How much long-term care insurance do I need in the US?
Project your future daily care cost with inflation, subtract income you can apply to care, and multiply the monthly gap by your expected years of care (about 3 on average). Choose a policy with a benefit pool at least as large as that total, plus inflation protection.
Does Medicare cover long-term care?
No. Medicare covers only short-term skilled nursing after a hospital stay, not long-term custodial care. Long-term care is paid privately, through LTC insurance, or by Medicaid after you spend assets down to about $2,000. Insurance protects your assets from that spend-down.
Is long-term care insurance worth it in the US?
For many middle-income families it is, because it protects assets from a Medicaid spend-down and gives you more care choices. Very high-net-worth individuals may self-insure, and very low-income individuals may rely on Medicaid. Inflation protection and an adequate benefit pool are essential.
When should I buy long-term care insurance?
Age 55-65 is the typical sweet spot: premiums are still affordable and you are more likely to pass underwriting. Waiting risks higher premiums or medical denial. Consider hybrid life/LTC policies if you want a benefit even if you never need care.