Should You Buy Life Insurance with a Long-Term Care Rider?

Should You Buy Life Insurance with a Long-Term Care Rider

Last Updated on:  April 11, 2025

Reviewed by Dylan

 Introduction

Planning for the future means preparing for both the expected and unexpected. Life insurance is commonly used to protect loved ones financially after you pass away. Long-term care (LTC), on the other hand, covers the cost of care if you become chronically ill or unable to care for yourself later in life.

But what if you could combine the two?

A long-term care rider is an add-on to a life insurance policy that lets you access part of your death benefit to cover long-term care expenses while you’re still alive. In this article, we’ll break down what a long-term care rider is, how it works, who should consider it, and whether it fits your financial goals.

What Is a Long-Term Care Rider?

A long-term care rider is an optional benefit that you can add to a life insurance policy. It allows you to use a portion of your policy’s death benefit to pay for long-term care services, such as home health care, assisted living, or nursing home care, if you become chronically ill.

Here’s how it works: If you need long-term care, the insurer will pay out a monthly benefit from your policy. This reduces the total amount your beneficiaries receive when you pass away, but it helps cover your care costs while you’re alive.

For example, if your life insurance policy has a $200,000 death benefit and you use $100,000 for long-term care, your beneficiaries will receive the remaining $100,000 when you die. This feature is often called an “accelerated death benefit.”

How Does It Differ from Traditional Long-Term Care Insurance?

Traditional long-term care insurance is a separate policy that only covers care services if you become chronically ill. It usually comes with its own premiums and terms.

A life insurance policy with a long-term care rider offers dual coverage—it combines life insurance and long-term care in one plan. Here’s a quick comparison:

FeatureLTC Rider on Life InsuranceTraditional LTC Insurance
Coverage TypeCombined life and LTCStandalone LTC coverage
PremiumsTypically higher than regular life insurance, but bundledSeparate premiums
Benefit UsePart of death benefit is used for carePays only for LTC expenses
If LTC Not UsedFull death benefit goes to the beneficiariesNo payout if LTC isn’t needed
Medical UnderwritingRequired for bothRequired

While traditional LTC insurance may offer more robust care benefits, many people prefer the flexibility and value of having both coverages in one plan.

Who Should Consider a Life Insurance Policy with LTC Rider?

Adding a long-term care rider may not be right for everyone, but it can be ideal for certain people:

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  • Adults in their 40s to 60s are planning for retirement and healthcare costs
  • People are concerned about the high cost of nursing homes or in-home care
  • Those without family support who may need professional assistance
  • Anyone wanting to cover both death and care expenses in one policy

If you’re in relatively good health and can afford slightly higher premiums, this rider provides extra peace of mind. It’s especially useful if you want to avoid the “use it or lose it” aspect of traditional LTC insurance.

Pros of Adding a Long-Term Care Rider

There are several benefits to adding this rider to your life insurance policy:

  • Dual Coverage: One policy handles both death and long-term care needs.
  • Cost Savings: It may be more affordable than buying separate LTC insurance.
  • Early Access to Funds: You can use the death benefit while you’re alive if you become chronically ill.
  • Peace of Mind: You and your family will have a plan for both care and legacy planning.
  • Simplified Underwriting: In many cases, getting a rider is easier than qualifying for standalone LTC insurance.

It’s an efficient way to make sure your long-term care needs are covered without having to invest in two separate insurance products. 

Pros of Adding a Long-Term Care Rider

Cons or Limitations to Be Aware Of

While the LTC rider can be beneficial, there are a few downsides:

  • Reduced Death Benefit: Using the rider lowers the amount your beneficiaries receive.
  • Higher Premiums: You’ll pay more for life insurance with this rider than for basic coverage.
  • Benefit Caps: There may be monthly or lifetime limits on how much you can use for care.
  • Waiting Periods: Most riders have a waiting period before benefits begin, usually 30 to 90 days.
  • Not Guaranteed to Use: If you never need long-term care, you may have paid extra for a benefit you didn’t use.

Understanding these limitations is essential before adding the rider to your policy.

 

Cost Comparison: With vs. Without LTC Rider

Let’s look at a simple cost example:

  • A 50-year-old healthy non-smoker might pay $75/month for a $250,000 life insurance policy.
  • The same policy with an LTC rider might cost $100/month.

That’s an extra $25/month, or $300 per year, for the added protection. Over 20 years, that’s $6,000—far less than what you’d pay out-of-pocket for even a few months of long-term care.

While exact prices vary based on age, health, and the insurer, most LTC riders are reasonably priced when bundled into a life insurance policy.

How to Choose the Right Policy with an LTC Rider

Choosing the right policy takes some research. Here’s what to look for:

  • Eligibility Requirements: Make sure you qualify based on age and health.
  • Elimination Period: Know how long you have to wait before benefits begin.
  • Monthly Benefit Limits: Understand how much you can receive per month.
  • Total Benefit Cap: Check how much of your death benefit can be used for LTC.
  • Covered Services: Ensure the rider covers the types of care you may need, such as nursing home, assisted living, or home health care.

Speak with an insurance agent or financial advisor to compare policy options and choose one that fits your long-term goals and budget.

Is It Worth It? A Simple Checklist

To help you decide if this rider is right for you, ask yourself:

  • Do I want one plan that handles both life insurance and long-term care?
  • Am I concerned about the cost of future care?
  • Can I afford slightly higher premiums now for more security later?
  • Do I prefer flexibility over comprehensive LTC coverage?
  • Will my family be financially impacted if I need long-term care?

If you answered “yes” to most of these, a life insurance policy with an LTC rider might be a smart choice for you.

Final Thoughts: Should You Get Life Insurance with a Long-Term Care Rider?

Life insurance with a long-term care rider offers a flexible, affordable way to prepare for the unknown. It combines the security of life insurance with the practical support of long-term care benefits, all in one plan.

This option isn’t perfect for everyone—it comes with trade-offs like a reduced death benefit and higher premiums. But for those who want to protect both themselves and their families from unexpected care costs, it’s a valuable addition to any financial plan.

Before making your decision, consider your health, budget, family needs, and future care preferences. Always read the fine print and consult with a trusted insurance expert.

FAQs

Is a long-term care rider better than traditional LTC insurance?

It depends. The LTC rider offers more flexibility and a guaranteed payout, but traditional LTC insurance may provide more robust care benefits.

Does an LTC rider affect my life insurance death benefit?

Yes. The amount used for long-term care is subtracted from your death benefit.

Can I add an LTC rider to an existing policy?

Sometimes. Some insurers allow riders to be added later, but others require you to choose this option when you first buy the policy.

How much does a long-term care rider cost?

Costs vary by age, health, and policy type. Typically, it adds 20–50% to your base premium.

What conditions qualify for long-term care benefits?

Most riders require you to be unable to perform two or more daily living activities (like bathing or dressing) or have a severe cognitive impairment.