Top 10 Long-Term Care Insurance Companies

On February 25, 2026  By newsroom   Topic: Elder Care Buyers Guide

Long-term care insurance is essential for protecting against the high costs of aging-related care, including home health services, nursing homes, or assisted living facilities. Here's a detailed look at some of the best providers for 2023, their offerings, and key considerations.


How Long-Term Care Insurance Works

  • Eligibility: Based on the inability to perform activities of daily living (ADLs) or cognitive impairment.
  • Premiums: Paid regularly, with options for monthly, annual, or upfront payments.
  • Benefit Payouts: After meeting the policy's waiting period, coverage kicks in for eligible care costs.

What's Covered and Not Covered

Covered:

  • Personal and custodial care (e.g., bathing, dressing).
  • Assisted living, nursing homes, memory care facilities.
  • Home modifications like wheelchair ramps.

Not Covered:

  • Preexisting conditions (e.g., cancer, heart disease).
  • Care provided by family members.
  • Personal utilities like phone or internet bills in care facilities.

Alternatives to Long-Term Care Insurance

  • Self-Insurance: Use personal savings for future care costs.
  • Life Insurance Riders: Use part of the death benefit for long-term care.
  • Annuities: Structured to provide higher payouts during care needs.
  • Reverse Mortgages: Tap into home equity for care funding.

Who Should Consider Long-Term Care Insurance?

  • Adults in their 40s to 60s, especially those with significant assets.
  • Those seeking to protect their family from financial caregiving burdens.
  • Individuals who want flexible care options for aging.

Key Considerations When Choosing a Provider

  • Coverage Options: Check if the policy covers home care, assisted living, or nursing facilities.
  • Premium Costs: Annual premiums range from $1,000 to $7,000, depending on age, health, and coverage.
  • Waiting Period: Most policies include a 30- to 90-day elimination period before benefits are paid.
  • Tax Benefits: Premiums may be tax-deductible under medical expenses on federal income taxes.

Top Providers and Features

1. LTC Consumer

  • Highlights:
  • Works with top insurance carriers to provide tailored quotes.
  • Offers traditional and hybrid policies.
  • Free quotes and resources available nationwide.
  • Unique Benefit: National provider network ensures coverage comparisons across all 50 states.

2. Genworth

  • Highlights:
  • Specializes in in-home care, assisted living, and nursing home coverage.
  • Provides group plans for businesses with 500+ employees.
  • Online portal for claims and policy management.

3. Mutual of Omaha

  • Highlights:
  • Comprehensive policies including life, disability, and Medicare supplements.
  • Offers built-in long-term care benefits and inflation protection options.
  • Rated A+ by A.M. Best for financial stability.

4. Transamerica

  • Highlights:
  • Provides hybrid long-term care solutions and life insurance policies.
  • Includes customizable options like annuities for retirement planning.
  • Available through independent brokers.

5. John Hancock

  • Highlights:
  • Focuses on federal employee plans for long-term care.
  • Rated A+ by A.M. Best for stability.
  • Excellent claims management with billions paid annually.

6. OneAmerica

  • Highlights:
  • Unique offering of lifetime unlimited benefits.
  • Allows use of IRA funds or cash-value life insurance for long-term care coverage.
  • Features fixed annuities for flexible retirement and care planning.

7. Bankers Life

  • Highlights:
  • Provides long-term care insurance with Medicare and life policy add-ons.
  • Optional waivers for premium during care coordination periods.
  • Rated A- by A.M. Best.

8. ACSIA Partners

  • Highlights:
  • Offers access to a wide network of major long-term care carriers.
  • Includes hybrid solutions and discounted group policies.
  • Provides educational resources for clients.

9. Lincoln Financial Group

  • Highlights:
  • Specializes in term life insurance, retirement planning, and hybrid long-term care solutions.
  • Offers MoneyGuard packages for financial security.
  • Flexible options for 40+ clients.

10. MedAmerica

  • Highlights:
  • Manages existing policies but no longer offers new ones.
  • Known for its financial integrity and claims reliability.

By evaluating your needs, health, and financial situation, you can choose the right provider to secure your future care. "


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