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A Guide to the Worst Long-term Care Insurance Companies 2021

You’re probably not anticipating spending part of your retirement in a long-term care facility or having skilled nursing care come to your home to assist you with daily activities. However, the odds are that you will need some type of long-term care, since about 69% of all people over 65 will need it. There are only nine companies that still offer traditional long-term care insurance, and some of the worst companies have stopped selling long-term care insurance altogether. If you want to by long-term care insurance, you’ll want to avoid these 5 companies.

Mass Mutual: Too expensive

Mass Mutual was never competitive as far as pricing for its long-term care insurance. It’s probably a good thing that as of January 28th, 2021 they will no longer offer long-term care insurance. If you already have a policy through Mass Mutual, they will continue to honor those. See the full review of MassMutual’s long-term care insurance.

Genworth Financial: Premiums increased by 150%, which resulted in a class action lawsuit

Genworth used to be a major player in the long-term care insurance market. Now they only sell policies through employers, or direct to consumer channels. Genworth’s long term care insurance was the subject of a class action lawsuit, which was recently settled it for $24.5 million. The suit was based on the astronomical increases in premiums that customers were either forced to pay or to stop paying and let their policy lapse. These people were told their premiums would not increase, and then Genworth increased rates by as much as 150%. See the full review of Genworth Financial’s long-term care insurance

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From 10+ top rated companies of both traditional and hybrid long-term insurance policies

New York Life: Very expensive and lots of complaints

New York Life is endorsed by the AARP, but that doesn’t mean they offer a great long-term care policy. It’s also one of the most expensive long-term care insurance, sometimes by almost twice the amount of other companies offering long-term care insurance. Also, if you don’t qualify for the top tier classification due to health, you will only be eligible for some benefits, not all. There are many complaints about New York Life in general on Consumer Affairs, including their long-term care insurance. See the full review of New York Life’s long-term care insurance

AARP Long-Term Care Insurance: The same as New York Life long-term care insurance

AARP is a trusted name among the senior population. They offer a lot of useful content to guide the senior consumers into their retirement and and specific benefits for the seniors. They also create a vibrant community of seniors to stay in touch and learn from one another. AARP partners with New York Life to provide long-term care insurance. It is exactly the same New York Life’s long-term care insurance product, now just cobranded with AARP. If you trust AARP name, be careful with the AARP long-term care insurance product since it is as bad as the New York Life’s long-term care insurance.

CalPERS: Massive premium increases which resulted in class action lawsuit

Technically, CalPERS has “suspended open enrollment” in the long term care program. Just in case they get back to it (which is unlikely) you should know that they are also the subject of a class action lawsuit due to rate hikes and reduced benefits. Just days ago, they approved a 77% rate increase for current LTC customers. This is on top of the 85% increases they instituted in both 2015 and 2016, which led to the class action lawsuit in the first place. See the full review of CalPERS’s long term care insurance.

The 3 Best Traditional Long-Term Care Insurance Companies

If you’re wondering what companies still offer decent traditional long-term care insurance, consider the following 3 companies: (click on the links to read the full review of these companies and their traditional long-care insurance products)

You can learn more details of these companies, including their long-term insurance quotes, in our more comprehensive analysis of these 3 companies in our roundup of the 3 best traditional long-term care insurance companies.

Compare long-term care insurance quotes

From 10+ top rated companies of both traditional and hybrid long-term insurance policies

The 5 Best Hybrid Long-Term Care Insurance Companies

In addition, you can also consider alternatives to traditional long-term care insurance. One of the most popular options is a hybrid long-term care insurance policy, or also called linked policy. Below are our recommendation of the best 5 hybrid long-term care insurance companies for your consideration (click on the links below to read the full review of these hybrid policies)

Life Insurance Policies with Long-Term Care Rider

Another alternative is to buy a permanent life insurance policy with a long term care rider. This is similar to a hybrid policy, but with more life insurance benefits and features. Here are the best life insurance policies with long-term care rider and how it works.

8 Alternatives to Traditional Long-Term Care Insurance

It is very likely that you will need some form of long-term care when you get older. Actually more than 70% of people of 65 or older in the US need long-term care. As healthcare costs increase, long-term care costs also increase significantly. Without proper preparation, going bankrupt during retirement is a very likely possibility.

Traditional long-term care insurance is very expensive and unpredictable. Several insurance companies have increased premiums on their long-term care insurance policies so much and so often that they have become the targets of several class action law suits across the states. This has also caused many companies exit the long-term care insurance market, leaving just a handful providers in this market and struggling.

The good news is that traditional long-term care insurance isn’t the only solution to this expensive problem. There are another 8 alternatives to traditional long-term care insurance that you can consider: hybrid linked life insurance and long-term care insurance policies; life insurance with chronic illness rider or long-term care rider; medicaid, annuities; reverse mortgage; HSA account; or self-funding.

What is Long-Term Care Insurance?

Long-term care insurance will pay for your long-term care expenses such as assisted living, nursing home stays, in-home care, and adult day care services, when you are qualified for long-term care. You are qualified for long-term care when you need assistance for 2 out of 6 activities of daily living (or ADLs) such as bathing, toileting, eating, getting around, grooming, and dressing.

Private health insurance, medicare, or disability insurance doesn’t pay for long-term care expenses.

Of course, traditional long-term care insurance has its own strengths and weaknesses that you should be aware of.

What is Hybrid Long-Term Care Insurance?

One of the disadvantages of traditional long-term care insurance is that after paying a lot of money for it, if you end up with not needing it, you will get nothing from your policy. To address this concern, hybrid long-term care insurance was introduced. It is a linked policy of a permanent life insurance policy and a long-term care insurance policy.

If you have a hybrid long-term care insurance policy and you end up with not needing it, you can either get your premiums back or your family will receive a tax-free death benefit as if you owned a permanent life insurance policy. It also offers several other benefits, yet still has its own limitations. Learn more about the pros and cons of hybrid long-term care insurance.

Hybrid long-term care insurance has become more and more popular recently.

How Much does Long-Term Care Insurance Cost?

Long-term care is expensive, so is long-term care insurance. The younger you buy a long-term care insurance policy, the cheaper you can get. The best age to buy a long-term care insurance policy is in your early 50s or late 40s. And of course, your health condition plays a big role in the premiums of your long-term care policy.

Below are the long-term insurance costs (annual premiums) in several scenarios, assuming good health and pay premiums for 10 years. For traditional long-term insurance quotes, we got them from National Guardian Life, one of the top providers remaining in this market. (full review of National Guardian Life long-term care insurance).

  • A traditional long-term insurance policy with a total of $216,000 LTC benefit for 3 years can cost a 50-year old $2,000 to $3,000 a year; a 55-year old $2,200 – $3,400; a 60-year old $2,500 – $3,900 a year; and a 65-year old $13,500 – $14,700 a year

For hybrid long-term care insurance quotes, we got them from Securian Life Insurance company with its SecureCare hyrbdi long-term care product (full review here).

  • A hybrid long-term insurance policy with a total of $216,000 LTC benefit for 3 years can cost a 50-year old $11,600 to $12,900 a year; a 55-year old $13,300 – $14,900; a 60-year old $15,000 – $17,100 a year; and a 65-year old $17,000 – $19,400 a year
  • If you realize that you might not need LTC insurance anymore, you can either get all of your premiums back or leave a tax-free death benefit of 216,000 to your beneficiaries when you pass away.
AgeSexDaily benefitLTC benefits duration (years)Total LTC benefitsTraditional LTC
(National Guardian)
Traditional LTC with return premium benefit
(National Guardian) 
Hybrid LTC  with return premium benefit
(Securian)
50M$2003$216,000$1,937$4,610$12,895
50F$2003$216,000$2,969$6,768$11,568
55M$2003$216,000$2,212$5,840$14,912
55F$2003$216,000$3,350$8,317$13,290
60M$2003$216,000$2,528$7,433$17,124
60F$2003$216,000$3,885$10,218$15,029
65M$2003$216,000$3,434$13,531$19,399
65F$2003$216,000$5,222$14,672$17,015

>>MORE: How Much does Long-Term Care Insurance Cost?

Last Thoughts

The long-term care market is very tricky, since when long-term care was first introduced, insurance companies drastically underestimated costs. They also miscalculated how many people would let the policies lapse. This led to a crisis in the long-term care market, and now very few companies still offer this insurance. However, if you qualify it may be something to consider as rates have evened out for the most part.

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