3 Ways to Use IRA Money for LTC Planning

June 18, 2026

Which IRA funding strategy is right for you?

IRA money can sometimes be used to fund long-term care insurance, but the right approach depends on taxes, timing, and the type of coverage you choose. Below, we explain three common strategies and the tradeoffs to understand before moving forward.

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3 Ways IRA Assets May Be Used for LTC Insurance

Long-term care planning is often discussed in terms of premiums, policy features, and benefit amounts. For many retirees and pre-retirees, a central consideration is the source of funding.

For individuals with substantial IRA balances, this is often a key consideration. IRAs are frequently one of the largest sources of retirement savings, and in some cases can be used to fund long-term care insurance more efficiently than paying directly from cash flow. The tax treatment and outcomes vary depending on the approach used.

These strategies generally apply beginning at age 59½. In limited cases, legislation allows exceptions for younger individuals. Some inherited IRAs may also be eligible, depending on the situation.

Here are three ways IRA assets are commonly used in long-term care planning:

Strategy 1 — IRA-Funded Multi-Benefit Policy

This approach uses one policy that combines annuity value, life insurance, and long-term care benefits in a single contract. IRA or 401(k) dollars are distributed gradually over time to help fund the policy, rather than creating one large taxable withdrawal upfront.

Key features:

  • Is funded with annual IRA withdrawals, which can count toward required minimum distributions (RMDs)
  • Spreads taxable distributions over multiple years instead of triggering one large lump-sum event
  • Combines annuity value, life insurance, and long-term care benefits in one policy
  • Offers a guaranteed level premium

May be a fit for:
People who prefer an all-in-one policy structure and want a more predictable premium approach.

Strategy 2 — Immediate Annuity + Long-Term Care Coverage

This strategy uses IRA assets to purchase an immediate annuity. Annual distributions from the annuity are then used to help fund a separate hybrid long-term care, or traditional long-term care insurance policy. Because the annuity and the long-term care policy are separate products, this approach can provide greater flexibility in product design and carrier selection.

Key features:

  • Uses an immediate annuity funded with IRA assets to help fund a separate LTC policy
  • Spreads taxable IRA distributions over multiple years
  • Allows the annuity and the long-term care policy to be selected independently
  • Utilizing a hybrid policy may provide long-term care benefits, cash value, a death benefit, and guaranteed level premiums, depending on the policy design

May be a fit for:
People who want greater flexibility in product design and carrier selection while spreading taxable IRA distributions over time.

Strategy 3 — Annual IRA Distributions to Fund LTC Insurance

This approach uses annual IRA distributions to pay long-term care insurance premiums while keeping the overall IRA investment strategy in place. Rather than repositioning a large portion of IRA assets into a new product structure, it uses only the distributions needed to fund coverage. It can be used with traditional long-term care insurance, hybrid policies, or linked-benefit designs, depending on the goals of the policyholder. In some cases, it may also be coordinated with required minimum distributions.

Key features:

  • Uses annual IRA distributions to fund long-term care insurance premiums
  • Keeps the overall IRA investment strategy in place
  • Can be used with traditional, hybrid, or linked-benefit policies
  • Allows funding decisions to be adjusted over time

May be a fit for:
People who want maximum flexibility, prefer to keep most IRA assets invested, and want to fund long-term care coverage through manageable annual distributions.

 

The best way to use IRA money for long-term care depends on your tax situation, retirement goals, and the type of policy you’re considering. We can help you compare the options side by side.

Important: Different IRA funding strategies can affect taxes, premiums, and long-term care benefits in very different ways. A brief review can help clarify which approach makes the most sense.

Comparing IRA Long-Term Care Strategies

Use this matrix as a high-level planning aid. The right approach depends on age, health, tax bracket, retirement income, RMDs, product availability, and overall planning goals.

Factor Strategy 1Multi-Benefit Strategy 2Immediate Annuity + LTC Strategy 3Annual Distributions
Policy structure All-in-one product Two separate products Any LTC policy type
Funding source IRA distributions Annuity distributions Direct IRA distributions
Tax spread Yes Yes Yes, often aligned with RMDs
Simplicity High Moderate High
Carrier choice Limited Broad Broad
Best suited for Simplicity and predictability Flexibility and carrier choice Keeping IRA assets invested

 

Complimentary Planning Guide
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All three IRA funding strategies, compared side by side
How each affects your taxes, premiums, and policy choices
A pre-planning checklist and the key questions to ask

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Using Your IRA for Long-Term Care Insurance - planning guide cover

IRA FAQs for Long-Term Care Insurance

How will using my IRA to pay long-term care premiums affect my taxes?

IRA distributions used to pay LTC premiums count as taxable income and may increase your tax bracket. Some people qualify for medical expense deductions if they itemize and exceed 7.5% of AGI.

Spreading distributions over multiple years, such as a 10-pay strategy, can help manage tax impact while converting taxable dollars into tax-favored LTC benefits.
Learn more: Tax Deductions for LTC Insurance

Will using my IRA for LTC premiums help satisfy Required Minimum Distributions (RMDs)?

Yes. IRA withdrawals used to pay LTC insurance premiums count toward your annual RMD.

This can be an efficient way to use required distributions, especially if you don’t need the RMD income and want to leverage it for long-term care protection.

Can married couples use these IRA strategies for shared long-term care coverage?

Yes. Each spouse can use their individual IRA to fund LTC coverage. Some companies offer shared benefit or shared pool options that allow spouses to access each other’s unused benefits.

This can reduce premium costs compared to buying two separate unlimited policies.

Can I use 401(k) funds instead of IRA funds for these LTC funding strategies?

Yes, typically by rolling your 401(k) into a traditional IRA first. Direct rollovers are tax-free when done correctly.

Once in the IRA, you can use distributions to fund long-term care insurance premiums.

Note: If your 401(k) is with a current employer, in-service withdrawals may be restricted.

Will I pay penalties if I'm under 59½?

Usually, IRA withdrawals before age 59½ incur a 10% early-withdrawal penalty plus income tax.

However, some exceptions may eliminate the penalty, such as disability or substantially equal periodic payments (SEPP).

Consult your tax professional to confirm your situation.

What is hybrid long-term care insurance?

Hybrid long-term care insurance combines life insurance or an annuity with LTC benefits.

If you need care, the policy pays tax-free long-term care benefits. If not, your beneficiaries receive a tax-free death benefit.

This structure helps avoid the “use it or lose it” concern of traditional LTC policies.

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Last updated: June 18, 2026

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

Sources: IRS Publications 590-B and 502, IRC Section 7702B, IRS Notice 97-31, IRS.Gov, accessed 06/18/2026
Disclaimer: This information is not tax or accounting advice. ACACIA Insurance Services, Inc. does not provide tax or accounting guidance. Please consult your own qualified tax or accounting professional.