Paying Long-Term Care Premiums from Your IRA
November 27, 2025
November 27, 2025
You can use your IRA to pay for long-term care insurance, and many people do this to reduce long-term costs and improve tax efficiency. This strategy converts retirement dollars into tax-free LTC benefits while managing how and when taxes are paid.
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There are several ways to use IRA or 401(k) dollars to fund long-term care insurance. Below are four proven strategies—each suited to different goals, IRA types, tax considerations, and health profiles. A short review can help determine which option fits your situation best.
This option uses a single policy, from an A+ rated insurance company that blends an annuity, life insurance, and a long-term care rider. It allows IRA or 401(k) dollars to be distributed gradually to fund LTC benefits. The policy also provides a 25% value enhancement when qualified funds are transferred.
Key benefits:
Best for: Those wanting a simple, all-in-one policy with premium stability and a 25% boost on transferred funds.
With this approach, IRA dollars are used to purchase a tax-qualified annuity. Annual annuity distributions are then directed toward a hybrid long-term care insurance policy (life insurance with LTC benefits). This provides flexibility to choose from many top-rated carriers, while using taxable IRA distributions to secure guaranteed LTC benefits, cash value growth, or death benefits depending on the chosen plan.
Key benefits:
Best for: Those wanting flexibility and guarantees while spreading taxes over time.
This strategy uses IRA distributions to pay premiums for a traditional long-term care insurance policy. It allows you to keep most or all of your IRA invested while redirecting only the necessary distributions toward LTC premiums. Many retirees use this to meet RMD obligations while locking in high-efficiency LTC protection at a lower cost than hybrid products.
Key benefits:
Best for: Those wanting maximum long-term care coverage for the lowest premium.
For clients who prefer to leave their IRA investment strategy intact, this approach simply applies annual IRA distributions toward long-term care insurance premiums. It’s straightforward, and provides flexibility to adjust how you fund premiums as tax brackets or retirement income needs change.
Key benefits:
Best for: Those wanting maximum flexibility while keeping their IRA as-is.
The right IRA funded LTC strategy depends on your goals and tax situation. We can help you compare the options.
Important: IRA funding methods differ in how they affect taxes and benefits. A brief review will help you identify the most suitable approach.
What you’ll get in your personalized IRA long-term care review:
✔ You receive comparisons from multiple top-rated carriers
✔ Your IRA type, RMDs, age, and health profile are reviewed for the best fit
✔ You avoid unnecessary taxes or insurance policies that don’t qualify
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
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.
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.
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.
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.
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.
Last updated: November 27, 2025
Written by: Craig Matesky, President, ACACIA Insurance
Reviewed by: Mike Berger, National Sales Manager