Understanding Long-Term Care Insurance For Couples And Families

Written By: Nathan Justice
Reviewed By: William Rivers
Published: June 19, 2023
Last updated: November 11, 2023

Long-term care insurance is a type of insurance policy designed to cover the costs of long-term care services and support, which are often not covered by traditional health insurance or Medicare. It helps protect individuals and their families from the potentially significant financial burden of long-term care expenses. This article discusses the definition and purpose of long-term care insurance, the types of services covered, and the importance of long-term care insurance for couples and families.

Importance Of Long-Term Care Insurance For Couples And Families

Long-term care insurance can be particularly important for couples and families for several reasons:

  1. Financial protection: As mentioned earlier, long-term care can be extremely expensive, often depleting savings and exhausting household income. Long-term care insurance can help protect couples and families from the financial burden that comes with paying for long-term care.

  2. Family caregiving relief: In many cases, family members are the primary caregivers for their loved ones needing long-term care. This can be physically and emotionally demanding, often leading to caregiver burnout. Long-term care insurance can help alleviate the pressure on family caregivers by providing coverage for professional caregiving services.

  3. Peace of mind: Knowing that long-term care expenses will be covered by insurance can offer peace of mind to both the person who might need care and their family members. This can alleviate stress and worry for all parties involved.

  4. Quality of care: Having long-term care insurance can provide access to a range of care settings and professional services that might otherwise be unaffordable. This access can help ensure a higher quality of care for the insured individual.

  5. Estate protection: Long-term care insurance can help protect an individual's assets and preserve their estate for their spouse or other family members. Without insurance, personal assets might need to be sold to pay for long-term care costs, potentially leaving nothing to pass on to loved ones.

By investing in long-term care insurance, you can help safeguard yourself and your family from the high costs of long-term care services and enjoy greater peace of mind.

Sharing Long-term Care Insurance With A Partner Or Family

Long-term care insurance is designed to help individuals and families manage the financial burden associated with long-term care needs, such as nursing home care, assisted living facilities, or in-home care services. As the cost of long-term care continues to rise, many couples and families are exploring the possibility of sharing long-term care insurance policies to reduce costs and expand coverage options. In this article, we will delve into different sharing options, including joint policies and shared care policies for couples, including children in long-term care insurance, coordinating benefits and coverage with other insurance policies, and the pros and cons of sharing policies with family members.

Joint And Shared Care Policies For Couples

Couples often consider combining their long-term care coverage into a single policy, known as a joint policy, or utilizing a shared care policy. Joint policies combine the coverage limits for both partners into a single maximum benefit amount. This means that if one spouse requires long-term care services, they would draw from the shared pool of coverage, leaving less coverage available for the other spouse should they need services in the future.

Shared care policies, on the other hand, still maintain separate coverage for each individual but allow the unused benefits from one spouse to be transferred to the other spouse should they exhaust their own coverage. This provides a level of flexibility, ensuring that one spouse can still access the remaining benefits if their partner has used up their individual coverage. Note that shared care policies may have higher premiums than joint or separate individual policies, but they provide a safety net and extended coverage for both partners.

Inclusion Of Children In Long-term Care Insurance

Certain long-term care insurance policies offer the possibility to include children in the coverage. This option is typically designed for adult children with disabilities or special needs who may require long-term care support. When considering including children in your long-term care policy, it is important to weigh the potential benefits and drawbacks. Some positives include the potential for lower child-specific premiums and a guaranteed source of care for a disabled child. However, the added responsibility and cost of including a child in the policy will lead to higher overall premiums for the family.

Always consult with an insurance specialist, financial planner, or attorney to determine the best approach to ensuring appropriate long-term care support for your child.

Coordinating Benefits And Coverage With Other Insurance Policies

Many individuals and families have multiple insurance policies in place, such as health insurance, life insurance, and long-term care insurance. Coordination of benefits and coverage among these policies is important to ensuring the most efficient use of your resources and avoiding gaps or overlaps in coverage.

Discuss your insurance coverage with a professional to determine how your existing policies may interact and how they might complement or hinder your long-term care needs. Some policies feature riders or options that can help bridge the gaps between different types of insurance, such as a life insurance policy with a long-term care rider or a long-term care insurance policy with a return of premium option.

Pros And Cons Of Sharing Policies With Family Members

Sharing long-term care insurance policies with family members can provide some advantages and disadvantages, depending on your specific needs and financial situation.


  1. Cost-savings: Sharing a policy can result in lower overall premiums and shared deductibles, making it a more affordable option for some families.

  2. Flexibility: Shared care policies provide the option to transfer unused benefits among family members, offering a level of reassurance that unused benefits will not go to waste.

  3. Simplified administration: Managing a single shared policy for multiple family members can reduce paperwork and administrative tasks associated with maintaining multiple individual policies.


  1. Limited coverage: If one family member utilizes a significant amount of the shared coverage, it may leave less available for others in the family who may need it later.

  2. Potential for disagreements: Deciding how to allocate shared coverage among family members can lead to disagreements, and family dynamics may shift over time.

  3. Loss of individual control: Sharing a policy can result in a loss of individual control over coverage options and future planning.

Ultimately, the decision to share long-term care insurance with a partner or family requires careful consideration of your unique situation and long-term care goals. Consulting with professionals such as insurance agents and financial advisors can help guide your decision-making process and ensure that you are making the best choice for your family's long-term care needs.

Frequently Asked Questions

What factors should couples or families consider when choosing long-term care insurance?

Couples and families should evaluate their financial situation, health history, potential care preferences, and seek professional advice. This evaluation can help determine the appropriate coverage amount, elimination period, and benefit period for a policy that meets their needs.

How do joint policies benefit couples interested in long-term care insurance?

Joint policies allow couples to share coverage under one policy, which can be more cost-effective than purchasing individual policies. These policies often include shared care benefits, enabling each partner to draw from a shared pool for their long-term care needs.

Are long-term care insurance premiums tax-deductible for families and couples?

Yes, long-term care insurance premiums may be tax-deductible, subject to certain limitations. The deductible amount depends on the policyholder's age, with older policyholders eligible for larger deductions. Couples filing jointly may claim deductions for each spouse's premiums.

How do long-term care insurance policies work regarding existing health conditions for couples and families?

Many insurers consider pre-existing health conditions when evaluating applications. The underwriting process may involve medical records review and a health questionnaire. If a policy is issued, insurers may not cover costs directly related to pre-existing conditions for a specified waiting period.

Can adult children include their parents in a family long-term care insurance plan?

While most long-term care insurance plans are designed for individuals or couples, some providers offer multi-life policies. These policies may allow adult children to include their parents in a family plan, with each family member having their own policy.

When should couples and families purchase long-term care insurance to maximize benefits and savings?

Couples and families should consider purchasing long-term care insurance when they are in their 50s or early 60s, as premiums tend to be lower and insurability higher. Waiting until later could result in higher premiums or disqualification due to health changes.

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Nathan Justice manages community outreach programs and forums that help many senior citizens. He completed a counseling program at the University of Maryland’s Department of Psychology.
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