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Long-Term Care Annuity: Benefits, Costs & How It Works

Key Takeaway

Long-term care annuities combine guaranteed income with benefits for long-term care expenses, helping make them a strategic choice for retirement planning. These annuities offer potential tax advantages, flexible payout options, and riders like inflation protection. Understanding long-term care annuity rates, eligibility, and hybrid options is essential for making an informed decision that aligns with future care needs and financial goals.
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Long-Term Care Annuity Chart Image

Introduction to Long-Term Care Annuities


As people live longer, the need for financial planning that addresses healthcare expenses in retirement has grown significantly. Long-term care annuities can offer a unique solution by merging traditional annuity benefits with provisions for long-term care costs. These products can provide a guaranteed income stream and additional funds that may be used for qualifying long-term care expenses.

With the rising costs of in-home care, assisted living facilities, and nursing homes, planning ahead has become essential. A long-term care annuity can alleviate financial stress by offering flexible payouts and other benefits, helping ensure that policyholders and their families have the necessary resources when care needs arise.

Understanding How Long-Term Care Annuities Work


A long-term care annuity is a financial product that combines elements of annuities and long-term care insurance. Policyholders typically make a single premium payment, which the insurer allocates to provide both income and coverage for long-term care expenses.

Key Features of Long-Term Care Annuities


Long-term care annuities are designed to address a wide range of needs. Some of their key features include:

  • Tax-Deferred Growth: The funds in the annuity grow tax-deferred, and withdrawals for qualified long-term care expenses may be tax-free.
  • Dual Benefits: These products provide a guaranteed income stream and additional funds for long-term care services.
  • Inflation Protection Riders: Optional riders can help protect the purchasing power of your benefits over time.
  • Return of Premium: Some policies offer a refund of premiums if the policyholder doesn’t use long-term care benefits.
  • Flexible Payout Options: Policyholders can choose between immediate or deferred benefits depending on their planning goals.



Hybrid Long-Term Care Annuities Explained


Hybrid long-term care annuities combine the features of a traditional annuity with long-term care insurance. They often include a death benefit, allowing policyholders to leave a legacy for their beneficiaries if the long-term care funds are not used. Hybrid products can also help policyholders avoid future underwriting challenges by locking in benefits early, offering peace of mind for both care needs and estate planning.

Features of long-term care annuities- chart image
Features of long-term care annuities- chart image

The Potential Benefits of Considering a Long-Term Care Annuity


Long-term care annuities are gaining popularity as retirees and pre-retirees recognize their ability to address multiple financial planning needs.

Possible Tax Advantages of Long-Term Care Annuities


One of the benefits of long-term care annuities is their potential tax advantages:

  • Tax-Deferred Growth: Policyholders don’t pay taxes on the annuity’s growth until funds are withdrawn.
  • Tax-Free Withdrawals for Care Expenses: Qualified withdrawals for long-term care expenses may be exempt from federal income tax under the Pension Protection Act of 2006.
  • Reduced Tax Burden: Compared to other financial products, these tax efficiencies can make long-term care annuities an attractive option for retirement planning.



Comparing Long Term Care Annuities with Traditional Insurance Options


When deciding between long-term care annuities and traditional long-term care insurance, consider:

  • Flexibility: Long-term care annuities provide guaranteed income and care funds, while traditional insurance typically focuses solely on covering care costs.
  • Premium Stability: Annuities have no premium increases, unlike traditional insurance, where premiums may rise over time.
  • Legacy Potential: Hybrid long-term care annuities offer a death benefit if care funds aren’t used.


Both options have merits, but long-term care annuities may offer greater flexibility for individuals seeking multipurpose financial products.

Comparison Table: Long Term Care Annuities vs. Traditional Insurance Options

Feature
Primary Purpose
Long-Term Care Annuities
Provides guaranteed income and long-term care funds
Traditional Long-Term Care Insurance
Covers long-term care expenses only
Feature
Premium Stability
Long-Term Care Annuities
One-time lump sum or fixed premiums
Traditional Long-Term Care Insurance
Premiums may increase over time
Feature
Tax Benefits
Long-Term Care Annuities
Tax-deferred growth; tax-free care withdrawals
Traditional Long-Term Care Insurance
Limited or no tax benefits for care coverage
Feature
Legacy Potential
Long-Term Care Annuities
Death benefit for unused funds
Traditional Long-Term Care Insurance
No residual value; no death benefit
Feature
Flexibility
Long-Term Care Annuities
Funds can be used for other financial needs
Traditional Long-Term Care Insurance
Benefits strictly tied to care expenses
Feature
Medical Underwriting
Long-Term Care Annuities
Often less restrictive, depending on provider
Traditional Long-Term Care Insurance
Strict underwriting; may exclude pre-existing conditions
This is normally a comparative table on desktop, but is in a custom view on mobile.

Analyzing Long-Term Care Annuity Rates and Costs


Rates and costs for long-term care annuities vary based on factors such as:

  • Age and Health: Older individuals or those with pre-existing health conditions may face higher costs.
  • Initial Investment: Larger premium payments often result in greater care benefits.
  • Additional Riders: Optional features, such as inflation protection, can increase the overall cost but add significant value.


While the upfront costs may be higher than those of traditional annuities, the combined benefits of guaranteed income and long-term care coverage can help make these products a worthwhile investment for many individuals.

Eligibility and Payout Options for Long-Term Care Annuities



What Determines Your Long-Term Care Annuity Eligibility?


Eligibility for long-term care annuities typically depends on:

  • Age: Policies are often available to individuals aged 50 and older.
  • Health Status: Insurers may require a medical review to assess eligibility and determine benefit amounts.
  • Financial Resources: A single premium payment is common, so applicants must have sufficient savings or assets to fund the annuity.


Some insurers offer policies tailored to individuals with higher health risks, broadening access to long-term care annuities.

Various Payout Strategies for Long-Term Care Needs


Long-term care annuities can offer flexible payout options, including:

  • Immediate Benefits: Ideal for those who anticipate needing care in the near future.
  • Deferred Payouts: Allow the annuity to grow before providing benefits, which can be advantageous for younger policyholders.
  • Lump Sum Payments: For one-time expenses such as nursing home entry fees.
  • Monthly Income Streams: To cover ongoing care costs.


Long Term Care Annuities Visual Chart - Options
Long Term Care Annuities Visual Chart - Options

Evaluating Long-Term Care Annuities



Factors to Consider When Selecting a Long-Term Care Annuity Provider

  • Financial Stability: Choose providers with strong ratings from agencies like A.M. Best to ensure long-term reliability.
  • Policy Features: Look for customizable options, such as inflation protection and shared care riders.
  • Reputation: Research reviews and customer satisfaction ratings to evaluate the insurer’s claims process and customer support.



Steps to Choosing the Right Long-Term Care Annuity

  • Assess Your Needs: Evaluate your current financial situation and potential care expenses.
  • Consult a Financial Advisor: Seek guidance from professionals experienced in long-term care planning.
  • Compare Policies: Review multiple providers to find a product that aligns with your goals.



Long-Term Care Annuity Riders and Additional Features


Riders enhance the flexibility and value of long-term care annuities. Common options include:

  • Inflation Protection: Ensures benefits keep pace with rising care costs.
  • Shared Care: Allows couples to share benefits, maximizing coverage for both individuals.
  • Waiver of Premium: Eliminates premium payments while receiving care benefits.

Frequently Asked Questions - Long Term Care Annuities


How do long-term care annuities differ from traditional annuities?


Long-term care annuities include funds specifically for long-term care expenses, whereas traditional annuities provide only an income stream.

Are there tax benefits to long-term care annuities?


Yes, qualified withdrawals for care expenses may be tax-free, and growth is tax-deferred

Can I purchase a long-term care annuity if I have health issues?


Some insurers offer policies tailored for individuals with higher health risks, though eligibility requirements vary.

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Article Author:
Mariah Bliss
Author Bio: Mariah joined Everly Life Insurance in 2025 and is a strategic content marketing leader with 15 years of experience in the content world. When she's not working, you can usually find her reading, taking care of her farm, or spending time with her husband and two adorable daughters.