Article
10 Best Long-Term Care Insurance Companies in 2025
Plan for your future care needs with the best long-term care insurance of 2025. Compare policies for nursing homes, assisted living, and home care from top-rated providers.
Long-term care insurance helps cover the cost of nursing homes, assisted living, and home care services that health insurance and Medicare don’t cover. With care costs averaging $5,000-$10,000 monthly, planning ahead is essential.
Our team analyzed over 20 long-term care insurance providers, comparing coverage options, pricing stability, and claim experiences. Here are the 10 best LTC insurance companies for 2025.
Quick Comparison
| Provider | Best For | Daily Benefit | Rating |
|---|---|---|---|
| 1. Mutual of Omaha | Best Overall | $50-$450 | ★4.9/5 |
| 2. Genworth | Best for Couples | $50-$500 | ★4.8/5 |
| 3. Lincoln Financial | Best Hybrid Policy | Based on life benefit | ★4.8/5 |
| 4. Brighthouse Financial | Best Annuity Hybrid | Based on annuity value | ★4.7/5 |
| 5. Northwestern Mutual | Best for High Net Worth | $100-$500+ | ★4.7/5 |
| 6. Nationwide | Best for Flexibility | $50-$400 | ★4.6/5 |
| 7. State Life Insurance (OneAmerica) | Best for Worksite | $50-$300 | ★4.5/5 |
| 8. Transamerica | Best for Asset-Based | Based on policy value | ★4.5/5 |
| 9. New York Life | Best for Riders | Based on life insurance | ★4.4/5 |
| 10. Pacific Life | Best for Annuity Riders | Based on annuity value | ★4.4/5 |
Our Top Picks in Detail
Mutual of Omaha
Mutual of Omaha offers comprehensive standalone long-term care policies with flexible benefit options and competitive pricing. Their partnership with state programs provides additional asset protection.
Pros
- ✓Strong standalone LTC policies
- ✓Flexible benefit options
- ✓Competitive pricing
- ✓Home care friendly
- ✓Partnership program in many states
Cons
- ✗Rate increases possible
- ✗Medical underwriting required
- ✗Limited hybrid options
Genworth
Genworth's shared care options allow couples to pool their benefits, providing flexibility if one spouse needs more care than the other. They've insured long-term care since 1974.
Pros
- ✓Shared care benefits for couples
- ✓Extensive benefit options
- ✓Long industry experience
- ✓Caregiver training benefits
- ✓Multiple elimination periods
Cons
- ✗History of rate increases
- ✗Complex policy options
- ✗Higher premiums for comprehensive coverage
Lincoln Financial
Lincoln's MoneyGuard combines life insurance with LTC benefits. If you never need care, your heirs receive a death benefit—solving the use-it-or-lose-it concern.
Pros
- ✓Life insurance with LTC rider
- ✓Death benefit if LTC unused
- ✓Guaranteed premiums
- ✓No use-it-or-lose-it concern
- ✓Asset-based planning
Cons
- ✗Higher upfront costs
- ✗Less LTC-focused
- ✗Complex product structure
Brighthouse Financial
Brighthouse offers annuity-based LTC solutions, providing guaranteed income plus care benefits with tax advantages and some options requiring no medical underwriting.
Pros
- ✓Annuity with LTC benefits
- ✓Tax-advantaged growth
- ✓No medical underwriting options
- ✓Guaranteed income + care
- ✓Principal protection
Cons
- ✗Large single premium required
- ✗Less pure LTC coverage
- ✗Complex product
Northwestern Mutual
Northwestern Mutual provides premium LTC coverage for high-net-worth individuals with unlimited benefit options and integration into comprehensive financial plans.
Pros
- ✓Premium protection options
- ✓Strong financial ratings
- ✓Comprehensive planning
- ✓Unlimited benefit option
- ✓Dividend potential
Cons
- ✗Higher premiums
- ✗Agent required
- ✗Complex policies
Nationwide
Nationwide offers both traditional and hybrid LTC options with flexible benefit triggers and strong home care provisions through their CareMatters product.
Pros
- ✓CareMatters hybrid option
- ✓Flexible benefit triggers
- ✓Home care friendly
- ✓Cash benefit option
- ✓Wide agent network
Cons
- ✗Product lineup changes
- ✗Some state limitations
- ✗Rate history varies
State Life Insurance (OneAmerica)
OneAmerica provides employer-sponsored LTC with simplified underwriting, making coverage accessible through the workplace with payroll deduction convenience.
Pros
- ✓Worksite enrollment available
- ✓Simplified underwriting options
- ✓Payroll deduction
- ✓Family discounts
- ✓Portable coverage
Cons
- ✗Lower benefit limits
- ✗Limited standalone options
- ✗Regional focus
Transamerica
Transamerica's asset-based LTC products let you reposition existing assets into coverage with death benefits and cash value access if care isn't needed.
Pros
- ✓Single premium options
- ✓Asset reposition strategy
- ✓Cash value access
- ✓Death benefit included
- ✓Guaranteed premiums
Cons
- ✗Large upfront commitment
- ✗Less flexible than traditional
- ✗Complex product
New York Life
New York Life offers LTC benefits through riders on their life insurance policies, allowing you to accelerate death benefits to pay for qualified care expenses.
Pros
- ✓LTC rider on life insurance
- ✓Strong financial ratings
- ✓Long company history
- ✓Flexible product design
- ✓Death benefit protection
Cons
- ✗Not standalone LTC
- ✗Complex structure
- ✗Agent required
Pacific Life
Pacific Life's annuity products with LTC riders provide income guarantees plus multiplied benefits for care, ideal for those who want retirement income with care protection.
Pros
- ✓Annuity with LTC multiplier
- ✓Tax-deferred growth
- ✓Income + care benefits
- ✓No use-it-or-lose-it
- ✓Estate planning benefits
Cons
- ✗Large minimums
- ✗Complex product
- ✗Annuity-focused
How We Evaluate LTC Insurance
Our evaluation process considers:
Coverage Quality
- Daily and monthly benefit amounts
- Benefit period options
- Care settings covered
- Inflation protection options
Financial Stability
- Rate increase history
- Financial strength ratings
- Claims payment record
- Company longevity
Policy Features
- Elimination period flexibility
- Home care provisions
- Caregiver support
- Partnership program participation
Frequently Asked Questions
What is long-term care insurance?
Long-term care insurance covers services like nursing homes, assisted living, and home care when you need help with daily activities due to chronic illness, disability, or cognitive impairment.
When should I buy LTC insurance?
The ideal age is mid-50s to early 60s. Earlier purchases lock in lower rates and better health-based pricing. After 70, coverage becomes expensive or unavailable.
What does LTC insurance cost?
Annual premiums typically range from $1,500-$6,000+ depending on age, health, benefit amount, and policy features. Couples can save with shared care discounts.
What’s the difference between traditional and hybrid LTC?
Traditional LTC is pure insurance—you pay premiums for coverage. Hybrid policies combine life insurance or annuities with LTC benefits, so benefits are paid either way.
Does Medicare cover long-term care?
No. Medicare only covers short-term skilled nursing (up to 100 days) after hospitalization. It doesn’t cover custodial care, assisted living, or extended nursing home stays.
What triggers LTC benefits?
Benefits typically begin when you can’t perform 2 of 6 activities of daily living (bathing, dressing, eating, toileting, transferring, continence) or have cognitive impairment.