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Key Data and Costs of LTC

Key Data and Costs of Long-Term Care Insurance in 2025

Section titled “Key Data and Costs of Long-Term Care Insurance in 2025”

Premiums by Age, Gender, and Coverage Level

Section titled “Premiums by Age, Gender, and Coverage Level”

The most recent survey by the American Association for Long-Term Care Insurance (AALTCI) — the 2025 Long-Term Care Insurance Data — shows the following annual premiums. These are for a benefit pool of $165,000 (baseline coverage) with a “select health” classification:

Approximate Age at PurchaseSingle Male (Level Benefits)Single Female (Level Benefits)Married Couple (Combined)
Age 55≈ $950≈ $1,500≈ $2,080
Age 60≈ $1,200≈ $1,900≈ $2,600
Age 65≈ $1,750≈ $2,700≈ $3,750

If you add inflation-growth protection (meaning your benefits increase over time to keep up with rising care costs), premiums go up a lot. For example, a 55-year-old male with 3% annual benefit growth might pay about $2,200 per year instead of $950.

For comparable hybrid policies (which combine long-term care benefits with a death benefit or cash value), premiums tend to be higher because they include extra features.

What Long-Term Care Actually Costs Without Insurance

Section titled “What Long-Term Care Actually Costs Without Insurance”

A 2024 survey (cited by insZone and industry reports) shows typical costs in the U.S.:

  • Private nursing home room: about $127,750 per year
  • Semi-private nursing home room: about $111,325 per year
  • Assisted living: about $70,800 per year
  • In-home aide: about $77,792 per year

Even a few years of long-term care can quickly cost more than the benefit pool of a modest insurance policy. This helps explain why many people see long-term care insurance as financial protection, not just a “nice-to-have.”

Only a small share of Americans age 50 and older have long-term care insurance — roughly 3–4%.

The number of insurers offering “traditional” long-term care insurance has dropped sharply. Fewer than 50,000 new traditional policies are sold each year now. That is a huge decline from the peak of about 600,000 policies per year around 2000.

Many insurers raised premiums on existing policies, which pushed some consumers away. Longer lifespans, rising care costs, and lower enrollment have all caused underwriting to become stricter.

Recent long-term care market data shows:

  • The average benefit window (how long people receive payouts) is about 3.57 years, with a median of about 3 years.
  • Daily benefit amounts among surveyed plans average $155.12 per day (median about $150 per day), though actual amounts depend heavily on the plan.

An important detail: about two-thirds of claim dollars go to women. This reflects both longer female life expectancy and gender-based pricing that often charges women more.