For more than 30 years, ACACIA Insurance has helped Arizona 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.
Get Personalized QuotesLong-term care costs in Arizona vary across the state, with major metro areas like Phoenix, Tucson, and Yuma often showing higher prices than smaller regions. The table below shows the 2026 average cost of care in several key Arizona locations.
2026 Long-Term Care Costs in Arizona |
|||
| Region | Nursing Home (private room) |
Assisted Living (private room) |
Home Health Aide (44 hours/week) |
|---|---|---|---|
| State Average | $98,031 | $72,695 | $84,357 |
| Flagstaff | $92,976 | $67,280 | $77,026 |
| Lake Havasu City-Kingman | $93,859 | $55,082 | $70,500 |
| Phoenix-Mesa-Chandler | $99,813 | $73,967 | $89,678 |
| Prescott Valley-Prescott | $115,493 | $69,640 | $73,089 |
| Sierra Vista-Douglas | $90,211 | $82,907 | $77,165 |
| Tucson | $109,223 | $71,638 | $85,117 |
| Yuma | $105,075 | $69,680 | $69,202 |
| Source: Nationwide Financial Cost of Care Survey, conducted by HVS. Projected 2026 annual costs. | |||
Medicare
generally does not cover ongoing help with daily activities such as bathing, dressing, or eating when that is the only care you need. It may cover short-term skilled nursing or rehabilitation care when eligibility requirements are met, but it is not designed to pay for ongoing long-term care.
Arizona’s Medicaid program, the Arizona Long Term Care System (ALTCS), provides long-term care assistance to residents who meet financial and medical requirements. In 2026, the standard limits for a single applicant are $2,982 in monthly income and $2,000 in countable assets. Different rules may apply to married applicants, and certain assets and income arrangements receive special treatment. Applicants must also be assessed as needing a nursing home level of care, even when receiving services at home.
For Arizona residents who want to protect savings and have more flexibility in arranging care, private long-term care insurance can be an important part of their retirement plan.
Get complete details about Medicare’s limited LTC coverage.
What is the best age to buy long-term care insurance? It depends on your health, finances, and goals, but there are general guidelines that apply to most Arizona residents:
Arizona costs are mixed against the national average. A private nursing home room runs about 15 percent below it. Assisted living is about 3 percent above, and a home health aide is about 8 percent above.
One of our licensed Arizona long-term care professionals can help you determine the right timing based on your health and goals, and provide personalized quote comparisons.
Find Out If You QualifyArizona residents have several long-term care insurance options to protect against the high costs of care. Understanding each type helps you choose coverage that fits your needs and budget.
What It Is: A standalone policy specifically designed to cover comprehensive long-term care expenses, including in-home care, assisted living facilities, and nursing homes. These policies are fully portable and provide coverage wherever you receive care.
Coverage Benefits: Provides the most extensive long-term care coverage per dollar spent with flexible daily or monthly benefit amounts for your selected benefit period. Ideal for Arizona residents planning comprehensive care coverage.
Premium Structure: Recurring payments (monthly, quarterly, or annually). Premiums may increase over time based on insurance company claims experience.
Health Requirements: Requires full medical underwriting with stricter health qualifications than hybrid options. Your current health can significantly impact eligibility and premium costs for Arizona applicants.
Tax Advantages for Arizona Residents: Premiums for tax-qualified long-term care insurance policies may qualify as medical expenses for federal tax deductions (subject to income thresholds). Arizona follows federal tax treatment, and benefits received are generally tax-free.
What It Is: A permanent life insurance policy with an added LTC benefit rider that allows policyholders to access the death benefit early for qualified long-term care expenses, regardless of where care is received.
Coverage Benefits: Typically provides 2-4% of the death benefit monthly for long-term care with guaranteed cash value growth. Unused benefits pass to beneficiaries tax-free.
Premium Structure: Guaranteed level premiums that never increase. Higher initial cost than traditional LTC insurance but protected from future rate increases. Can provide important stability for Arizona residents on fixed incomes.
Health Requirements: Moderate medical underwriting with more flexible health guidelines than traditional LTC insurance, making qualification easier for many Arizona applicants with health issues.
Tax Advantages for Arizona Residents: Can utilize 1035 exchanges from appropriate existing policies without tax consequences and can be funded with qualified retirement accounts (IRAs, 401(k)s).
What It Is: A fixed-rate or indexed deferred annuity contract with an integrated long-term care benefit rider, ideal for those seeking asset protection with a simplified approval process. Coverage is portable and can be used anywhere care is needed.
Coverage Benefits: Typically multiplies your annuity value by 2-3 times for long-term care expenses. For example, a $100,000 annuity might provide $200,000-$300,000 in LTC coverage. If not exhausted for healthcare, the annuity value transfers to your estate at death.
Premium Structure: Can be purchased with a single premium payment with no future premium payments or rate increases. Best for Arizona residents with existing assets to reposition for long-term care planning.
Health Requirements: Simplified underwriting with the most lenient health qualifications, sometimes requiring only a phone interview rather than medical exams or records review. Ideal for Arizona residents with health concerns.
Tax Advantages for Arizona Residents: Supports tax-free 1035 exchanges from existing annuities, and LTC benefits are generally received tax-free under current Arizona and federal tax regulations.
What It Is: Provides coverage for care in a nursing home, assisted living, or at home for a shorter duration, typically up to 12 months. Coverage is portable and can be used wherever you need short-term care.
Coverage Benefits: Helps cover costs for short-term care needs, including recovery from surgery, illness, or injury. Most policies have a 0-day deductible with benefits paid as soon as you qualify. This bridges gaps before long-term care insurance or Medicare coverage begins for services like home health aides.
Premium Structure: Generally lower than long-term care insurance due to the shorter benefit period, making it an affordable option for many Arizona families.
Health Requirements: Often features simplified underwriting with fewer health questions, making it easier to qualify. Very helpful for Arizona residents who may not meet traditional long-term care insurance health or age requirements.
The Arizona Long-Term Care Partnership Program (PDF) began on July 1, 2008. It links a qualifying policy to ALTCS, the state’s Medicaid program for long-term care.
For example, say your policy pays $150,000 toward your care. When you apply for ALTCS, Arizona does not count $150,000 of your assets. The usual limit is $2,000, so you could keep about $152,000.
Your policy pays first. Arizona also does not recover that same $150,000 from your estate after you die. It can pass to your heirs.
A policy qualifies only if it is tax-qualified and certified by the Arizona Department of Insurance. It also needs inflation protection based on your age at purchase:
Arizona honors policies bought in other Partnership states. AHCCCS reviews an out-of-state policy to confirm its status.
A Partnership policy does not guarantee ALTCS. You must still meet its medical and financial rules. A policy can lose its status if you change it, move to a state with no Partnership program, or the law changes.
Learn how Long-Term Care Partnership programs work nationwide ➜
Arizona residents have access to long-term care insurance from a wide range of trusted, financially strong carriers. We work with multiple top-rated LTC insurance providers to help you find a plan that fits your age, health, and budget, whether you’re looking for a traditional policy or a hybrid life + LTC option.
AARP member? Review AARP long-term care insurance ➜
USAA member? Compare long-term care insurance options ➜
Below is a list of long-term care insurance companies available in Arizona:
These companies offer a mix of traditional and asset-based (hybrid) long-term care insurance policies. Availability and pricing vary based on your age, health history, and the type of coverage you need.
Read reviews and ratings of long-term care insurance companies ➜
Traditional long-term care insurance costs in Arizona range from $1,500 to $5,000+ annually, depending on your age, health, and coverage choices. Most people pay between $2,000 and $3,000 per year for comprehensive coverage.
Several factors influence your premium:
Our Arizona long-term care specialists help you compare a wide range of planning products and strategies. You’ll receive personalized recommendations based on your age, health, and goals, along with guidance on the insurance companies best suited to your situation. You’ll get professional help with:
✔ Choosing from multiple long-term care planning products
✔ Selecting the insurance company best suited to your needs
✔ Medical underwriting (qualifying) for coverage

In 2026 a private nursing home room averages $98,031 a year across Arizona. Assisted living averages $72,695 and a home health aide at 44 hours a week averages $84,357. Around Phoenix, Mesa and Chandler, where most of the state lives, those figures are $99,813, $73,967 and $89,678. Tucson runs higher for nursing homes at $109,223, and Prescott Valley is the most expensive in the state for nursing homes at $115,493.
Yes. Most long-term care policies pay for home care, including a home health aide who helps with bathing, dressing, eating and moving around. Many also pay for assisted living and nursing home care.
Home care is costly in Arizona. A home health aide at 44 hours a week averages $84,357 a year, and $89,678 in Phoenix-Mesa-Chandler. Assisted living averages $72,695. Benefits begin when a licensed health practitioner certifies that you cannot do two of six daily activities, or that you have a severe cognitive impairment such as dementia.
Medicare does not pay for this kind of help. Check that the policy pays home care at the same rate as facility care, since some pay less.
Most Arizona buyers cover 70 to 80 percent of local care costs and pay the rest themselves. In 2026, a private nursing home room averages $98,031 a year in Arizona. Covering 70 to 80 percent of that takes about $68,600 to $78,400 a year, or $188 to $215 a day. For home care, a home health aide at 44 hours a week averages $84,357, so the same range is about $59,000 to $67,500.
Choose a benefit period of at least three years, since the average need lasts about three years. Consider adding inflation protection so the benefit keeps pace with rising costs. Prices differ by city, so size the benefit to where you plan to live.
It depends on the type of policy. A traditional policy can have its rates raised, but never for one person alone. The carrier has to ask to raise rates for a whole group of policies, and the Arizona Department of Insurance and Financial Institutions has to approve it first. Hybrid life policies and long-term care annuities work differently. Their premiums are guaranteed in the contract and the insurer cannot raise them.
With a traditional policy, premiums buy protection and are not returned if you never claim. About one-third of people never need long-term care. That is the trade for protection against a nursing home bill that now averages nearly $100,000 a year in Arizona.
Other policy designs return value. A life insurance policy with long-term care benefits pays a death benefit to your heirs if you never use the care benefit. A long-term care annuity works the same way. Some traditional policies offer a return of premium rider, usually for a higher premium. Ask for illustrations of each so you can compare what you pay with what you could get back.
Yes. Carriers decide who they cover, and Arizona sets no health rules of its own. Alzheimer’s, Parkinson’s and dementia are declined almost everywhere, as is already needing help with bathing, dressing or walking. Plenty of managed conditions are approved without trouble. Standards differ from one company to the next, so a no from one carrier is not a no from all of them. A declined application goes on a record other carriers can see, which is why it pays to be prescreened first.
Often yes, and Arizona is more generous than the federal rules here. There is no deduction aimed specifically at long-term care insurance. What Arizona does have is a rule letting you deduct 100 percent of your qualified medical expenses on your state return, with no requirement to exceed a percentage of your income first. Qualified long-term care premiums count, up to an age-based limit. You can also itemize on your Arizona return even if you took the standard deduction federally. Talk to your CPA about your own situation.
Last updated: October 22, 2026
Written by: Craig Matesky, President, ACACIA Insurance
Reviewed by: Mike Berger, National Sales Manager
Sources:
Note: Coverages and features vary between insurers, differ by state, and may not be available in all locations.