Long-term care insurance (LTCI) is designed to cover services that help seniors with daily activities, such as bathing, dressing, eating, and mobility.

It is not the same as health insurance, which primarily covers medical treatment for illnesses or injuries.

Services Typically Covered

Most long-term care policies include some combination of the following:

• In-home care: Assistance with daily activities while staying in your own home
• Assisted living: Partial or full support in a senior living facility
• Nursing home care: Skilled and personal care for more serious health needs
• Adult day care: Supervised care during daytime hours
• Respite care: Temporary relief for family caregivers

Coverage often depends on the policy, so it’s important to review specifics carefully.

Daily Activities Covered

Insurance policies usually require that you need help with two or more “activities of daily living” (ADLs) to qualify for benefits:

• Bathing
• Dressing
• Eating
• Toileting
• Mobility (walking or transferring from bed/chair)
• Continence

Some policies also cover cognitive impairments, such as Alzheimer’s or dementia.

What Is Usually Not Covered

Long-term care insurance does not cover:

• Routine medical care unrelated to daily living
• Hospital stays covered by Medicare
• Cosmetic procedures
• Care provided by family members (unless specifically included)

Understanding these exclusions helps prevent unexpected bills.

How Premiums Work

Premiums vary based on:

• Age when you purchase the policy
• Health condition
• Coverage amount and daily limits
• Elimination period (waiting period before benefits start)

Buying a policy earlier often results in lower premiums.

Tips for Choosing a Policy

When selecting a policy, consider:

• Daily or monthly benefit limits
• Maximum coverage period
• Inflation protection
• Provider network or facility requirements
• Policy renewal terms

Compare multiple policies to find the best fit for your needs and budget.

Final Thoughts

Long-term care insurance can provide peace of mind, helping seniors and families manage the costs of care. But coverage is complex, so careful review and planning are essential.

Choosing the right policy now can reduce stress and financial burden later, ensuring support is available when it is needed most.