
CNA Long Term Care Insurance is designed to help cover the costs of long-term care services, which can include skilled care, custodial care, and other forms of support.
Long-term care insurance can be purchased as a standalone policy or as a rider on a life insurance policy.
The average cost of long-term care services is around $8,000 to $10,000 per year, depending on the level of care needed and the location.
Having a plan in place can provide peace of mind and help ensure that you're able to access the care you need, without breaking the bank.
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What Is Long Term Care Insurance?
Long-term care insurance is an insurance policy designed to cover the costs of long-term care services, including personal care like help with bathing and dressing.
Nearly everyone needs long-term care, with a person turning age 65 today having nearly a 70% chance of requiring some type of long-term care later in life.
There are two types of long-term care insurance: traditional and hybrid. Traditional long-term care insurance is a standalone policy specifically designed to cover long-term care costs. Hybrid policies, on the other hand, combine long-term care insurance with either permanent life insurance or an annuity contract.
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What It Does
Long-term care insurance covers the costs of long-term care services, including medical care and personal care like help with bathing and dressing. Nearly everyone will need long-term care at some point in their lives, with a 70% chance of requiring it after age 65.
Long-term care insurance policies come in two main types: traditional and hybrid. Traditional policies are standalone policies specifically designed to cover long-term care costs, while hybrid policies combine long-term care insurance with permanent life insurance or an annuity contract.
Here are the 6 Home Care benefits that must be included in every long-term care insurance policy:
- Home Health Care: skilled nursing care or other professional services in your residence.
- Adult Day Care: medical or social care in a daytime program in a licensed facility.
- Personal Care: assistance with activities of daily living (ADLs) such as bathing, dressing, and using the toilet.
- Homemaker Services: assistance with activities necessary to remain in your home.
- Hospice Services: services in your residence to provide physical, emotional, social, and spiritual support when a terminal illness has been diagnosed.
- Respite Care: short-term care provided in a nursing facility, in your home, or in a community-based program to relieve the primary caregiver.
Medicare may pay for skilled care in a nursing home, but only for a short period of time (up to 100 days) and only when the patient meets all the Medicare requirements.
Why Plan for?
Planning for long-term care is crucial because nearly half of men and 64 percent of women reaching age 65 will need significant long-term care.
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About 49 percent of men and 64 percent of women reaching age 65 today will need some paid assistance.
You can't rely solely on family members for care, as many people will need paid assistance.
Some may qualify for help through Medicaid, but you typically can't get it unless you've exhausted most of your savings and other assets beyond your primary home and vehicle.
Eligibility and Coverage
You can qualify for long-term care insurance at nearly any age, but it's generally best to buy a policy when you're young and healthy. Most long-term care claims are filed after the age of 70, so buying a policy between ages 50-65 is a good rule of thumb.
If you have a pre-existing medical condition, an insurer may consider you high risk and deny your application for coverage. However, there is no age requirement for long-term care insurance.
Most long-term care policies cover services like skilled nursing care, help with personal care tasks, and therapy, as well as laundry and housekeeping in some cases. If you plan on entering assisted living, it's essential to choose a policy that specifically covers this type of facility.
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Who Is Eligible?
You're probably wondering who's eligible for long-term care insurance. Anyone can qualify, regardless of age, as long as they're healthy.
If you have a pre-existing medical condition, an insurer may consider you high risk and deny your application for coverage. This is a crucial thing to consider when shopping for a policy.
It's generally best to buy long-term care insurance when you're fairly young and healthy. Buying a policy between ages 50-65 is a good rule of thumb, as most long-term care claims are filed after the age of 70.
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Who Pays?
Paying for long-term care can be a significant challenge, and many people are unclear about who should foot the bill. Nearly half of adults age 65 and older incorrectly think Medicare would cover a long stay in a nursing home.
Paying for one year of nursing home care would be impossible or very difficult for 90 percent of adults, according to a survey from the nonprofit KFF.
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Policy Details

Most long-term care policies cover costs up to a specified daily limit, or pay a flat daily amount. Benefits can adjust with inflation to account for rising care costs.
You'll want to ask your insurer or agent about the maximum daily benefit or maximum benefits per period, as these can vary significantly between policies. This will help you understand how much you'll be covered for each day of care.
Some policies also provide an expense allowance or reimburse expenses, which can be a huge help in managing care costs. This can include things like adult day care, home health care, or even assisted living facilities.
Here are some key coverage parameters to consider:
Policy Requirements Questions
If you're considering buying a long-term care policy, you'll want to ask the right questions to ensure you make an informed decision. One key question to ask is whether the policy has a maximum daily benefit or maximum benefits per period.

You'll also want to ask if the policy provides an expense allowance or reimburses expenses. Some policies may offer a combination of both, so it's essential to understand how the policy works.
To help you navigate policy requirements, here are some key questions to ask:
- Is there a maximum daily benefit or maximum benefits per period?
- Do benefits adjust with inflation?
- Does the policy provide an expense allowance or reimburse expenses?
Asking these questions will help you understand the policy's requirements and ensure you're making the right choice for your long-term care needs.
When Coverage Begins
Coverage begins when you're approved for care after your needs have been assessed by the insurer. This assessment is usually based on cognitive impairments or how much help you need with daily living tasks.
The specific benefits you're eligible for will be explained by the insurer after approval.
Most policies have a waiting period, also called the elimination period, before benefits start. This period typically lasts anywhere from 30-90 days.
During this time, you'll have to pay for services out of your own pocket.
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Annual Benefit Increases

Annual benefit increases are a crucial aspect of long-term care insurance policies.
The insurer must offer a 5% annual compound inflation protection feature that increases your previous year's Daily Maximum and Lifetime Maximum Benefit amounts by 5%.
This means that your benefits will automatically increase each year, helping to keep pace with inflation.
If you decide not to purchase the 5% compound annual inflation protection feature, you'll be asked to sign a rejection of the offer.
Some insurers may also offer a 5% (or other percentage) annual simple inflation protection, which increases the Daily and Lifetime Maximum Benefits by a fixed 5% of the original policy amounts.
Your long-term care insurance agent must show you an illustration of the effect of inflation on the cost of care and how the benefits of a policy with and without inflation protection compare to the cost of care over time.
Before making a decision, it's a good idea to consult with a financial planner, an attorney, a HICAP counselor, or a family member.
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Costs and Premiums
The cost of long-term care insurance can be a significant factor in your decision to purchase a policy. The cost is based on many factors, including your age, coverage limits, and scope of services covered.
A 55-year-old man can expect to pay around $900 a year for $165,000 of coverage, according to the American Association for Long-term Care Insurance. Women pay significantly more in premiums, with the average cost for a 55-year-old woman being $1,500 a year for the same coverage.
The cost of care in the future will be much higher than it is today, with California nursing home rates increasing at an average rate of over 5% per year. This means that a year of care that costs $50,000 today will cost twice that amount in 14 years, or $100,000 a year.
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Inflation Protection
Inflation protection is an optional feature that can be added to a long-term care insurance policy to help policyholders keep pace with the rising costs of long-term care services over time.
Long-term care costs in California have increased at an annual rate of more than 5% in the past, and this trend is likely to continue.
A 5% annual increase means a year of care that costs $50,000 today will cost twice that amount in 14 years, or $100,000 a year.
This is why protecting against the rising cost of care is one of the most important choices you will make when purchasing long-term care insurance.
Inflation protection increases the Daily Maximum, the Maximum Lifetime Benefit, and other benefit amounts, ensuring that your policy keeps up with the increasing costs of care.
Your insurer must offer inflation protection, which is no less favorable than increasing benefit levels annually by at least 5% or a Benefit Increase Option.
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Cost
The cost of long-term care insurance can vary significantly depending on several factors. The average cost of long-term care insurance is $900 a year for a 55-year-old man for $165,000 of coverage.
Women pay significantly more in premiums than men, with the average cost for a 55-year-old woman being $1,500 a year for the same coverage. This highlights the importance of considering your individual circumstances and needs when shopping for long-term care insurance.
A 5% annual increase in care costs means that a year of care that costs $50,000 today will cost twice that amount in 14 years, or $100,000 a year. This underscores the need to plan carefully for future long-term care expenses.
The cost of long-term care can vary significantly depending on where you live. For example, the average annual cost of assisted living in Boston is currently $81,825, and is expected to rise to $109,966 by 2031.
Here are some approximate premium costs for different populations:
Keep in mind that these are just averages, and your individual circumstances will affect the cost of your policy. It's essential to work with a knowledgeable long-term care insurance agent to design a benefit package that suits your needs.
Buying and Choosing a Plan
Review each policy thoroughly, including its coverages, terms, and exclusions. All long-term care policies are different, so don't assume one policy is the same as another.
Shopping around with different carriers and getting quotes on various types of policies is a good idea. Compare costs, benefits, and drawbacks to find the best fit for you.
Check with your state's insurance department to make sure a carrier is licensed in your state. You can also find their financial rating through an agency like A.M. Best.
To avoid buying more coverage than you need, consider your income, savings, and support from family members. If you have sufficient resources, you may not have a large financial burden from long-term care.
On the other hand, don't buy too little coverage. If your policy isn't enough to cover your long-term care costs, you'll be required to use your own savings, income, and assets.
Make sure you can comfortably afford the monthly premium payment. Keep in mind that these rates will likely go up over time.
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Plan Features and Benefits
You can choose from several plan options when it comes to CNA long-term care insurance, based on your level of risk tolerance, local costs, or income level. Each plan option offers a different level of coverage and flexibility.
You can enroll in CNA long-term care insurance as an employee, spouse, retiree, or family member. If you enroll within 60 days of your date of hire, you're guaranteed acceptance with no medical questions. If you apply outside of this window, you'll need to submit a Short Form Application for approval.
Here are the eligibility categories for CNA long-term care insurance:
Dementia Patient Care
Long-term care insurance can cover dementia care in an assisted living facility if you develop the condition after enrolling in the policy.
However, if you or your loved one already has a dementia diagnosis at the time of enrollment, the insurer may deny coverage due to medical underwriting requirements.
Most policies require medical underwriting, which can lead to denied coverage if you already have a dementia diagnosis.
You may be able to find coverage with another insurer if one denies you, so it's essential to shop around for options.
Company Services

Insurance companies describe what they will cover in their policies. This includes the kind of care they will cover, who can provide the care, and the conditions that need to be met before they will pay or reimburse the cost of benefits.
Insurance policies cover a range of services, including what is required in a long-term care insurance policy approved under current California law. California law has changed many times over the years, so insurance policies sold in previous years may have different requirements.
Insurance policies describe the services they will cover, but it's essential to be aware that policies can vary. This means you should carefully review your policy to understand what is covered and what is not.
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Benefit Increase Option
The Benefit Increase Option allows you to pay an additional premium to increase the benefit coverage amounts at stated intervals during the life of the policy.
This option is usually referred to as guaranteed insurability or future purchase options, and there are typically a limited number of increase options offered to you over the life of the policy.
If you decide not to exercise this option one or more times when it is offered, you will lose any chances to increase your benefits in the future.
The premium will increase each time you choose to accept the insurer's offer to increase the coverage amounts, with the premium increase based on the amount of coverage added and your age at the time you exercise the Benefit Increase Option.
Because rates for older individuals are significantly higher, each Benefit Increase Option you accept will result in a larger premium increase than the prior offers.
The advantage of the Benefit Increase Option is that the initial premium you pay for the policy will be much lower than if you choose the Annual Benefit Increase Option.
However, in the long run, you may end up paying more in total premiums to protect your benefits against inflation protection because of the additional premiums you must pay to purchase each Benefit Increase Option.
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Regulations and Consumer Protections
Long term care insurance regulations can be complex, but it's essential to understand the basics. The Affordable Care Act requires long term care insurance policies to include certain provisions, such as a 30-day free look period.
The National Association of Insurance Commissioners (NAIC) sets model laws for long term care insurance, which helps ensure consistency across states. This includes requirements for policy disclosures and rate increases.
Some states, like New York, have their own regulations, such as a requirement for insurers to provide a minimum of 25% of the policy's face value in benefits for the first year.
Are Rates Regulated?
In California, long-term care insurance rates are regulated by the CDI, which stands for California Department of Insurance.
Long-term care insurance policies sold in California are subject to the "rate stabilization" law, which means premium rates are reviewed by the CDI to ensure they're fair and reasonable.
Insurance companies can still apply for rate increases, but these increases must be justified and approved by the CDI before they can take effect.
Consumer Protections in California
California has some of the strongest consumer protection laws in the country. The state's Department of Consumer Affairs is responsible for enforcing these laws and protecting consumers from unfair business practices.
The California Consumer Privacy Act (CCPA) gives consumers the right to know what personal data is being collected about them and how it's being used. This law also requires businesses to provide consumers with the option to opt-out of the sale of their personal data.
Californians have the right to a cooling-off period when making purchases, allowing them to cancel or return a purchase within a certain timeframe. This period varies depending on the type of purchase and the seller.
The California Department of Financial Protection and Innovation oversees the state's financial institutions and enforces laws related to consumer finance. This includes laws related to mortgages, credit cards, and other consumer loans.
Businesses in California are prohibited from engaging in deceptive or misleading advertising practices, which can result in fines and other penalties. This law is designed to protect consumers from false or misleading claims made by businesses.
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Before Buying
Before buying long-term care insurance, it's essential to consider your personal risk factors. Your risk of needing long-term care depends on how long you may live, your health history, and whether you have a spouse or family members who can provide some of the care you may need.
You'll want to ask the insurance company about their policy history, including whether they've increased premiums on policies they've sold to other consumers. This is crucial to understand the potential costs and stability of the policy.
Research the insurance company's experience selling long-term care insurance, as well as the types of care providers they cover near your home. This will help you understand what's included in the policy and how it will meet your needs.
Here are some key questions to ask the insurance company:
- Has this company increased premiums on policies it has sold to other consumers in California or in other states?
- How long has this company been selling long-term care insurance?
- What Nursing Homes, Residential Care Facilities/Residential Care Facilities for the Elderly and Home Care providers, are near my home and covered by the policy?
- What are my choices for: Daily Maximum, Lifetime Maximum, Elimination Period and Inflation Protection?
- May I hire anyone I choose to provide Personal Care and Homemaker Services under this policy?
Tax Implications
Carrying long-term care insurance can have some tax advantages.
You may be able to deduct some or all of your premiums as medical expenses if they meet the maximum deductible threshold. These thresholds increase with age.
Will I Need?

Women tend to need long-term care for longer periods, averaging 3.7 years, while men need care for an average of 2.2 years.
Your age, personal and family health history, and financial situation will also impact your likelihood of needing long-term care.
The cost of care varies depending on where you live, with Boston's average annual cost of assisted living currently at $81,825, expected to rise to $109,966 by 2031.
You may want to consider applying for coverage while you're still able to qualify if you feel you have a greater risk of needing long-term care.
Here are some key factors to consider:
- Your age
- Your personal and family health history
- Your financial situation
- Whether you'll be able to (or want to) count on family for help
Before Buying: Questions to Ask
Before buying long-term care insurance, it's essential to ask the right questions to ensure you're making an informed decision. You want to understand the policy's benefits and limitations.
Ask your insurer or agent if the policy has a maximum daily benefit or maximum benefits per period. This will help you plan for long-term care expenses.

Consider the impact of inflation on your policy's benefits. Ask if the policy provides an expense allowance or reimburses expenses. This can help you cover ongoing care costs.
Before purchasing, study the company's history of premium increases. Check if the company has raised premiums on policies sold to other consumers in California or other states. This can help you anticipate future costs.
Make sure you understand the policy's coverage of nursing homes, residential care facilities, and home care providers near your home. Ask about the specific providers covered by the policy.
When choosing a policy, consider the following options: Daily Maximum, Lifetime Maximum, Elimination Period, and Inflation Protection. Ask about your choices for these features.
Be aware of the Elimination Period requirements. Ask if you need to meet the Elimination Period only once or more than once during your lifetime.
Check if you can hire anyone you choose to provide personal care and homemaker services. Ask about the qualifications that care providers must meet. Some policies may only cover certain providers.
Here are some key questions to ask about your policy:
Making an Informed Decision on Insurance
To make an informed decision on insurance, start by understanding the basics of coverage, including what's included and what's not.
Coverage basics are crucial to understand, as they will impact your premiums and policy options.
Paying for care is a significant aspect of long-term care insurance, with costs varying depending on the level of care needed.
Care insurance policies can be complex, but knowing what to expect from them can help you make a more informed decision.
Hybrid policies, which combine life insurance with long-term care benefits, may offer more flexibility than traditional policies.
Understanding how policies work is essential to determining which one is right for you.
A bumpy history of changes in the insurance industry has led to a more complex landscape for consumers.
To navigate this complexity, it's essential to know what to look for in a policy, including coverage basics, premium costs, and policy options.
Frequently Asked Questions
Does CNA long-term care insurance cover assisted living?
Yes, CNA long-term care insurance covers a range of assisted living services, depending on the policy type. Traditional and hybrid policies are available to help cover the costs of care.
Sources
- https://www.riskquoter.com/ltc/cna/
- https://www.uaex.uada.edu/support-units/human-resources/voluntary-insurance/long-term-care-insurance.aspx
- https://www.ncoa.org/article/does-long-term-care-insurance-cover-assisted-living-a-comprehensive-guide/
- https://www.insurance.ca.gov/01-consumers/105-type/95-guides/05-health/01-ltc/ltc-insurance.cfm
- https://www.aarp.org/caregiving/financial-legal/info-2021/understanding-long-term-care-insurance.html
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