I got it a couple years ago - I'm 54 now. It was offered through Prudential with an open enrollment through my employer. Employer does not pay for it but I took advantage of the open enrollment as I don't know that I'd qualify otherwise. It's a decent plan though not over the top - currently about $900 per year. Both DH and I did a lot to help our parents in their later years and since we have no kids there will be none of that if we live to be old. We'll be paying for help. DH's mother was in a nursing home for 11 years after suffering several mini strokes and his grandmother was in for 20 years after suffering a massive stroke. My grandmother was also in for many years. I hope I never end up there but if I do I'd like to somehow be able to pay for it myself and not end up being covered by taxpayers. My FIL paid for MIL - had LTC insurance for the first few years then self funded. I admired their ability to do that and would hope to be able to do the same.

Smart Money magazine published an article several years ago that argued against buying LTC in your 50s or earlier because the standard 5% inflation protection coverage would not keep up with the average 7% increase in nursing home costs. Basically, the earlier you buy the policy, the larger the gap that you will have between what your policy pays out and what the actual costs will be. Here are a couple of quotes from the article: "The 5% inflation adjustment is the industry standard, adopted by the National Association of Insurance Commissioners (NAIC) in the early 1990s. If the insurance industry were to adopt the 7% inflation figure that some predict, 'the cost would be prohibitive', says Tom Foley, an actuary with the North Dakota Insurance Department who chairs the NAIC's long-term care rate stabilization woking group." "The average age at which people buy long-term-care insurance is now about 65, and given the effects of inflation on your coverage, not to mention the uncertainty of health care costs and public policy 20 or 30 years from now, why buy it earlier than that? 'If there's a liklihood you might develop a health problem that makes long-term-care insurance expensive, you might want to buy it sooner', says Chuck Mondin of the United Seniors Health Cooperative, a nonprofit advocacy group. Otherwise, wait."

It is true that most of the LTC policies purchased in the early 1990's were "nursing home only policies." However, since the federal government created standards for LTC insurance, over 95% of the long-term care policies purchased pay benefits for care received at home, as well as assisted living facilities and nursing homes. Depending upon the state in which you live, there are policies that have premiums that are guaranteed to never go up. Many of these policies can also refund your premium if you never need to make a claim. Generally, you should NOT purchase a LTC insurance policy that is linked to "universal life insurance". Those policies can lapse as you age, leaving you with no coverage at all.

Like Jim_1, we evaluated our risk profile for morbidity and decided on buying it. We have the equivalent of "Cadillac" LTCi (I guess that might be Mercedes-Benz or Bentley, these days, lol), purchased through the state pension fund which polices the LTC carriers very strictly. It's costly. But we knew that going in. I'd worked in insurance for almost 20 yrs and still have friends in the industry, including corporate actuaries. I told DH that the original pricing was too low and we should be ready to budget for premium increases in the future. Those increases have happened, and fortunately we're still able to afford the premiums. We have no intention of letting them go. Our morbidity risk is still high. In 2013 we moved my MIL to a wonderful full-care senior facility. She had early dementia but was fine with a regular daily routine. She was a sociable sort but shy about making friends on her own, so the facility was great for her. She was age 85 when she moved in, and sure she was still "too young" for this place. Imagine her shock when she was seated at a dining table with three other residents, and she was the YOUNGEST. One of her new companions was 100 yrs old and had been living in the facility for 30 years! Because MIL needed to have enough $$$ to afford Memory Care as she declined, we were and still are, conversant with what facilities charge for Skilled Nursing and Memory Care in our area. Interestingly, when we were researching facilities for MIL, there was little difference in the Asst. Living monthly rents, although costs for services varied, between the for-profit and non-profit facilities. But when looking into SN and MC units, the difference was substantial, to the tune of more than $3K/monthly. It had nothing to do with the quality of care; the non-profit we selected for MIL was one of the more reasonable ones yet is rated 3rd in the state. In 2015, the cost for SN/MC at this facility was $8500/mo. You need to remember although this cost is inclusive of all medical services, personal items and some extras deemed non-essential are NOT provided by any facility we interviewed. Such items, for increased comfort or emotional support, are the responsibility of the resident or resident's family, so that is an additional cost. It should also be noted that all the facilities we interviewed did not accept Medicaid patients at all as initial residents. All of the non-profits and a couple of the for-profits said their policy was to apply for Medicaid for residents who eventually ran out of funds (helping defray those SN/MC costs is one of the major expenses in a facility's General Budget). Some of the for-profits, however, said if a resident ran out of funds, they were asked to leave. These facilities would contact the state to arrange for a transfer to a Medicaid facility that would accept the resident: no choice of where to go, btw. As pointed out above, if you think there is any risk of needing Medicaid, it would be wise to find out the laws in your state, AND STAY UP TO DATE ON THEM. Medicaid is 50% federally funded and is always dependent upon the goodwill of Congress for its funding. Currently 80% of the U.S. elderly in SN and MC facilities are being funded by Medicaid. HTH.