10 Best Long-Term Care Insurance Companies in the USA

The long-term care insurance market in the USA comprises several reputable companies that offer a range of products to help individuals plan for their future care needs. These companies are known for their financial stability, diverse policy options, customer service, and claims-paying ability. The best long-term care insurance companies typically offer policies that cover the costs associated with chronic medical conditions, disabilities, and disorders that require long-term care services, whether at home, in an assisted living facility, or in a nursing home. Here is a list of 10 of the best long-term care insurance companies in the USA, known for their commitment to providing reliable coverage and support to their policyholders.

Long-term care insurance companies in the USA

Top 10 Best Long-Term Care Insurance Companies in the USA

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As the population ages and the need for long-term care services increases, many Americans are turning to long-term care insurance to help manage the potentially high costs of care. Long-term care insurance can cover services that aren’t typically covered by health insurance, Medicare, or Medicaid, such as assistance with activities of daily living (ADLs) like bathing, dressing, and eating. With a plethora of companies offering long-term care insurance, it can be challenging to determine which one best suits your needs. To assist in this decision, we have compiled a list of the 10 best long-term care insurance companies in the USA, based on their financial strength, customer service, policy options, and overall reliability.

Firstly, New York Life stands out as a top provider, boasting a long history of financial stability and customer satisfaction. Their long-term care insurance policies are customizable, allowing policyholders to select from a range of care options and benefits that align with their specific needs. Furthermore, New York Life’s policies often include inflation protection, which is crucial for keeping up with the rising costs of care.

Another leading company is Northwestern Mutual, which offers long-term care insurance as part of its comprehensive approach to financial planning. Northwestern Mutual is known for its strong customer service and for providing policyholders with a dedicated financial advisor to help navigate their long-term care planning.

Mutual of Omaha is a well-respected insurer that provides a variety of long-term care insurance options, including traditional and partnership-qualified policies. Their offerings are designed to be flexible, with features like shared care, which allows couples to share a pool of benefits, enhancing the value of their coverage.

Genworth Financial has been a pioneer in the long-term care insurance industry, with over four decades of experience. Despite facing some financial challenges in recent years, Genworth continues to be a significant player in the market, offering innovative policy features and a range of coverage options.

Transamerica is another insurer that has made a name for itself in the long-term care insurance space. Their policies are known for their affordability and the option to add riders that tailor coverage to the policyholder’s unique needs.

MassMutual is a mutual company that stands out for its strong financial foundation and commitment to policyholder dividends. Their long-term care insurance policies are comprehensive and can be integrated into a broader financial strategy.

Lincoln Financial Group offers a hybrid approach with their MoneyGuard line of products, which combines long-term care insurance with life insurance. This dual benefit can be particularly appealing for those looking to secure their long-term care while also providing a death benefit to their beneficiaries.

Brighthouse Financial, a spinoff from MetLife, offers innovative long-term care solutions that focus on asset protection and flexibility. Their policies are designed to help policyholders maintain their lifestyle and independence as they age.

State Farm is well-known for its wide range of insurance products, including long-term care insurance. They offer personalized service through their extensive network of agents, ensuring that policyholders receive the attention and guidance they need.

Lastly, OneAmerica’s Asset-Care product stands out for its unique combination of long-term care insurance with whole life insurance. This approach provides a versatile solution that can address multiple financial concerns simultaneously.

In conclusion, when considering long-term care insurance, it’s essential to evaluate each company’s offerings in light of your personal circumstances and future needs. The companies listed above represent some of the best in the industry, each with its strengths and specialized products. By carefully researching and comparing these insurers, you can make an informed decision that will provide peace of mind and financial security for years to come.

Frequently Asked Questions

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1. What is long-term care insurance?

Long-term care insurance is a type of insurance coverage that provides benefits to help pay for the cost of long-term care services, which may include assistance with activities of daily living (ADLs) such as bathing, dressing, eating, and using the restroom, as well as care services due to a chronic illness, disability, or cognitive impairment like Alzheimer’s disease.

2. Who should consider buying long-term care insurance?

Long-term care insurance is often considered by individuals who want to protect their assets from the high costs of long-term care, maintain independence in choosing the type of care they receive, and relieve the financial and caregiving burden on their families. It is generally recommended to consider this type of insurance in your 50s or 60s, before the cost of premiums becomes prohibitively expensive or health issues prevent you from qualifying for coverage.

3. What does long-term care insurance cover?

Long-term care insurance typically covers care not covered by health insurance, Medicare, or Medicaid. This can include services in a variety of settings such as your home, assisted living facilities, adult day care centers, hospice care, nursing homes, and memory care facilities. The exact coverage will depend on the policy and the options you select.

4. How much does long-term care insurance cost?

The cost of long-term care insurance varies widely based on factors such as your age, health status, the level of coverage you choose, and the insurance company. Premiums can range from a few hundred to several thousand dollars per year. It’s important to get quotes from multiple companies to compare costs and coverage options.

5. Can I be denied long-term care insurance?

Yes, insurance companies can deny long-term care insurance coverage based on health status or age. Each company has its own underwriting criteria, which can include reviewing your medical history and current health conditions to determine eligibility.

6. What is the “elimination period” in a long-term care insurance policy?

The elimination period is the amount of time that must pass before your insurance policy starts paying out benefits after you become eligible for long-term care. It is often compared to a deductible in other types of insurance. Common elimination periods are 30, 60, or 90 days.

7. Are long-term care insurance premiums tax-deductible?

In some cases, long-term care insurance premiums are tax-deductible as a medical expense, depending on your age and the amount of the premium. The Internal Revenue Service (IRS) sets limits on the amount that can be deducted each year, and you must itemize your deductions to take advantage of this benefit.

8. What happens if I never use my long-term care insurance?

If you never use your long-term care insurance, you will not receive benefits from the policy. Some policies may offer a return of premium rider that refunds a portion of the premiums if benefits are never used, but this rider usually comes at an additional cost.

9. Can I get long-term care insurance if I have pre-existing conditions?

It depends on the insurance company and the specific condition. Some pre-existing conditions may lead to higher premiums or exclusions, while others may result in being denied coverage altogether. It’s important to disclose all health conditions when applying for coverage.

10. Does Medicare cover long-term care?

Medicare provides limited coverage for long-term care. It typically covers short-term skilled nursing facility care after a qualifying hospital stay, but it does not cover most long-term care services like custodial care in a nursing home or at home.

Remember that policies and coverage can vary significantly between different long-term care insurance companies, so it’s crucial to thoroughly research and compare options before purchasing a policy. Always consult with a licensed insurance agent or financial advisor to get personalized advice based on your individual circumstances.


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In conclusion, the 10 best long-term care insurance companies in the USA are highly regarded for their financial stability, customer service, range of coverage options, and benefits. These companies typically offer a variety of policies to meet the diverse needs of consumers, including traditional long-term care insurance, hybrid policies, and life insurance with long-term care riders. Consumers should consider these top-rated insurers when seeking long-term care coverage to ensure they receive a reliable policy that provides peace of mind and financial protection for the future. It is important to note that the best company for an individual will depend on their specific needs, preferences, and financial situation, and it is advisable to conduct thorough research and consult with a financial advisor before making a decision.