What is Long Term Care Insurance

What is Long Term Care Insurance

by Joseph Vecchio April 16, 2021
Long term care insurance

Who wants to think about how high our healthcare costs will be in retirement? We don’t either. But with the right financial plan, you can rest easy that your future health and your retirement nest egg will be protected.

Regarding issues with the potential to drain your nest egg, healthcare is usually at the top. But healthcare includes more than just paying for health insurance.

You also have to consider how you might pay for long-term care one day, even if your health seems fine right now.

Nobody wants to think about needing long-term care insurance because, let’s face it, the thought of not being able to care for yourself is depressing. But having a long-term care policy in place can be the difference between a successful retirement plan…and a financially devastating health event.

It’s possible you won’t ever need long term care, but the statistics indicate that it’s unlikely.

According to the American Association for Long-Term Care Insurance, nearly 7 out of 10 Americans will need some form of long-term care insurance in their lifetime. In addition, government statistics show that the average cost for a semi-private room in a nursing home was $225 per day or $6,844 per month at last count. Want a private room? Then you’ll need to pay an average of $253 per day or $7,698 per month.

Just imagine how your car insurance premiums would look if 70 percent of drivers got in an accident every year. The thing is, unlike car insurance claims, long-term care (LTC) claims don’t just cost the insurance company a ‘one-and-done’ $5,000. They can cost the company tens of thousands of dollars for years or even decades to come.


While some people are fortunate enough to be able to self-fund a long-term health event, the vast majority of families are unable to sustain an added monthly expense for an extended period.

For those of us who need LTC, there are two main types to choose from: traditional or hybrid policies.


A traditional long-term care policy is much like your typical auto insurance policy. You pay a monthly premium to purchase a certain amount of coverage, which you can count on if you need it.

Similarly, your premiums may be subject to increases over time, but traditional long-term policies do cost less than hybrid policies.

The cost of long-term care insurance is currently outpacing inflation. With that in mind, it makes sense that potential premium increases would as well.

As an example, for the long-term care coverage period beginning in January 2021, Blue Cross Blue Shield of Florida increased annual premiums for their LTC policyholders by an average of 94%.

Graph of how traditional long-term care insurance premiums increase over time

This is just one real-life example, but premium increases for traditional LTC policies do happen, and the price increases can be alarming.

This is one reason traditional long-term care policies are less expensive than the hybrid option; your long-term care provider can simply raise the price of your premiums to continue providing benefits to policyholders.


Hybrid long-term care policies continue to grow in popularity for many reasons.

These policies can be purchased at a lump sum upfront cost, although you may also be able to spread your premiums out over a designated period. Either way, hybrid long-term care insurance is better suited to those who have a larger sum of money to spend.

Here’s an example: Let’s say you have $200,000 in cash, but only need $100,000 in your emergency fund. You could fund a hybrid LTC policy with the excess money.

Bar graph showing excess cash earmarked for long-term care versus a fully-funded savings

In theory, that $100,000 could fund a long-term care policy that covers both spouses with a $200,000 death benefit and a monthly long-term care benefit of $6,000 per spouse for 3 years. You may also be able to purchase an inflation rider and/or a lifetime benefit rider for an additional annual fee.

If your financial plan were to ever implode, you can cancel your hybrid policy and recoup your premiums paid, less any surrender fees. The same cannot be said for a traditional long-term care policy where money – spent on premiums is gone forever.

A hybrid LTC policy is technically a life insurance policy. That means if you never make a claim, your heirs can collect the death benefit purchased by your original premium. In addition, if your policy has a death benefit of $200k and you only use $50k toward LTC expenses, you retain a death benefit of $150k.

If you exceed the death benefit of the policy, the long-term care benefits will continue to be paid up to the maximum period specified in your policy.


There are more nuances to consider for long-term care policies than we can describe in a blog post. But, there are still some basic advantages and disadvantages that come with each.



  • Can be cheaper despite the risk of future premium increases
  • Monthly premium payments can make it more affordable
  • In a low-interest-rate environment, the likelihood of premiums increasing diminishes, as insurance companies can recoup the increased cost of care through rising interest rates


  • Premiums paid are gone forever
  • Premiums can increase over time, placing a strain on your finances in the future


  • If you don’t use it, you retain a death benefit payable to your beneficiaries
  • If you use only some of it, the unused death benefit is still payable to your beneficiaries
  • Fixed premiums will not increase over time


  • Some plans require an upfront premium payment
  • Requires you to buy life insurance whether you need it or not
  • You lose investment control over your money spent on premiums
  • Can be more expensive for comparable coverage to a traditional policy

Remember, an insurance agent is not a fiduciary. This means they do not always have your best interests at heart, and may have their own bottom line at the forefront of their decision making. Their goal is to sell you a policy that nets them the highest commission, and if it helps you out, that’s a plus.

At the end of the day, it’s your responsibility to review the policy to make sure you are getting exactly what you need — nothing more or less.

On the other hand, you don’t have to sort through all this information and make a decision on your own. Certified Financial Planners can help you make the right choice that suits your lifestyle and goals.

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