extended care. Coordinating it with the overall financial plan is the sensible approach.

Insure the care that the rest of your coverage will not.

This is general information, not personalized insurance advice. Coverage terms, definitions, and availability vary by policy and provider.

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