Long-Term Care Insurance Plans in California

As a resident of California, long-term care (LTC) insurance can assist in making sure you have quality care options as you age. Increasing healthcare expenses make LTC insurance essential. Why? Because it shields savings from the high costs associated with assisted living care, nursing home care, and home-based care services.

Long-term support services are excluded from Medicare and standard health insurance coverage. The rules and expenses set by California play a central role in determining what LTC insurance options are available. As such, consumers need to understand policy specifics before purchasing.

LTC Insurance Eligibility & Requirements in California

While LTC insurance is available at all phases of life, getting coverage early usually results in reduced rates. In California, eligibility Before approving a policy, insurance companies evaluate age, health condition, medical history, and lifestyle choices.

  • Health issues might result in more premiums or, occasionally, policy refusal.
  • Policies provided by the California Partnership for Long-Term Care guard assets provide access to Medi-Cal benefits when needed.


Many find coverage in their 50s or early 60s as rates rise with age. Buying early ensures more coverage and helps preserve affordability.

Cost of LTC Insurance in California

The cost of premiums considers your age alongside your health conditions and the chosen policy coverage options. A 55-year-old single Californian pays around $2,256 per year for a policy. The cost rises as people age and when extra coverage choices are added. Other cost factors include:

  • Daily benefits combined with longer coverage terms result in increased insurance rates.
  • Benefits start after the Elimination Period ends, so it determines the costs that accumulate before benefits commence. Policies usually have higher premiums when elimination durations are shorter.
  • Policies that contain protection against inflation increase their price, yet the protection allows for maintaining adequate coverage when care expenses rise.


A firm grasp of California’s care costs helps one choose suitable coverage. Anticipated yearly expenses in 2025 include:

Private nursing home room: $146,004. Or $123,913 national median cost.

Assisted living facility: $66,000, versus the national average of $68,112.

Home care: $59,488 (44 hours/week). The national median is $68,640.


Working with an LTC specialist and comparing services assist in balancing cost and thorough coverage.

State-Specific LTC Coverage Considerations

California provides consumer safeguards and many long-term care insurance choices. For instance:

California Partnership for Long-Term Care

The state program creates guidelines for policies to receive official certification for Medi-Cal asset protection. The Partnership policy allows Californians to protect their savings from Medi-Cal reductions while continuing Medi-Cal eligibility for added insurance coverage.

Hybrid LTC Policies

A few companies provide hybrid LTC plans, which mix annuities or life insurance with long-term care coverage. Policyholders’ ability to use benefits for care or as a death benefit reflects the flexibility.

Consumer Protections

California has established LTC insurance regulations to control premiums and protect policy clarity. Companies cannot raise prices arbitrarily through state regulations while state agencies monitor insurance policy terms.

Knowing these rights enables Californians to choose policies that align with their long-term care requirements and financial situation.

How to Choose the Right LTC Insurance Policy in California

Choosing the appropriate policy calls for analyzing essential elements:

  • Daily Benefit Amount: Determines the highest daily reimbursement for provided care services.
  • Elimination Period: The length of the elimination period—that is, before benefits start.
  • Inflation Protection: This is protection from inflation, ensuring benefits begin with growing healthcare expenses.
  • CalPERS Long-Term Care Program: Available to qualified members, the CalPERS Long-Term Care Program is optional and offers employee-paid LTC coverage.
  • Medi-Cal: Medi-Cal offers long-term care coverage for people within asset and income restrictions.
  • HICAP (Health Insurance Counseling & Advocacy Program): Offers free LTC insurance guidance,
  • California Department of Insurance (CDI): LTC plans are regulated, and CDI offers customer resources.


Every insurance company provides unique pricing, underwriting standards, and policy conditions. Nationwide, Mutual of Omaha, New York Life, Lincoln Financial, and National Guardian Life (NGL) offer California LTC plans.

Get Expert Guidance on LTC Insurance in California

Getting long-term care requires a financial commitment—Lavine LTC Benefits advices Californians in locating suitable long-term care policies that offer complete coverage at affordable prices.

Our experts assist clients in linking insurance coverage to their monetary targets. Contact Lavine LTC Benefits today to explore suitable long-term care insurance coverage matching your requirements.