How to Save on Long-Term Care Insurance

July 15, 2025

Long-term care insurance costs are affordable for most people, but premiums vary significantly based on age, health, gender, and policy benefits. Here are proven strategies to reduce your long-term care insurance costs while maintaining comprehensive coverage.

Buy Coverage While You’re Young and Healthy

Age is the biggest factor in premium costs. Every year you delay purchasing long-term care insurance increases your lifetime premium costs. A 50-year-old pays substantially less than a 60-year-old for identical coverage.

Health underwriting becomes stricter with age. Medical conditions that develop over time can make you uninsurable at any price. Purchasing coverage while healthy locks in lower premiums and guarantees insurability.

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Shop Multiple Insurance Companies

Premium differences between carriers can exceed 50% for identical coverage. We compare quotes from all major long-term care insurance companies to find your best rates. Company A might offer the lowest premiums for your age group, while Company B provides better rates for your health profile.

 

Maximize Available Discounts

Spouse and Partner Discounts

Save up to 40% when both partners apply for coverage. This discount applies to:

  • Married couples
  • Domestic partners
  • Siblings living together
  • Significant others

Good Health Discounts

Excellent health can reduce premiums by 100% or more compared to standard rates. Premium classes typically include:

  • Super Preferred: Best health, lowest rates
  • Preferred: Good health, moderate rates
  • Standard: Average health, standard rates

Annual Payment Discount

Pay your premium annually to save up to 9% compared to monthly payments. This eliminates billing fees and provides immediate savings.

 

Smart Policy Design Strategies

Choose Appropriate Daily Benefits

Select daily benefit amounts that match your local care costs. A $200 daily benefit in a low-cost area provides the same protection as a $300 benefit in expensive markets, but costs significantly less.

Optimize Your Elimination Period

The elimination period acts like a deductible. Increasing from 0 to 90 days can reduce premiums by 15-20%. Many people choose longer elimination periods because they’re most concerned about extended care needs.

Right-Size Your Benefit Period

Consider your family longevity and financial resources when selecting benefit periods. A 3-year benefit period costs less than lifetime coverage but still covers the average length of care.

Learn More About How Long-Term Care Insurance Works

 

Tax Advantages and Deductions

Federal Tax Deductions

Long-term care insurance premiums qualify as medical expenses under IRS guidelines. If your total medical expenses exceed 7.5% of adjusted gross income, you can deduct premiums on Schedule A.

Age-based deduction limits for 2024:

  • Ages 40 and younger: $480
  • Ages 41-50: $890
  • Ages 51-60: $1,790
  • Ages 61-70: $4,770
  • Ages 71 and older: $5,960

Business Owner Deductions

Sole proprietors, partners, and LLC owners may deduct 100% of long-term care insurance premiums as business expenses, regardless of whether they itemize deductions.

State Tax Incentives

Many states offer additional tax benefits for long-term care insurance purchases, including credits, deductions, or exemptions from state income tax.

 

Group Coverage Options

Employer Group Plans

If your employer offers group long-term care insurance, compare it carefully with individual coverage. Group plans often have:

  • Lower premiums
  • Simplified underwriting
  • Reduced benefit options
  • Limited portability

Executive Carve-Out Plans

Business owners can offer long-term care insurance to select employees (minimum 3 people) with discounted group rates but individual policy benefits. Spouses of executives also qualify for coverage under these arrangements.

 

Hybrid Policy Considerations

Life insurance with long-term care riders can provide:

  • Guaranteed level premiums
  • Death benefit if care isn’t needed
  • Return of premium options
  • Simplified underwriting

While initial premiums may be higher, hybrid policies eliminate the “use it or lose it” concern of traditional long-term care insurance.

 

Professional Guidance Saves Money

Working with a long-term care insurance specialist helps you:

  • Compare quotes from multiple carriers
  • Identify all available discounts
  • Design optimal coverage for your needs
  • Navigate complex underwriting requirements
  • Maximize tax advantages

Ready to save on long-term care insurance?

Our specialists will help you find the best coverage at the lowest cost. Compare quotes from top-rated companies and discover which discounts apply to your situation.


AUTHOR
Craig Matesky, ACACIA Insurance President
Reviewed by Mike Berger, National Sales Manager