New York Long-Term Care Insurance
Compare Plans, Costs & Coverage Options
For more than 30 years, ACACIA Insurance has helped New York residents plan for their long-term care needs. As fully independent advisors, we compare highly rated insurance companies and policy types so you receive personalized and unbiased recommendations.
We review benefits, features, and pricing to help you choose the long-term care insurance plan that fits your goals and your budget.
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About Long-Term Care in New York
Almost 70% of people turning age 65 today will need some type of long-term care in the future. The average length of time people need care is 3 years.1
One-third of people may never need long-term care, but 20% will need it for longer than 5 years. On average women need 3.7 years of care while men need 2.2 years.2
In 2025, the average cost for 3 years of long-term care in New York State is $521,583 ($173,861 per year). That cost is projected to be $1.03 million ($345,947 per year) in 2045.3
New York Long-Term Care Cost Overview
Long-term care costs can vary significantly across New York State. The table below shows the average 2025 annual rates for nursing homes, assisted living communities, and home care services across major regions statewide.
New York Long-Term Care Costs – 2025 (annual) | |||
| Region | Nursing Home (private room) | Assisted Living (private room) | Home Care (44 hours/week) |
| New York State Average | $173,861 | $69,024 | $80,406 |
| Albany-Schenectady-Troy | $193,116 | $88,354 | $79,949 |
| Binghamton | $174,796 | $86,077 | $53,957 |
| Buffalo-Cheektowaga | $174,940 | $66,990 | $74,887 |
| Elmira | $167,868 | $95,080 | $79,952 |
| Glens Falls | $170,030 | $49,568 | $67,224 |
| Ithaca | $146,949 | $73,919 | $70,078 |
| Kingston | $180,443 | $55,757 | $67,382 |
| New York City-Newark-Jersey City | $174,544 | $90,878 | $80,849 |
| Rochester | $193,853 | $67,310 | $69,033 |
| Syracuse | $155,838 | $66,859 | $83,743 |
| Utica-Rome | $137,744 | $47,995 | $59,065 |
| Watertown-Fort Drum | $177,474 | $112,983 | $72,325 |
Source: Nationwide Financial 2025 Cost of Care Survey (HVS), accessed November 17, 2025.
Does Medicare Cover Long-Term Care?
No, Medicare does not pay for long-term care (custodial care). This type of care makes up more than 90% of all long-term care services. Examples of custodial care is when you need help with walking, bathing, eating, dressing or using the toilet. This is what people need most when they have a physical impairment from a stroke. Or, due to cognitive impairment from dementia or Alzheimer’s disease. Don’t make the mistake of thinking Medicare covers long-term care costs. It doesn’t.
Further, about 80% of care at home is provided by unpaid caregivers. With more than half of this care including intensive caregiving assistance with personal care such as bathing or feeding.4 And it’s not only seniors that need long-term care. Over 35 percent of people currently receiving care are between the ages of 18 and 64.5
When To Buy Long-Term Care Insurance
It’s best to buy long-term care insurance in your fifties or early sixties for the following reasons:
- The younger you are when you buy a policy, the lower the annual premiums.
- Even though you pay premiums a longer period of time, you’ll typically pay less overall than someone buying at an older age.
- By the time you reach your mid sixties, you’re more likely to have a medical condition that makes you ineligible for a preferred-health discount, or makes it tough to get coverage at all.
So it almost never pays to wait. And, while you’re waiting, you’re uninsured. If an accident or illness happens causing you to need long-term care, you’ll have to pay out of pocket.
Find Out If You QualifyNew York Long-Term Care Insurance Options
These are the types of long-term care insurance plans available in New York State.
Traditional Long-Term Care Insurance / New York LTC Partnership Program
- The most comprehensive long-term care protection for your dollar
- About half of all long-term care policies purchased
- The broadest set of options
- Recurring premiums
- Learn more about Traditional LTC >
Hybrid Life Insurance with Long-Term Care
- A permanent life insurance policy that can be used during your lifetime if you need long-term care
- If care is not needed, your asset passes to your estate as a tax-free death benefit
- May build cash value and have a return of premium option
- Premiums will NOT increase and 1035 exchanges possible
- Can be funded with qualified dollars (IRA, 401k, etc.)
- Learn more about Hybrid Life with LTC >
Hybrid Annuity with Long-Term Care
- A deferred annuity contract with a fixed interest rate and possible indexing for asset growth plus long-term care benefits
- If not exhausted paying for long-term care, the annuity will transfer to your estate
- Long-term care benefits are typically double or triple the value of the annuity
- Premiums will NOT increase and 1035 exchanges possible
- Can be funded with qualified dollars (IRA, 401k, etc.)
- Learn more about Hybrid Annuities with LTC >
New York Long-Term Care Partnership Program
New York Long-Term Care Partnership policies combine private Long-Term Care Insurance with Medicaid asset protection. Only Partnership policies provide this type of asset protection when you need nursing home, assisted living or home care.
The unique asset protection benefits of a New York Long-Term Care Partnership Program policy apply if your long-term care needs last longer than the benefits of your Partnership policy.
For every dollar your Partnership policy pays in benefits, a dollar of assets is protected from the long-term care Medicaid asset limit. The protected assets are also exempt from Estate Recovery in the same amount as the benefits paid by your Partnership policy.
New York State Partnership for Long-Term Care rates are like regular policies. We still recommend comparing them with non-Partnership policies because you may find other options better suited to your needs. This includes hybrid long-term care insurance plans not available under the New York State Partnership for Long-Term Care.
NOTE: As of January 1, 2021, no insurance companies are currently offering LTC Partnership qualified products in New York State. This means you cannot buy a New York State Partnership for Long-Term Care policy at this time. This does not affect current, active insureds who are Partnership qualified.
Traditional non-Partnership and Hybrid Long-Term Care Insurance plans are available.
New York State Partnership Reciprocity
New York State does participate in the national reciprocity agreement. Reciprocity allows you to buy a qualifying Long-Term Care Partnership policy in another state and maintain the special asset protection benefit if you move to New York. The State of New York will also recognize accumulated asset protection for Medicaid qualification if you’re already receiving benefits from your LTC Partnership policy before moving to New York. The majority of states have reciprocity, but not all.
Long-Term Care Insurance Companies in New York
New York long-term care insurance is available from several highly rated insurance companies. We compare these carriers to find you the right plan at the lowest cost and below you’ll find a list of long-term care insurance providers in New York:
AARP member? Learn about AARP long-term care insurance options >
- Brighthouse Financial
- Lincoln Financial (MoneyGuard)
- Mutual of Omaha
- Nationwide Life Insurance Company
- New York Life
- Northwestern Mutual
How Much Does LTC Insurance Cost in New York?
How much does long-term care insurance cost in New York State? Most New York State residents pay about $2,000 – $3,000 per year for a comprehensive long-term care policy. Costs can range from $1,500 – $5,000 annually depending on age, health, and plan design.
Several factors influence your premium:
- Age at purchase: Buying at 55 vs 65 can save thousands over time
- Current health status: Better health means lower rates
- Daily or monthly benefit amount: Typically $100 to $300 per day
- Total coverage limit: Usually $100,000 to $500,000+
- Elimination period: 30, 60, or 90-day waiting period before benefits start
- Inflation protection: Protects against rising care costs
Why quotes vary: Pricing depends on underwriting and plan design. Insurers weigh these factors differently, so comparing multiple carriers helps you find the best value.
Compare Long-Term Care Insurance Options
Our New York LTC specialists offer objective guidance on a wide range of long-term care insurance products and strategies. Expect personalized service on topics such as:
✔ Choosing from a variety of long-term care insurance products
✔ Suggestions for the company best suited to your situation and goals
✔ Assistance with health qualifying for coverage
Ready to compare quotes?
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New York Long-Term Care Insurance FAQs
Yes, the federal government allows long-term care insurance tax deductions for policies which qualify under the law. Generally, benefits you receive from tax-qualified policies will not be considered as taxable income under either federal or state law as long as the benefits are reasonably related to the long-term care charges incurred within the federally prescribed limits.
Yes, New York State allows favorable state tax treatment of premiums paid for long-term care insurance policies which qualify under the federal law (Sec. 7702B) and meet New York minimum standards. Here’s an outline of the New York Long-Term Care Tax Credit:
- The tax credit for long-term care insurance premiums is 20%
- The tax credit for LTC insurance premiums is capped at $1,500 annually
- The taxpayer’s New York adjusted gross income must be below $250,000 per year
A qualified long-term care insurance contract under section 7702B of the Internal Revenue Code (IRC)
ACACIA Insurance Reviews
What our clients are saying
Last updated: November 17, 2025
Written by: Craig Matesky, President, ACACIA Insurance
Reviewed by: Mike Berger, National Sales Manager
Sources:
1. “How Much Care Will You Need?” LongTermCare.gov, U.S. Department of Health and Human Services, Accessed 11/17/2025
2. “How Much Care Will You Need?” LongTermCare.gov
3. Nationwide Financial 2025 Cost of Care Survey conducted by HVS, Accessed 11/17/2025
4. “Who Will Provide Your Care?” LongTermCare.gov
5. Family Caregiver Alliance Caregiver.org, Accessed 11/17/2025
Note: Coverages and features vary between insurers, differ by state, and may not be available in all locations.