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Who Is the Largest Insurer of Long-Term Care in the US?

Chris Antrim, CLTC - Boise Health & Life Agency • Apr 05, 2024
Long-Term Care in Idaho

The largest insurer of long-term care in the US is Genworth. They have more than 1.1 million policyholders and hold a prominent 22.09% of the market share. Genworth provides a wide array of services, including memory care, adult day care, and hospice care, among others.


The coverage options and prices vary, with costs mainly influenced by factors such as age, health status, and the selected coverage. When deciding on insurance, it’s essential to take into consideration potential long-term care costs based on your health and family history.


More insight into the roles of other insurers, policy customization benefits, state partnership programs, and the impact of age and health on long-term care insurance await as you explore further.

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Key Takeaways

  • Genworth is the largest provider of long-term care insurance in the US, with a market share of 22.09%.
  • AARP, another key player, exclusively endorses policies through New York Life.
  • Mutual of Omaha is expected to lead in sales of traditional long-term care policies.
  • MetLife and Prudential were once significant providers, but they no longer offer new policies.
  • Nationwide, Northwestern Mutual, and New York Life offer tailored policies with unique benefits and coverage options.


Understanding Long-Term Care Insurance

To fully grasp the concept of long-term care insurance, it’s essential to know its key players, their offerings, and how they shape the market. Genworth is the largest provider of long-term care insurance, covering over 1.1 million policyholders. They hold the largest market share, an impressive 22.09%.


AARP, another influential player, endorses long-term care insurance policies but does so exclusively through New York Life Insurance Company. If you’re considering an AARP-endorsed policy, you’ll have to go through a New York Life agent.


In 2018, Mutual of Omaha was expected to sell the most traditional long-term care policies, although you can’t buy directly from them. You’ll need to consult with a specialist to acquire one of their policies.


MetLife and Prudential, once leaders in the long-term care market, no longer offer new policies to individuals. Despite this, they remain influential in the industry.


The Role of Mutual of Omaha

While Genworth may dominate the market, you shouldn’t overlook the role of Mutual of Omaha in the long-term care insurance landscape. As a key player, Mutual of Omaha is anticipated to sell the most traditional long-term care policies this year. However, the process isn’t as straightforward as clicking a button online.


You’ll need specialist consultation to purchase these LTC policies. This is where the Association comes into play. You can contact them at 818-597-3227 for detailed information about Mutual of Omaha’s coverage options. They’re experts in their field and will clarify any confusion you may have.


Isn’t it great to know you can make an informed decision about your long-term care? But there’s more. If you’re really interested in Mutual of Omaha’s offerings, you have the option to fill out a ’REQUEST A QUOTE FORM'. It’s an easy way to get a more personalized understanding of what you’re signing up for.


Policy Customization and Benefits

You’ve got the power to tailor your long-term care insurance policy to your specific needs and preferences with options like inflation protection, shared care for spouses, and return of premium add-ons offered by Mutual of Omaha. This is a great example of insurance customization, allowing you to have peace of mind knowing your policy fits your lifestyle and future plans.


  • Inflation protection: This helps your benefits keep pace with the rising cost of care.
  • Shared care: Allows spouses or partners to share benefits, maximizing their coverage.
  • Return of premium: If your policy goes unused, you can receive a refund of your premium payments.


Nationwide provides different policy types, including guaranteed benefits and universal life insurance with a long-term care rider. This gives you more life insurance options to choose from.


Northwestern Mutual offers discounts based on payment methods, and for those with a partner, there’s an additional 15% discount. This can lead to significant savings, especially with age and health discounts.


New York Life caters to seniors, offering traditional policies and life insurance with long-term care options. This ensures that regardless of your age, you have options for your long-term care coverage.


Cost Factors of Long-Term Care Insurance

Navigating the cost of long-term care insurance can be complex, as it hinges on factors like your age, health status, selected coverage and benefits, gender, and even the insurance company you choose. For instance, your age is a key cost factor; the older you are, the higher your premiums may be due to increased long-term care costs. Similarly, your health status can impact your premiums. Maintaining good health could lead to lower premiums.


Your gender also plays a role. Women usually pay higher premiums due to longer life expectancies and a higher likelihood of needing care. The level of coverage and benefits that you select will affect your insurance costs too; more comprehensive policies generally cost more.


Finally, the insurance company you select can influence your costs. Different insurers offer varying rates and might provide discounts. Here’s a brief summary:

Factors Impact on Cost
Age & Health Higher age and poor health status lead to higher premiums
Gender Women pay more due to longer life expectancies
Insurance Company Choice of insurer can affect costs and potential discounts

LTC Insurance: Coverage and Limitations

Now that you’re familiar with the cost factors, let’s move on to understand the coverage and limitations of long-term care insurance, starting with Genworth, the largest insurer of such care in the US.



Long-term care insurance generally covers services like nursing home stays, assisted living facilities, and home health aides. However, it’s important to understand the limitations of coverage. Most policies have exclusions for certain conditions or treatments.


For instance, Genworth’s policy mightn’t cover:

  • Pre-existing conditions
  • Mental illness treatments
  • Care received in foreign countries


Genworth does, however, cover a broad range of services such as memory-care, adult day care, and hospice care. It also provides various nursing services. Yet, the specifics can vary by policy, so reviewing coverage details is crucial.


Comparing Top LTC Insurance Providers

When it comes to choosing a long-term care insurance provider, it’s key to compare the top contenders in the industry: Genworth, John Hancock, MetLife, Continental Casualty, and Northwestern Mutual. These five players dominate the market, but their offerings and reach vary significantly.


Here’s a handy comparison to guide you:

Provider Policyholders Market Share
Genworth 1,167,238 22.09%
John Hancock 893,317 16.90%
MetLife 448,748 8.49%
Continental Casualty 413,485 7.83%
Northwestern Mutual 260,077 4.92%

Genworth, as the largest insurer, leads the pack with over a million policyholders and a market share of 22.09%. John Hancock trails closely behind, with almost 900,000 policyholders and a 16.90% market share. MetLife and Continental Casualty follow, with 8.49% and 7.83% shares respectively. Northwestern Mutual, while not as large as its competitors, still holds a significant 4.92% of the market.


While numbers are crucial in this comparison, remember that the best provider for you depends on personal factors like your budget, health status, and long-term care needs. So, take your time and choose wisely.


Alternatives to Long-Term Care Insurance

While comparing insurance providers is important, you may also want to consider alternatives to traditional long-term care insurance. These alternative options can help you cover care costs without necessarily relying on a specific long-term care policy.


Here are a few alternatives you can explore:

  • Annuities: These financial products can provide a steady stream of income, which can be used to cover care costs.
  • Life insurance with a long-term care rider: This combines life insurance with long-term care coverage. If you need care, you can tap into the policy’s death benefit while you’re still alive.
  • Health Savings Accounts (HSAs): These accounts allow you to set aside money for healthcare expenses, including long-term care, tax-free.


Other self-funding options include personal savings and investments, which give you the flexibility to manage your funds as you see fit. Medicaid, a government program, can also provide long-term care coverage if your income and assets are limited. Remember, each alternative has its pros and cons, so it’s crucial to consider your personal circumstances and seek professional advice when deciding the best way to fund your long-term care.


State Partnership Programs for LTC

You might find it surprising that State Partnership Programs for LTC, a joint effort between individual states and private insurance companies, offer a unique way to secure long-term care coverage. These programs provide an innovative solution to long-term care planning by offering asset protection to policyholders. This means you can access Medicaid benefits without having to spend all your assets first.


Here’s how it works. Once you’ve exhausted your LTC coverage, you can qualify for Medicaid while still retaining a portion of your assets. This unique setup offers you a sense of financial security and peace of mind when planning for long-term care.


State Partnership Programs aim to reduce reliance on Medicaid for long-term care costs. By encouraging individuals to secure private LTC coverage, these programs help lessen the financial burden on state Medicaid programs.


The collaboration between states and private insurers in developing these programs underscores the shared responsibility in ensuring accessible and affordable long-term care. So, by participating in a State Partnership Program, you’re not only planning for your future care needs but also contributing to a sustainable long-term care system.


Deciding the Need for LTC Insurance

Navigating the complexities of long-term care insurance, such as the largest insurer in the US, Genworth Long-Term Care Insurance, involves a careful assessment of your potential care costs, health, family history, and overall financial situation.


It’s vital to understand that deciding the need for this type of insurance isn’t a one-size-fits-all solution. It’s a personal decision that hinges on various key factors:


  • Assessing potential costs of long-term care based on current health and family history
  • A comprehensive review of your financial situation to protect assets
  • Understanding the benefits, coverage options, and costs of various insurance plans


Long-term care insurance can provide financial security, ensuring you’re covered for future care needs. It’s about peace of mind, knowing that you won’t be a financial burden to your loved ones. But remember, you’re balancing the costs of premiums now against the potential benefits later.


The Impact of Age and Health on LTC

Because age and health significantly impact your long-term care insurance costs, it’s crucial to understand how these factors play into your eligibility and eventual premiums. As you age, insurers see an increased perceived risk, which leads to higher premiums. If you have pre-existing health conditions, you might face higher insurance costs or even denial of coverage.


Your health status plays a pivotal role in determining your LTC insurance costs. Insurers typically offer better rates to healthier individuals due to the lower risk they pose.


To illustrate the impact of age and health on LTC costs, consider the following table:

Age Health Status Premiums
Younger Good Lower
Younger Poor Higher
Older Good Higher
Older Poor Highest
Age/Health Mixed Varies

Your age and health status might also affect your eligibility for specific policy options. It’s essential to discuss these factors with your insurer to make sure you get the most out of your long-term care insurance. Remember, understanding these aspects can help you plan better for your future care needs.


Conclusion

In conclusion, Mutual of Omaha is the largest insurer of long-term care in the US, offering customizable policies and benefits.

Costs, coverage, and limitations vary, with alternatives like state partnership programs available. Your age and health significantly impact the necessity and cost of long-term care insurance. It’s vital to weigh all factors and options to make an informed decision about your long-term care needs. Make an informed decision about your long-term care insurance in State of Idaho, feel free to contact us Chris Antrim Insurance.

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