South Carolina Long-Term Care Insurance Planning

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  • South Carolina Long-Term Care Partnership
  • Hybrid Life Insurance with LTC
  • Long-Term Care Annuities

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Long-term care insurance can play a significant role in your family’s future well-being. By planning ahead you can provide security and peace of mind for years to come by knowing you can:

   Secure quality, affordable care.

   Safeguard your assets for your spouse and other heirs.

   Relieve family members and friends from having to provide care.

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Did You Know?


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


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


In 2024, the average cost for 3 years of long-term care in South Carolina is $293,724 ($97,908/year). That cost is projected to be $584,448 ($194,816/year) in 2044.3

Understand Long-Term Care Costs

South Carolina Long-Term Care Costs – 2024 (annual)

RegionNursing Home (private room)Assisted Living (private room)Home Care (44 hours/week)
State Average$97,908$53,264$52,849
Charleston-North Charleston$102,844$68,780$59,380
Hilton Head-Bluffton-Beaufort$128,994$65,757$54,171
Myrtle Beach-North Myrtle Beach$95,411$65,944$52,608
Rest of State$94,892$52,504$50,207
Source: Nationwide Financial 2024 cost of care survey conducted by HVS, site accessed 5/03/2024

Does Medicare Cover Long-Term Care?

No, Medicare does not provide long-term care coverage (custodial care). This type of care makes up more than 90% of all long-term care services. Examples of custodial care is when you need help with walking, bathing, eating, dressing or using the toilet. This is what people need most when they have a physical impairment from a stroke. Or, due to cognitive impairment from dementia or Alzheimer’s disease. Don’t make the mistake of thinking Medicare provides long-term care coverage. It doesn’t.

Further, about 80% of care at home is provided by unpaid caregivers. With more than half of this care including intensive caregiving assistance with personal care such as bathing or feeding.4 And it’s not only seniors that need long-term care. Over 35 percent of people currently receiving care are between the ages of 18 and 64.5


When To Buy Long-Term Care Insurance

The best time to buy long-term care insurance is in your fifties or early sixties. Here’s why:

  • The younger you are when you buy a long-term care policy, the lower the annual premiums.
  • Even though you pay insurance premiums a longer period of time, you’ll typically pay less overall than someone buying at an older age.
  • By the time you reach your mid sixties, you’re more likely to have a medical condition that makes you ineligible for a preferred-health discount, or makes it tough to get coverage at all.

So it almost never pays to wait. And, while you’re waiting, you’re uninsured. If an accident or illness happens causing you to need long-term care, you’ll have to pay out of pocket.

Find Out If You Qualify For LTC Insurance >


How Much Does LTC Insurance Cost in South Carolina?

Your South Carolina long-term care insurance premium will depend on your age, health history, plan design and type of long term care policy selected. The following choices let you choose how much protection is right for your situation:

  • Benefit Period
  • Daily Benefit
  • Elimination Period (a deductible in days)
  • Inflation Protection (if chosen)

Ready to get pricing and suggestions?

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South Carolina Long-Term Care Insurance Options

These are the types of long-term care insurance plans available in South Carolina.

Traditional LTC Insurance—South Carolina Long-Term Care Partnership

  • The most comprehensive long-term care policy for your dollar
  • About half of all long-term care insurance policies purchased
  • The broadest set of options
  • Recurring premiums
  • Learn more about Traditional LTC >

Hybrid Life Insurance with Long-Term Care

  • A permanent life insurance policy that can be used during your lifetime if you need long-term care
  • If care is not needed, your asset passes to your estate as a tax-free death benefit
  • May build cash value and have a return of premium option
  • Premiums will NOT increase and 1035 exchanges possible
  • Can be funded with qualified dollars (IRA, 401k, etc.)
  • Learn more about Hybrid Life with LTC >

Hybrid Annuity with Long-Term Care

  • A deferred annuity contract with a fixed interest rate and possible indexing for asset growth plus long-term care benefits
  • If not exhausted paying for long-term care, the annuity will transfer to your estate
  • Long-term care benefits are typically double or triple the value of the annuity
  • Premiums will NOT increase and 1035 exchanges are possible
  • Can be funded with qualified dollars (IRA, 401k, etc.)
  • Learn more about Hybrid Annuities with LTC >

Short-Term Care Insurance

  • Benefits paid for a year or less with the option of home health care only, nursing facility only, or both combined
  • Simplified health insurance underwriting may be a good fit if you’ve been declined for LTC insurance
  • Lower premiums than long-term care insurance and some policies available to age 89
  • No deductible option means benefits would be paid out as soon as you qualify
  • Learn more about Short-Term Care Insurance >


Understand LTC Partnership Plans

South Carolina Long-Term Care Partnership

South Carolina Long-Term Care Partnership policies are available. These Partnership policies combine private Long-Term Care Insurance with Medicaid asset protection. Only Partnership policies provide this type of asset protection when you need nursing home, assisted living or home care.

The unique asset protection benefits of a South Carolina Long-Term Care Partnership Program policy applies if your care needs last longer than the benefits of your Partnership policy. For example, every dollar your Partnership policy pays in benefits protects a dollar of your assets from the long-term care Medicaid asset limit. The protected assets are also exempt from Estate Recovery in the same amount as the benefits paid by your Partnership policy.

South Carolina Long-Term Care Partnership insurance premiums are like non-Partnership policies. Still, we recommend comparing them with non-Partnership policies because you may find alternatives better suited to your needs. For instance, hybrid long-term care insurance plans are not available under the South Carolina Long-Term Care Partnership Program. Our LTC Advisors have special training and will provide expert suggestions.

South Carolina Long-Term Care Partnership Program.

Partnership Reciprocity

South Carolina does participate in the national reciprocity agreement. Reciprocity allows you to buy a qualifying Long-Term Care Partnership insurance policy in another state and maintain the special asset protection benefit if you move to South Carolina. Meanwhile, South Carolina also recognizes accumulated asset protection for Medicaid qualification if you’re already receiving benefits from your LTC Partnership policy before moving to South Carolina. The majority of states have Reciprocity, but not all.

Long-Term Care Insurance Companies in South Carolina

South Carolina long-term care insurance is available from several highly rated insurance companies. We compare these carriers to find you the right plan at the lowest cost. Here is a list of long-term care insurance companies in South Carolina:

Compare Long-Term Care Insurance Options

Our South Carolina LTC specialists offer objective guidance on a wide range of long-term care insurance products and strategies. Expect personalized service on topics such as:

   Choosing from a variety of long-term care insurance products

   Suggestions for the carrier best suited to your situation and goals

   Assistance with health qualifying for coverage

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About the Author: Craig Matesky
Reviewed by: Mike Berger

1. “How Much Care Will You Need?”, U.S. Department of Health and Human Services, site accessed 5/03/2024
2. “How Much Care Will You Need?”
3. Nationwide Financial annual cost of care survey conducted by HVS, site accessed 5/03/2024
4. “Who Will Provide Your Care?”
5. Family Caregiver Alliance, site accessed 5/03/2024
6. Please consult your tax adviser for more information as we do not provide tax or legal advice.
Note: Coverages and other features vary between insurers, vary by state, and are not available in all states.