USAA Long-Term Care Insurance: Review & Comparison

July 13, 2025

Compare USAA Long-Term Care Insurance

See how USAA’s long-term care coverage compares to other leading insurers. Your personalized review highlights key differences in benefits, pricing, and eligibility so you can confidently choose the best fit.

Your Personalized Comparison Includes:

How USAA’s benefits, pricing, and limitations compare to other carriers

Side-by-side options from highly rated insurers

Plans that better match your age, health profile, and budget

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USAA Long-Term Care Insurance: At a Glance

USAA provides access to long-term care coverage, but the structure may surprise members expecting traditional LTC insurance:

  • USAA does NOT offer traditional stand-alone long-term care insurance
  • USAA offers hybrid long-term care insurance through a life insurance policy
  • The coverage combines universal life insurance with a long-term care rider

The USAA coverage is a universal life insurance policy with an LTC rider, underwritten by John Hancock Life Insurance Company. This hybrid approach prioritizes the life insurance death benefit over comprehensive long-term care protection.

Important Distinction: Stand-alone long-term care (LTC) insurance policies are also referred to as “traditional long-term care insurance” and provide more focused LTC benefits than hybrid policies.

 

USAA Long-Term Care Insurance Plan

Key Features and Limitations

  1. This Universal Life Insurance policy uses an accelerated death benefit rider (the core mechanism USAA uses to provide LTC benefits).
  2. The death benefit of the life insurance policy also serves as the long-term care benefit — meaning any LTC withdrawals reduce the death benefit dollar for dollar.
  3. There is NO extension of benefits like most hybrid long-term care insurance policies. The accelerated death benefit rider only uses the death benefit to pay for long-term care expenses.
  4. There is NO benefit increase rider (inflation protection) to keep your long-term care benefit in pace with rising long-term care costs.
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How USAA’s Plan Compares to Other LTC Options

A useful comparison to the USAA long-term care insurance offering is the Nationwide Insurance universal life policy, as both are built on universal life insurance.

One notable distinction between these two plans is that the Nationwide policy includes a Cash Indemnity Benefit, which provides additional flexibility in how benefits are received.

How The Nationwide Cash Indemnity Benefit Works

The Cash Indemnity benefit works like this:

  • Nationwide Insurance pays the entire long-term care benefit each month
  • You have no restrictions on how you use your LTC benefits
  • Even your family and friends can be paid to provide care
  • The policy will pay 100% of benefits internationally

Most long-term care insurance policies use reimbursement benefits, requiring you to submit receipts for approved expenses, which are then repaid up to your policy’s monthly or daily limit.

What This Means for You: Unlike USAA’s plan, Nationwide’s policy offers a cash indemnity benefit, giving you full control over your long-term care funds. You won’t need to submit receipts or wait for approvals. Instead, you get flexible monthly benefits to use however you choose, even to pay family caregivers or receive care internationally.
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Is the USAA Long-Term Care Plan Right for You?

Choosing the right long-term care insurance depends on your age, health, budget, and the benefits you value most. If you’re unsure whether USAA’s LTC plan is the best fit, a quick comparison can help you see how it measures up to other top-rated options.

Compare USAA’s LTC Coverage to Other Leading Plans

See which options offer stronger benefits, greater flexibility, or lower costs.

Do I Need Long-Term Care Insurance?

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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

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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

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In 2025, the national average cost for 3 years of long-term care is $328,884 ($109,628 per year). That cost is projected to be $654,411 ($218,137 per year) in 2045.3

About Medicare and Long-Term Care

Medicare External link icon. provides very limited long-term care coverage, primarily up to 100 days of skilled nursing care following a 3-day hospital stay. It does not cover custodial care (help with daily activities), which represents over 90% of long-term care needs. This limited coverage is why many people consider long-term care insurance. Get complete details about Medicare’s limited LTC coverage.

 

When To Buy Long-Term Care Insurance

When is the best age to get long-term care insurance? It depends on your situation, but here are some key factors to consider:

  • Experts suggest buying in your 50s or early 60s. Because long-term care insurance premiums cost less at that age and you’re likely in better health. While you would pay premiums for more years, the total lifetime cost may still be lower.
  • Buying earlier, like in your 40s, can work too. Premiums are likely to be even lower and you’d lock in coverage and your good health. But you’d pay for a longer period before needing it.
  • Waiting until your late 60s might make sense if you’re healthy and have sufficient savings. But premiums are much higher, and health issues may arise that make coverage harder to qualify for. And discounts may no longer be available. If you become ill before purchasing coverage, you would be responsible for all long-term care costs.

One of our licensed long-term care professionals can pre-qualify any health concerns and provide you with quote comparisons.

Types of Long-Term Care Insurance

There are several types of long-term care insurance available today, and each works differently in how it provides benefits and fits into your financial plan. Understanding the basics of each option can help you make a confident, informed choice.

Below, you’ll find simple explanations of the major LTC insurance types. Your ACACIA specialist can help you compare these options and determine which plan aligns best with your age, health profile, and budget.

Traditional Long-Term Care Insurance (Stand-Alone LTC Policy)
  • Design: Specifically designed to cover long-term care expenses, such as in-home care, assisted living, or nursing home care. Provides the most comprehensive long-term care benefits for your dollar.
  • Benefits: The broadest set of options & benefits. Provides a daily or monthly benefit for a set period or the policyholder’s lifetime, depending on the policy terms.
  • Premiums: Recurring premiums paid monthly, quarterly, or annually. Possibility of premium increases over time.
  • Underwriting: Requires medical underwriting, where health status impacts eligibility and premium costs.
  • Tax Advantages: Premiums may be tax-deductible, and benefits are generally tax-free.

Want a side-by-side comparison of traditional and hybrid options?
Get My LTC Comparison >

Hybrid Life Insurance with LTC Rider
  • Design: Combines permanent life insurance with a rider allowing access to benefits you can use for long-term healthcare. If care is not needed, your asset passes to your estate as a tax-free death benefit.
  • Benefits: May build cash value and have a Return of Premium option
  • Premiums: Premiums will NOT increase. Cost is higher than standard life insurance due to the added rider, but often more cost-effective than separate policies.
  • Underwriting: Medical underwriting is usually less strict than traditional long-term care insurance.
  • Tax Advantages: 1035 exchanges are possible and can be funded with qualified dollars (IRA, 401k, etc.)

Not sure if hybrid LTC is right for you?
Ask a Specialist >

Annuity with Long-Term Care Rider
  • Design: A deferred annuity contract with a rider to cover long-term care expenses. Includes a fixed interest rate and possible indexing for asset growth
  • Benefits: Long-term care benefits are usually double or triple the value of the annuity. If not exhausted paying for long-term healthcare, the annuity will transfer to your estate at time of death.
  • Premiums: No premium increases. Can be purchased using a single premiums payment.
  • Underwriting: Health underwriting is simpler than the other plans available.
  • Tax Advantages: Tax-Free 1035 exchanges are possible from an existing annuity to a long-term care annuity.

Want help comparing long-term care annuity options to USAA’s plan?
Talk With a Licensed Advisor >

How Much Does LTC Insurance Cost?

Long-term care insurance costs range from $1,500 to $5,000+ annually, depending on your age, health, and coverage choices. Most people pay between $2,000 – $3,000 per year for comprehensive coverage.

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

USAA LTC Insurance Quote Comparison

Compare USAA’s long-term care rates and benefits with top insurers so you can choose the best plan.

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Last updated: December 05, 2025

Written byCraig Matesky, President, ACACIA Insurance
Reviewed byMike Berger, National Sales Manager

Sources:

1. “How Much Care Will You Need?” LongTermCare.gov, U.S. Department of Health and Human Services, Accessed 12/05/2025
2. “How Much Care Will You Need?” LongTermCare.gov
3. Nationwide Financial annual cost of care survey conducted by HVS, Accessed 12/05/2025
4. “Who Will Provide Your Care?” LongTermCare.gov
5. Family Caregiver Alliance Caregiver.org, Accessed 12/05/2025

Note: Coverages and features vary between insurers, differ by state, and may not be available in all locations.