Best Long-Term Care Insurance Companies: 2025 Provider Guide

Look no further for a comprehensive guide to long-term care insurance companies in 2025. Here at LTC News, we’ve worked with experts in the field to provide you with options that best fit your long term healthcare needs.

We also address rising costs of long-term care and what you should consider before choosing a long-term care insurance provider.

How We Choose the Best Long-Term Care Insurance Companies

It’s simple. We consulted experts from the insurance industry, care providers, and financial consultants to determine our rankings and provide insights for this review, helping you make informed choices. We always work with independent insurance agents who are not financially tied to selling the products of a particular company. That allows us to recommend and choose the companies that provide you with the most value for your policy.

Our rankings take into account multiple factors, such as:

• Financial rating of the institution

• Policy options and flexibility to meet variable needs

• Policy pricing and long-term cost-to-value

• Benefits not provided by all companies

Why Long-Term Care Insurance Matters

With longer lifespans and higher long-term care costs, the insurance industry has responded to the growing demand and offers a broad array of products, including traditional Long-Term Care Insurance and innovative, affordable alternatives. These options are designed to give policyholders guaranteed, tax-free resources to secure quality care.

Long-term care costs are rising quickly, putting significant strain on American families and their finances. Health insurance and Medicare cover only short-term skilled care, leaving families to shoulder the burden of caregiving and paying for professional long-term care expenses. However, the cost of long-term care services can vary based on location and the type of services needed.

Find Cost of Care in Your State

LTC News has the most comprehensive nationwide review of long-term care costs based on your community. The LTC News Cost of Care Calculator is a helpful tool for showing both current and future care cost projections in your area—or wherever you plan to live in the years ahead.

• LTC News Cost of Care Calculator - Find Care Costs Where You Live

Find Your Policy

The options in companies and policies can be overwhelming.

That's why our 2025 rankings and evaluation break down your options and provide a detailed ranking and analysis of the top choices, including traditional Long-Term Care Insurance, asset-based hybrid policies, and short-term cash indemnity plans.

While these recommendations reflect expert opinions, you should consult a qualified Long-Term Care Insurance specialist who represents top brands across all areas of long-term care products to find the best solution based on your age, health, and financial situation.

Key Long-Term Care Insurance Terms

Before analyzing provider options, it’s important to understand these key ideas:

1. Maximum Lifetime Benefit: The maximum amount of benefits within the LTC Insurance policy.  

2. Daily/Monthly Maximum: The total amount that an LTC Insurance policy could pay out daily or monthly. 

3. Benefit Period: The minimum length of time your policy would cover long-term care if you needed to maximum daily or monthly benefit. 

4. Rider: An add-on feature or benefit for LTC Insurance policies, usually at an additional price. 

5. Elimination Period: A waiting period between when your LTC Insurance claim is approved and benefits begin. This period is usually between 0 to 90 days. 

LTC Insurance Options - Which Company is Best?

It's reassuring to know that Long-Term Care Insurance is regulated by both the federal government and individual states. Policies that meet the requirements of Section 7702(b) of the U.S. Code are classified as tax-qualified Long-Term Care Insurance and include consumer protections, tax incentives, and standardized benefit triggers.

These regulations give policyholders and their families peace of mind, knowing they are protected by strong safeguards.

• What are Long-Term Care Insurance Regulations? How Do They Protect Policyholders?

It's important to understand that LTC Insurance requires medical underwriting, meaning you need to be in relatively good health to qualify for coverage. Underwriting guidelines, however, can vary between insurance companies.

Premium costs can also differ significantly from one insurer to another—even for policies offering the same benefits.

• How Much Does Long-Term Care Insurance Cost?

Top Long-Term Care Insurance Companies for 2025

#1. Mutual of Omaha

Since 1987, Mutual of Omaha has been a leader in the long-term care industry for many years. Once again, it has our number-one ranking for traditional Long-Term Care Insurance.

The company offers competitive pricing along with the features and benefits most long-term care planning experts recommend. It has paid millions in benefits, helping American families access their choice of quality long-term care services. In recent years, they have made efforts to improve their claim processes, making it easier for families in the time of crisis.

Mutual of Omaha's exceptional financial strength and trusted reputation firmly establish it as a leading choice for LTC Insurance.

A mutual insurance company, Mutual of Omaha boasts an A+ Superior rating from A.M. Best. It holds exceptional ratings from all the major rating agencies, including Standard and Poors (A+) and Moodys (A1), for its financial strength.

Mutual of Omaha provides two similar Long-Term Care Insurance options—MutualCare Custom Solution and MutualCare Secure Solution. However, most experts recommend MutualCare Custom Solution for its flexibility and features.

As we approached 2025, Mutual of Omaha increased the benefit levels available for its two Long-Term Care Insurance products. Policyholders can now receive up to $15,000 per month in initial benefits—before adding any inflation protection. This enhancement can be especially helpful for those living in areas with higher long-term care costs.

Mutual of Omaha has streamlined the underwriting process—the period between submitting your application and receiving a decision—making it faster and more efficient to get your policy issued.

MutualCare Custom Solution offers a broader range of features and options that can be designed to fit your budget. It also provides more inflation protection choices than MutualCare Secure Solution, making it easier to design a policy that meets your specific needs.

One of its most valuable features is the "inflation buy-up" option. This allows policyholders to increase their inflation benefits in the future—without having to prove insurability—until age 74 or for 20 years, whichever comes first.

This feature provides added flexibility since most people purchase LTC Insurance between ages 47 and 67. It lets you boost your benefits later, whether due to health changes or other financial considerations.

For younger applicants, the policy offers the flexibility to start with a lower inflation benefit at a reduced cost—ideal for times when expenses may be higher, such as paying for children's college tuition. Later, policyholders can choose to increase the inflation rate as their financial obligations decrease.

Mutual of Omaha applies an additional charge for the increased inflation benefit when it is selected. However, the cost is calculated at a blended rate, making it cost-effective for the policyholder.

Generally speaking, we recommend only considering MutualCare Custom Solution.

MutualCare Secure Solution offers fewer options and less customization than MutualCare Custom Solution. An experienced long-term care specialist representing multiple major insurers can help explain the differences and make personalized recommendations based on your age.

Both plans include comprehensive features such as:

• Shared spousal or partner benefits

• Adjustable benefit levels for nursing home, home care, and assisted living

• Respite care and hospice benefits

• Care coordination services (case management)

• Additional funds for equipment and supplies when receiving care at home

Shared Spousal Benefits

Couples can take advantage of shared spousal benefits, allowing one spouse or partner to access the other's benefits if they deplete their own. If one spouse passes away, any unused, inflation-adjusted benefits transfer to the surviving spouse—while premium payments for the deceased spouse end.

Alternative Care Benefit

Mutual of Omaha also offers an alternative care benefit, which can be especially valuable for younger applicants who may not need care for decades after obtaining the policy. This feature makes the policy a flexible "living breathing document," providing benefits to cover care services or options not specifically listed in the policy—critical as technology and caregiving methods evolve.

As long as these alternatives contribute to your care and are cost-effective, the company may approve coverage, even if the services did not exist when the policy was written.

Pros

• Financially, it is a very strong mutual company that has been in business since 1909.

• Outstanding reputation

• Highly customizable

• Mutual of Omaha structures its policies around monthly benefits rather than daily benefits. This approach allows the company to evaluate your total expenses over the course of a month, providing greater flexibility in how your benefits are used rather than limiting coverage to a set amount per day.

• Pool of money product - if the policyholder does not use the entire monthly benefit at the time of claim, the remaining money stays in the benefit account and grows with inflation (if selected)

• Available shared spousal benefits

• Multiple inflation options

• Good health and spousal/partner discounts

• Waiver of premium when receiving benefits

• Very affordable for single/or partnered men

• Partnership certified 

• International benefits (full benefit in the U.S., territories, The United Kingdom (England, Scotland, Wales, Northern Ireland, Canada, etc.); up to one year anywhere else globally. 

• Cash benefits included in the base policy

• Alternate care benefit

• Hospice and respite care

• Bed reservation benefit

• Several return of premium options are available

• Multiple underwriting classes 

Cons

• Unavailable if two first-degree blood relatives had been diagnosed with dementia/Alzheimer's (parents and siblings)

• More expensive for single women

• Long underwriting process in some situations

• No Ten-pay OR single-pay premium option

• Return of premium options NOT available with a shared spousal benefit option

#2. Thrivent Financial 

Again, in 2025, Thrivent Financial maintained its position in our rankings at number two. 

Thrivent, a not-for-profit fraternal organization and Fortune 500 company maintains strong financial ratings:

• AM Best: A++ (Superior), the highest of 13 rating categories.

• Moody's Investors Service: Aa2 (Excellent), the third highest of 21 rating categories.

• S&P Global Ratings: AA+ (Very Strong), the second highest of 20 rating categories. 

The company also boasts a COMDEX rating of 100, the highest attainable rating. These ratings reflect Thrivent's financial strength and stability.

Thrivent's membership is rooted in its Christian Common Bond. To be eligible for membership and its associated benefits, applicants must be Christians seeking to live out their faith or be the spouse of such an individual. This commitment to Christian values is integral to Thrivent's identity and operations. 

This focus may be advantageous for individuals who share these values, but it also means that those who do not identify as Christians or are not married to a Christian may not be eligible for Thrivent's products and services.

Thrivent's dedication to its Christian membership shapes its community-oriented approach, offering benefits and programs that align with these values.

Thrivent offers a comprehensive LTC Insurance policy featuring a monthly benefit to cover future care expenses. Policyholders set up a benefit account with a specified benefit period, creating an initial pool of funds to address their care needs.

If the policyholder doesn't use the full monthly benefit during a claim, the unused funds stay in the account and can grow over time if an inflation protection option was selected.

It's important to understand that the benefit period doesn't limit your benefits to a specific timeframe. Instead, it represents the minimum length of time your benefits will be available. Any unused benefits are not lost—they remain in your account and can grow if you've selected inflation protection.

While the idea of a benefit period may seem confusing, it functions similarly to plans offered by most other companies, creating a benefit pool that can increase over time with inflation adjustments.

Thrivent offers shared spousal benefits and several inflation options, allowing customization of your benefits. The company offers the following inflation benefit options:

• 1% compounded

• 2% compounded

• 3% compounded 

• 5% compounded

It also has a 5% flexible benefit option. This means your benefits increase by 5% compounded on the anniversary of your policy without evidence of insurability. The increase will be automatic unless the insured opts out after receiving the notification letter. However, the premium will increase with each offer accepted. The premium increase is based on the policyholder's age at the time of the increase. 

One unique benefit of this inflation option is that the 5% compounded benefit increases continue even when the policyholder is on the claim and not paying a premium. However, if three consecutive inflation offers are declined, no future increase offers will be available for the life of the policy.

Thrivent's shared benefits function similarly to Mutual of Omaha, differing from other companies that offer a third shared benefit account. These policies are linked by a rider, enabling one spouse to tap into the other spouse's benefits should their own be depleted. Even if the premium payments have ceased, in the event of one spouse's passing, 100% of the unused benefits will be passed on to the surviving spouse. However, the premium for the deceased spouse disappears.

Unique to Thrivent, the surviving spouse can purchase additional coverage without evidence of insurability if one policyholder exhausts both benefits accounts. 

It's important to note that single women will pay more for coverage than single men. However, Thrivent does offer spousal discounts. Additionally, the policy includes a cash rider that provides the policyholder with extra cash at the time of a claim.

Thrivent's underwriting standards necessitate more extended stability periods following recovery compared to most other companies. This means that you may have to wait longer before becoming eligible to purchase coverage following certain surgeries or health events, in contrast to the policies of other insurance companies.

Again, be sure your agent asks many health questions before considering Thrivent as an option. A Long-Term Care specialist who works with all the major companies will understand these differences. 

Ten-Pay Option

If the notion of having your premium cease upon retirement appeals to you, Thrivent provides a way to pay the entire premium for your policy in ten years. Through their 10-pay option, you can achieve a fully paid policy with no further premiums after ten years.

Thrivent is partnership-certified in most states that participate in the partnership program.

Pros

• Financially very strong 

• Outstanding reputation

• Non-profit mutual company

• Multiple inflation options are available

• Monthly benefits as opposed to daily benefits. The company looks at all the bills for the month instead of daily

• A pool of money product - if the policyholder does not use the entire monthly benefit at the time of claim, the remaining money stays in the benefit account and grows with inflation (if selected)

• Waiver of premium when receiving benefits

• Shared spousal/partner benefits available

• Cash rider available at extra charge

• Partnership certified 

• Care coordination is available at the time of claim

• Limited payment options are available

• Respite care benefit

• Hospice benefit

• Ancillary benefits include equipment, home modification, and caregiver training 

• Return of premium option available

• Potential of dividends

• Will consider applicants as young as age 18

• Multiple underwriting classes

Cons

• Religious affiliation eliminates some people 

• Much more expensive for single women

• Elimination periods require at least one day of paid services in a calendar week to receive credit for seven calendar days

• Very limited international benefit

• No single premium option

It's important to note that, as a fraternal organization, Thrivent is not a member of any state guaranty association. These associations typically provide a safety net to ensure guaranteed benefits are covered if an insurance company faces financial difficulties and cannot pay claims.

However, Thrivent is legally required to maintain policy reserves equal to the present value of future guaranteed benefits minus the current value of future premiums. The company also holds sufficient reserve and contingency funds to continue honoring its guarantees, even under adverse financial conditions.

#3. National Guardian Life (NGL)

No change in our top three from 2024, as National Guardian Life (NGL) remains at the number three spot in for our best options for traditional Long-Term Care Insurance in 2025. NGL is a mutual insurance company founded in 1909 with nearly $5 billion in assets. 

NGL entered the Long-Term Care insurance market in July 2016 with its EssentialLTC product, designed by industry experts with decades of experience. 

NGL is a financially robust company with a long-standing reputation for excellence since its founding in 1909. As of July 2, 2024, A.M. Best has affirmed NGL's Financial Strength Rating of A (Excellent), reflecting the company's strong ability to meet its ongoing insurance obligations. 

This rating underscores NGL's commitment to maintaining financial stability and delivering quality insurance products to its policyholders.

Third Shared Pool for Couples

In 2025, NGL stands out as one of the top LTC Insurance options, thanks to its "third pool" shared care benefit. Couples share a single policy that provides two individual benefit accounts, each with the option to grow through inflation protection if selected.

With the NGL shared care option, couples also gain access to a third benefit account that increases in value if inflation protection is included. This additional pool of funds becomes available to either partner if they exhaust their individual benefits.

NGL's shared care feature delivers exceptional value, offering robust coverage at a competitive price—particularly for applicants in good health and within favorable age ranges.

Conservative Underwriting

NGL is a very conservative underwriter. The company has broadened its underwriting criteria slightly in the past few years. Be sure the insurance agent/advisor or Long-Term Care Insurance specialist asks you detailed questions about your health and thoroughly understands the underwriting standards.

Generally, a qualified Long-Term Care Insurance specialist or a long-term care planning specialist representing the top-rated insurance companies will understand every company's underwriting criteria and help you make the appropriate choices based on age, health, and other factors.

Daily Benefit Instead of Monthly Benefit

NGL's use of a daily benefit—rather than the more common monthly benefit offered by many insurers—raises some concerns among some Long-Term Care Insurance specialists. With a daily benefit structure, expenses are evaluated per day rather than combined and reviewed at the end of the month.

This can lead to higher out-of-pocket costs, especially for in-home care, where multiple service providers may be needed on the same day, potentially exceeding the daily benefit limit.

That said, careful planning—such as avoiding multiple providers in a single day—can help mitigate this issue.

It's also important to note that NGL's long-term care policies are partnership-certified in most states that participate in the Long-Term Care Partnership Program, offering added asset protection benefits.

Their 'third pool shared spousal/partner benefit' is the primary reason to consider NGL; however, their lack of customization and overall pricing can make NGL more expensive in some situations.

There is no spousal discount if a married or partnered individual applies without their partner. NGL is more expensive for single women.

NGL has two limited pay options. You can pay one single premium and never be responsible for paying another premium again - no matter how long you live. You also can pay premiums over ten years and never be responsible for paying another premium.

If you own a "C" corporation, the single premium option would be 100% tax deductible. 

1035 Exchanges

 NGL is unique in traditional Long-Term Care Insurance that will accept tax-free 1035 exchanges of life insurance or annuity cash value to fund a Long-Term Care Insurance Premium. While common with hybrid policies, this option is available to fund a traditional policy. 

This means you can use the cash value from a life insurance policy or annuity to fund a Partnership Long-Term Care Insurance policy. Hybrid policies are not partnership-certified. 

You can also add one of several 'return of premium' options.

The policy lacks an alternative benefit provision that both Mutual of Omaha and Thrivent Financial include. Those who purchase coverage in their 40s or 50s may be concerned that changes in technology and caregiving options may limit their policy in the decades to come. 

Nonetheless, the company retains the ability to add benefits to policies in the future at no additional cost. However, they are prohibited from removing benefits from your policy.

NGL was expected to introduce a newly designed policy version in 2024, which was delayed and is now expected sometime in 2025.

Pros

• Third shared benefit account for couples/partners

• Limited payment options are available

• Waiver of premium at the time of claim waives 100% of a couple's premium since it is one policy for two people

• Partnership certified 

• Price competitive in some situations

• Accepts 1035 exchanges from life insurance or annuities

Cons

• Very conservative underwriting 

• Only offers a "daily benefit" - no monthly benefit available 

• No alternative benefit option - future changes in caregiving and technology may not be covered

• Limited inflation options

• The elimination period is "date of service," not "calendar day." 

NEUTRAL RATING: Other LTC Insurance Options

Many companies offer qualified Long-Term Care Insurance policies that comply with federal regulations under Section 7702(b) of the U.S. Code. It's important to understand that all insurance products and pricing must be submitted to each state's insurance department for approval.

While LTC News' rankings of our top three picks for LTC Insurance provide better overall value, several other insurers offer comprehensive policies designed to address the physical, emotional, and financial burdens of long-term care. As a result, these companies have been assigned a neutral rating based on pricing and features.

It's also worth noting that New York Life and Northwestern Mutual currently stand out as the most expensive options for Long-Term Care Insurance on the market.

New York Life

For 2025, New York Life continues to receive a neutral rating. It remains one of the financially strongest insurance companies in the United States, but its premiums are among the highest in the industry.

New York Life also partners with AARP, offering a branded Long-Term Care Insurance policy. However, it's important to note that AARP's endorsement is paid for by New York Life.

In addition, the company offers a product called "My Care," which features cash deductibles and an 80/20 co-insurance structure. Most Long-Term Care specialists do not recommend this product due to its high cost-sharing requirements, making it less attractive compared to other options.

On the plus side, New York Life does provide a sub-standard rate category, which allows for more flexible underwriting and may offer coverage to applicants with moderate health concerns.

Talk About Dividends

Some New York Life agents present illustrations suggesting that premiums may disappear by the time the policyholder reaches their 80s due to dividends. However, this can be misleading. Most actuaries agree that the likelihood of dividends significantly reducing premiums is highly unlikely.

Simply put, you should not rely on future dividends to offset the higher costs of New York Life's policies compared to other insurers.

Many New York Life agents also promote benefit options without inflation protection or with purchase options that increase premiums over time. While these policies may start with lower premiums, the regular increases often make them costly and less practical in the long run.

Additionally, New York Life offers an inflation benefit tied to the Consumer Price Index (CPI). Since this option provides variable increases rather than guaranteed growth, it lacks the security offered by other policies with fixed inflation protection.

Given the high premiums and limited benefit structures, most consumers are likely to find better value with other insurers.

Northwestern Mutual

Similar to New York Life, Northwestern Mutual is a financially strong insurance company with an excellent reputation. However, its premiums are very high, and the product is generally not competitive in today's market.

Northwestern Mutual agents often present policy options without inflation protection or with purchase options that lead to regular premium increases over time. While these designs may initially appear affordable, they can become cost-prohibitive in the long term—making them less appealing to most consumers.

Given the high costs and limited features, consumers are likely to find better value with other insurance providers.

LifeSecure (Blue Cross - Blue Shield of Michigan)

LifeSecure (wholly owned by Blue Cross Blue Shield of Michigan) was once a leading provider of individual LTC Insurance. However, in recent years, the company shifted its focus to the employee benefits market, discontinuing the sale of individual LTC Insurance policies.

Its current offering is basic and generally not competitive when compared to other long-term care products. That said, it may be worth considering if your employer-sponsored plan includes relaxed underwriting—hence its neutral rating.

If employer-sponsored coverage is available, it's recommended to consult a Long-Term Care Insurance specialist to evaluate whether you can find a more affordable and comprehensive policy from other providers.

NOT RECOMMENDED

While these companies offer products that comply with federal guidelines, they are not recommended in our 2025 review for a variety of reasons.

These companies include:

Banker's Life

Bankers Life, the primary subsidiary of CNO Financial Group, Inc. (formerly Conseco, Inc. until 2010), has shown improvements in its financial ratings in recent years. As of February 15, 2024, AM Best affirmed Bankers Life's Financial Strength Rating at A (Excellent) with a stable outlook. 

Similarly, on October 29, 2024, Fitch Ratings affirmed the Insurer Financial Strength (IFS) ratings of CNO Financial Group's insurance operating subsidiaries, including Bankers Life, at 'A' with a stable outlook. 

Despite these positive financial indicators, Bankers Life has faced challenges regarding customer satisfaction. Reports have highlighted issues with delayed or denied claims, contributing to a higher-than-average complaint index. 

Over the past three years, the company has received a higher-than-expected number of complaints to state regulators relative to its size, according to an analysis by NerdWallet. 

Common issues reported by policyholders include difficulties in processing claims and concerns over aggressive sales tactics employed by agents. Additionally, the Better Business Bureau lists numerous customer complaints about Bankers Life, with an average rating of 1.13 out of 5 stars based on 80 reviews. 

It's important to note that Bankers Life's products are marketed exclusively through captive agents who promote only their offerings. While the company's policies are comparable to those of other insurers and offer various optional riders at additional costs, they utilize a daily benefit structure instead of a monthly benefit. 

On the positive side, Bankers Life provides more lenient underwriting criteria compared to some competitors and accepts applicants ranging from 18 to 84 years old.

Given the combination of improved financial strength and ongoing customer service challenges, potential policyholders must weigh these factors carefully. While the company's financial stability has strengthened, the persistent customer service issues suggest that caution is warranted when considering Bankers Life as an insurance provider.

Banker's Life is NOT RECOMMENDED.

Knights of Columbus

The Knights of Columbus, akin to Thrivent, offer insurance products exclusively to their members; however, their offerings are limited to Roman Catholics. As of November 22, 2024, AM Best has affirmed the Knights of Columbus's Financial Strength Rating at A+ (Superior) and the Long-Term Issuer Credit Rating at "aa" (Superior), both with a stable outlook. 

While the Knights of Columbus have a solid financial standing and a favorable reputation, it's important to note that Long-Term Care Insurance is not their primary focus. Additionally, their policies lack partnership certification in any state, which means policyholders do not benefit from the asset protection features available in partnership-certified plans. 

A significant concern is the policy's use of "usual and customary" language. At the time of a claim, regardless of the benefit amount selected or the actual costs billed by the provider, the insurance company determines if the charges align with what is considered "usual and customary." This provision can limit the benefits available when a claim is made, as it may not cover expenses that exceed the insurer's determination of customary charges. 

Given these factors, particularly the restrictive policy language and lack of partnership certification, the Knights of Columbus long-term care insurance policy is not recommended.

Federal Long-Term Care Insurance Employee Plan

The Federal Long-Term Care Insurance Program (FLTCIP), administered by John Hancock Life & Health Insurance Company, has been suspended for new enrollments since December 19, 2022. This suspension was initially set for 24 months but has been extended by the U.S. Office of Personnel Management (OPM) for an additional 24 months, now lasting until December 19, 2026. 

New applications are not accepted during this period, and current enrollees cannot apply to increase their coverage. However, existing enrollees will continue to receive their benefits without interruption. 

With the Trump administration taking office in January 2025, there is a possibility that this transition could lead to further delays.

Prior to the suspension, the FLTCIP faced several concerns, including:

• Premium Increases: Enrollees experienced significant premium hikes. For instance, in 2024, premiums increased by up to 86% for some participants. The federal government does not have to request approval for premium increases from the states. 

• Daily Benefits Structure: The plan utilized daily benefit amounts instead of monthly benefits, which could limit flexibility in covering varying daily care costs.

• Lack of Shared Spousal Benefits: The program did not offer shared benefit options for spouses, a feature available in some other long-term care insurance plans.

• No Partnership Certification: FLTCIP policies were not partnership-certified, meaning they did not provide asset protection under state long-term care partnership programs.

Due to these issues, the plan was previously not recommended. We will review any new policy offerings when they become available after the suspension period concludes.

Asset-Based "Hybrid" Long-Term Care Insurance

There continues considerable interest in hybrid Long-Term Care Insurance within the insurance industry. It's important to distinguish true "hybrid" policies that comply with federal guidelines under IRS Code Section 7702(b) from life insurance policies that include chronic illness riders or simply accelerate the death benefit.

Asset-based hybrid policies combine a life insurance policy or annuity with extended Long-Term Care Insurance benefits, ensuring payouts for either long-term care, a death benefit, or both. These policies are typically funded with a single premium; however, many insurers now offer flexible payment options, allowing premiums to be spread over 5, 10, or 20 years—or even paid throughout a lifetime.

Although hybrid policies generally cost more than traditional Long-Term Care Insurance, they come with unique advantages. If you never require long-term care, your beneficiaries will still receive a death benefit. 

Additionally, hybrid policies guarantee that premiums will never increase, offering long-term cost stability.

It's essential to focus on hybrid policies that meet the requirements of federally tax-qualified Long-Term Care Insurance under IRS Code Section 7702(b). These policies provide important consumer protections, tax benefits, and standardized benefit triggers, ensuring peace of mind for both policyholders and their families.

However, it's important to note that hybrid policies are not partnership-certified. If the dollar-for-dollar asset protection provided by partnership-certified traditional LTC Insurance is a priority, a hybrid policy may not be the best fit.

In recent years, premiums for hybrid products have become more competitive. Several companies now offer policies with cash benefits for long-term care, and some provide second-to-die death benefits for couples, allowing each partner to access individual long-term care coverage.

The LTC News Top Three Hybrid Long-Term Care Insurance Options

#1. Nationwide Financial 

Nationwide Financial is one of the most well-known insurance companies in the United States, and it is recognized for its innovative advertising campaigns and unwavering financial strength. 

As of November 7, 2024, AM Best has affirmed the Financial Strength Rating of A (Excellent), S&P Global Ratings: A+ and Moody's: A1.

Nationwide offers a variety of long-term care solutions, including riders attached to their standard life insurance products. Notably, they provide two state-of-the-art hybrid policies that have garnered significant attention. 

Their CareMatters policy, for example, is a linked benefit LTC policy that includes a death benefit along with long-term care coverage. This policy guarantees premiums and death benefits, even if the entire LTC benefit is utilized. Policyholders can choose monthly benefit amounts ranging from $2,500 to $20,000, with benefit periods spanning 2 to 7 years. 

The policy offers cash benefits that provide policyholders and their families with the greatest flexibility in choosing care options.

Nationwide's CareMatters Together provides ultimate flexibility for long-term care planning. You select a benefit pool equivalent to 48, 72, or 96 months of payments, and that pool can be used by either or both insured individuals in any combination. It has a second-to-die-death benefit.

While there's a 90-day waiting period (elimination period), Nationwide will pay the policyholder the full benefit amount starting from day one once you reach day 91, effectively creating a zero-day deductible.

These hybrid policies are designed to provide flexibility and peace of mind, ensuring that policyholders receive benefits whether they require long-term care or not. While they may come at a higher cost compared to traditional Long-Term Care Insurance, the added advantages, such as guaranteed premiums, cash benefits, and the death benefit, make Nationwide our number-one choice for 2025 for this product category.

Nationwide's underwriting is generally conservative. Although CareMatters Together provides more flexibility, it's advisable to speak with a qualified Long-Term Care Insurance specialist to assess your eligibility based on your health.

#2. One America Financial

Although less known than some of its industry counterparts, OneAmerica Financial boasts unquestionable financial strength and stability and receives our number two ranking for hybrid long-term care solutions in 2025. 

OneAmerica offers a suite of hybrid products that integrate long-term care benefits with life insurance and annuity options, all compliant with federal standards under IRS Code Section 7702(b). Notably, they also provide solutions that allow the policyholder to utilize qualified funds from 401(k) or IRA accounts to fund their LTC hybrid policies, offering greater flexibility in financial planning. 

In October 2024, OneAmerica launched Asset Care® 2024, an enhanced product designed to be more price-competitive and to offer increased flexibility. This updated policy includes a cash benefit option, allowing policyholders to receive up to 75% of their benefits in cash, thereby enhancing flexibility in care choices. 

Additionally, the product supports informal caregiving, independent providers, and in-home care, providing the flexibility to use care providers that the policyholder chooses.

Furthermore, OneAmerica offers policies where couples can share benefits, featuring joint long-term care benefits, individual monthly benefits, and a second-to-die death benefit. Their underwriting approach is relatively accommodating, and their annuity product options provide increased flexibility, making them accessible to a broader range of individuals with health issues that might be more difficult to insure. 

#3. Brighthouse

Brighthouse Financial, a spin-off from MetLife, offers a hybrid Long-Term Care Insurance policy that stands out for its all-cash benefits and comprehensive international coverage. It holds top financial ratings, indicating strong financial stability. 

The cash benefit provides policyholders maximum flexibility, as the policyholder received 100% of the benefit in cash at the time of claim.

Additionally, the policy includes full international benefits, making it an excellent choice for individuals who may retire or reside abroad. 

Brighthouse also has flexible underwriting guidelines, accommodating applicants with diverse health histories, which may make it more accessible than many competitors. However, speak with a qualified Long-Term Care Insurance specialist to review your health and determine if Brighthouse is appropriate for you. 

These features, combined with Brighthouse's solid financial standing, make it our number three choice for the hybrid Long-Term Care Insurance market.

Other hybrid products worth considering:

• Securian Financial

• Lincoln Financial

• Thrivent Financial

• Global Atlantic

Quick Review

Four companies offer cash benefits for long-term care:

• Brighthouse

• Nationwide

• OneAmerica

• Securian

Two companies have shared spousal benefit plans:

• Nationwide

• One America

Two companies offer annuity/long-term care hybrid policies with more lenient underwriting rules:

• One America

• Global Atlantic

While most companies offer limited international benefits, only Brighthouse offers full overseas benefits. 

All these companies are relatively conservative in underwriting; however, many changes in underwriting criteria have been made over the years. However, the two annuity hybrid options are much more flexible in terms of underwriting. Be sure to seek the assistance of a qualified independent Long-Term Care Insurance specialist to review these options. 

• Independent Insurance Brokers vs. Captive Agents: Key Differences When Choosing an Insurance Representative

What to Avoid in Long-Term Care Insurance

Here are options to avoid.

Life Insurance with Chronic Illness Riders

Many life insurance policies include chronic illness riders, but these products often do not meet federal guidelines under IRS Code Section 7702(b) for tax-qualified long-term care insurance. The cost of these riders—and the actual long-term care benefits—are frequently determined only when you need care, leaving you uncertain about the coverage amount.

Some insurers even offer chronic illness riders at no additional premium upfront, making them seem appealing. However, these riders lack the comprehensive benefits and consumer protections found in true Long-Term Care Insurance policies. Far better and more reliable options are widely available.

Employer-Sponsored Products

Certain employer-sponsored life insurance products allow you to accelerate the death benefit if long-term care is required. While some of these products do meet federal guidelines, their main advantage lies in simplified underwriting. 

You may qualify for coverage if you're employed full-time and can answer a few basic knock-out health questions. However, these policies are expensive, and the long-term care benefits are limited compared to qualified individual Long-Term Care Insurance or hybrid policies.

Key Takeaway

While these options may be suitable for individuals with health issues who have limited choices, most consumers will find better, more flexible, and cost-effective long-term care solutions in standalone or hybrid policies.

Short-Term Cash Indemnity Policies

These policies are not traditional long-term care insurance but rather cash indemnity plans designed to help offset the costs of long-term care expenses—whether received at home or in a care facility.

These products should usually not be your first choice for long-term care planning. They lack some of the tax advantages and consumer protections available with traditional LTC insurance and qualified hybrid policies. In addition, these short-term cash indemnity products are not partnership-certified.

While there are insurance agents who push these products as a primary solution, specialists will caution you to seek other solutions first, depending on your age, health, and other considerations. 

Key Advantages

One of the primary benefits of these plans is their more lenient underwriting requirements. Eligibility is typically based on a series of knock-out health questions and a review of prescription medications. 

However, it's important to note that pre-existing conditions or an immediate need for care may disqualify you from coverage.

Because eligibility and policy rules can vary widely, consulting with a qualified Long-Term Care Insurance specialist is highly recommended. Specialists can provide insights into available options and help you navigate the underwriting requirements to determine the best coverage for your situation.

Don't Be Misled by the Term "Short-Term"

Despite being labeled as "short-term" care insurance, these policies can offer substantial cash benefits to cover long-term care expenses. Some plans may pay over $200,000 in total benefits, leading many in the industry to refer to them as "extended care" plans due to their robust payouts.

However, the "short-term" designation persists because of how these products are classified and regulated at the state level.

While these policies may lack the comprehensive features of traditional LTC Insurance, they can serve as affordable alternatives for individuals who need flexible coverage or have health conditions that make traditional options unavailable.

• Don't Be Fooled by the Name - New Policy Type Can Be Valuable Answer for Long-Term Care Expenses

These products can offer certain advantages when options are limited, perhaps due to age or pre-existing health conditions. They can also be a suitable supplement for individuals looking to enhance their existing Long-Term Care Insurance policy.

You can also 'bundle' these products. In other words, you can purchase multiple policies and receive the full benefits from each policy. For older adults or someone with health issues, bundling policies increases the amount of money available to pay for care. 

Please be aware that the availability of these products varies by state. 

You can check if your state offers one of these products - Long-Term Care Insurance Options by State.

Recommended Short-Term Cash Indemnity Options

Aetna/Continental Life

Aetna has two available products.

Recovery Care is one of the most comprehensive cash indemnity policies available. Once you qualify for benefits, the policy provides the full eligible benefit amount in cash, regardless of the actual cost of services. This flexibility allows you to use any provider you choose, including family members, for caregiving services.

Key Features:

• Facility-Based Care

• • Covers up to 360 days in any long-term care facility, including:

• • • Nursing homes

• • • Memory care centers

• • • Rehabilitation facilities

• • • Assisted living facilities

• • Includes a restoration of benefits—if you recover and go 180 consecutive days without requiring care, an additional 360 days of benefits is restored.

• • Maximum daily benefit: $400 per day.

• In-Home Care

• • Provides coverage for up to 52 weeks of in-home care (51 weeks in some states).

• • Also includes a restoration of benefits in most states.

• • Maximum weekly benefit:

• • • $1,200 per week (higher limits in Texas, up to $3,000 per week).

• Hospital Indemnity Benefit

• • Pays up to $400 per day for each day you are hospitalized, with no ties to health insurance or Medicare coverage.

• • Payments are made directly to you, not to providers, giving you the freedom to use the cash as needed.

• • No long-term care triggers—this benefit activates simply based on an overnight hospital stay.

Why It Matters

As hospital visits tend to increase with age, this plan offers a safety net to cover potential post-hospital care needs—whether at home or in a facility. The cash payout structure ensures that you can access funds immediately, even if you aren't receiving formal long-term care services.

Recovery Care provides a flexible, cash-based solution for aging-related care needs. Its restoration of benefits and hospital indemnity coverage make it an appealing option for those looking for a balance between affordability and comprehensive benefits.

Underwriting is much broader than Long-Term Care Insurance.

Aetna also offers Home Care Plus. This product eliminates the facility portion of the product above. Some people who are ineligible for Recovery Care may qualify for this product. 

Manhattan Life 

OmniFlex by Manhattan Life is a versatile cash indemnity policy similar to Aetna's Recovery Care but with additional benefits that enhance flexibility and value.

Key Features:

• Facility and In-Home Care Benefits

  • Provides up to $400 per day for care received in a facility (nursing home, assisted living, memory care, or rehabilitation) or up to $300 a day for in-home care services.

  • Includes a hospital indemnity benefit that pays cash directly for each day spent in the hospital, offering added financial support for recovery-related expenses.

  • The Fast-50™ Benefit eliminates the elimination period and provides an immediate cash payout equal to 50% of your accumulated daily benefit on the first day of care. This flexible benefit can be used for any purpose, making it especially valuable when spouses, family members, or friends assist with your care. It allows you to extend in-home care by using 50% of the facility benefit and receiving in cash.

• Inflation Protection

  • It offers an optional 5% simple inflation benefit, which increases your annual benefit amount without increasing your premium. This ensures your coverage keeps pace with rising care costs over time.

• Prescription Drug Indemnity Benefit

• • Pays $10 for generic and $25 for brand-name prescriptions, up to $300 per year.

• • This is a cash benefit paid directly to you, regardless of whether the prescription is fully covered by your health insurance.

• • If you regularly take multiple medications, this feature can effectively offset premiums, making the policy even more affordable.

Simplified Underwriting

Like other products in this category, underwriting is more lenient than traditional Long-Term Care Insurance. Eligibility is typically based on a few knock-out health questions and a prescription drug review, making it accessible to individuals with some pre-existing health conditions.

Manhattan Life's OmniFlex stands out due to its inflation protection, prescription drug indemnity benefits, and flexible cash payouts. These features make it an appealing and cost-effective option for those seeking coverage with broader underwriting eligibility criteria and inflation benefits.

Guaranteed Trust Life 

Guaranteed Trust Life (GTL) offers several insurance products designed to provide flexible care options:

• Recovery Cash

• • Features broader underwriting than traditional Long-Term Care Insurance but remains more conservative than GTL's other products.

• • Provides coverage for:

• • • Nursing homes

• • • Assisted living facilities

• • • Home care services

• • Ideal for individuals seeking comprehensive care benefits with less restrictive underwriting than standard LTC policies.

• Home Health Care

• • Offers limited home care benefits but has very broad underwriting, making it a viable option for individuals who may be unable to qualify for coverage through other insurers.

• • Includes a prescription drug indemnity benefit, which pays cash for medications and can significantly reduce premiums—especially for those who regularly take multiple prescriptions.

• • Designed as a last-resort option for those facing health challenges that disqualify them from traditional plans.

• Home Care Secure

• • A home care-only policy with underwriting requirements similar to Aetna's home care option.

• • Provides focused coverage for in-home care needs, making it another option for those with health issues who may have fewer options.

Your Primary Hub for In-Depth Information – LTC News

LTC News provides a wide selection of articles on topics including aging, caregiving, health, lifestyle, long-term care, and retirement planning. In addition, we offer tools and resources designed to help you navigate and improve your long-term care planning journey.

If you have loved ones who may need care now or in the future, the LTC News Caregiver Directory is the nation's most comprehensive database of caregivers, home health agencies, senior communities, adult day care centers, assisted living, memory care, nursing homes in the United States.

Our objective is to provide educational content and expert guidance to aid you in your journey toward comprehensive long-term care planning.

• Comprehensive Long-Term Care Tools and Educational Resources

• Caregiving Journey: From Basics to Advanced Care

• Plan Like a Long-Term Care Insurance Expert

• Cost of Care Calculator - Find Cost of Long-Term Care Services Near You

Partnering with Amada Senior Care, a renowned in-home healthcare agency, LTC News ensures you and your loved ones benefit from their LTC policy to receive quality care. There is no cost or obligation for this service.

Experience peace of mind knowing you can access quality care services when you need them most - Filing a Long-Term Care Insurance Claim.

Harnessing Expertise: Consult with an Experienced Independent LTC Insurance Specialist

Navigating the intricacies of Long-Term Care Insurance policies can be a daunting task, given the vast array of policy choices and insurance providers in the market. Seeking guidance from an independent Long-Term Care Insurance specialist, particularly one with a Certification for Long-Term Care (CLTC) designation, can be a valuable asset in such circumstances.

• Independent Insurance Brokers vs. Captive Agents: Key Differences When Choosing an Insurance Representative

LTC News does not sell long-term care products. However, we can forward requests for quotes and information to pre-screened specialists who represent the top-rated companies that offer long-term care solutions. 

Your request for accurate Long-Term Care Insurance quotes and comparisons will be provided by a pre-screened LTC News Trusted Partner. This LTC Insurance Specialist is licensed in your state and represents all the top-rated insurance companies that offer long-term care solutions.

You can rely on LTC News Trusted LTC Insurance Specialists when you seek accurate quotes for Long-Term Care Insurance. These LTC News trusted partners are professionals who are screened by LTC News and hold the esteemed CLTC designation, are endorsed by the American Association for Long-Term Care Insurance (AALTCI), and come highly recommended as Ramsey Trusted Pros by financial expert Dave Ramsey's organization (Ramsey Solutions). 

LTC News Trusted Partners are insurance specialists who also have strong affiliations with both Christian and Jewish organizations, reinforcing their commitment to ethical service and community values.

This means that you can trust these LTC Insurance experts to provide free and accurate quotes and product comparisons without additional fees (but including applicable discounts, of course). 

These pre-screen and trusted specialists deliver straightforward information that will help guide you in planning for future long-term care costs and their impact on your family and finances. 

• Compare Top-Rated Insurance Providers and Get Accurate LTC Insurance Quotes

If you are a licensed insurance agent and want to find out how you can become an LTC News Trusted Partner, contact LTC News - Contact Us | LTC News

• Get Accurate Quotes from a Qualified LTC Insurance Specialist

Closing Thoughts

This overview of leading Long-Term Care Insurance options in 2025 highlights the importance of selecting a policy that will be affordable, reliable, and comprehensive when you need it most.

The need for long-term care services can arise from chronic health conditions, reduced mobility, cognitive decline (such as dementia), or the natural effects of aging. While care may become necessary at any stage of life, the likelihood increases with age.

Since health insurance and Medicare only pay for short-term skilled care, an LTC policy is an integral part of your retirement plan.

In today's environment of rising long-term care costs, careful planning is essential to protect your 401(k), savings, and other assets from the financial strain associated with aging. 

Beyond Financial Security

Long-term care planning is about more than preserving wealth—it's about ensuring access to high-quality care in your preferred setting. It also helps relieve your loved ones from the burden of becoming primary caregivers, allowing them to focus on being family rather than caregivers.

When to Plan?

Most people purchase Long-Term Care Insurance in their 40s or 50s when premiums are lower, and health eligibility is easier to meet. Premiums are influenced by age, health history, family medical history, and policy options selected.

However, affordable solutions may still be available for those in their 60s and beyond. Alternative options such as short-term cash indemnity policies and hybrid policies, can provide flexibility for those who may no longer qualify for traditional LTC Insurance due to health concerns.

Final Note

Whether through traditional policies, hybrids, or cash-based options, accounting for long-term care planning ensures peace of mind, financial security, and access to quality care—helping you maintain your independence and dignity throughout life's later stages.