Independent Insurance Agency — North Carolina

North Carolina Long Term Care Insurance

Roughly half of people turning 65 will need some form of paid long-term care in their lifetime — and NC's Long-Term Care Partnership Program can protect your assets dollar-for-dollar if you ever need Medicaid after your policy is exhausted. ALLCHOICE Insurance compares multiple top-rated carriers to build the right plan.

What it is

What Is Long Term Care Insurance?

Long term care insurance covers costs that traditional health insurance and Medicare don't — nursing home care, assisted living, and in-home care for people who need help with daily activities due to a chronic condition or cognitive impairment.

As an independent agency, ALLCHOICE Insurance compares long term care coverage across multiple top-rated carriers, including NC Partnership-qualified policies that add real Medicaid asset protection to your long-term care planning.

NC Partnership Program

The North Carolina Long-Term Care Partnership Program

Effective since March 2011, this program links a qualifying LTC policy directly to Medicaid — giving you real asset protection if your private coverage is ever exhausted:

How the NC Partnership Program Works Medicaid asset protection
Dollar-for-dollar
Benefits paid under a Partnership policy are disregarded dollar-for-dollar when NC Medicaid tests assets and pursues estate recovery
$2,000
2026 federal SSI asset limit a single applicant must generally meet for NC Medicaid long-term care eligibility, absent Partnership protection
Tax-qualified required
A Partnership policy must be tax-qualified and meet specific consumer protection requirements set by NC law
Inflation protection by age
Required for applicants under 61; some level required 61-75; optional at 76+

A $300,000 Partnership-qualified policy, for example, protects an additional $300,000 of your assets beyond standard Medicaid limits if you eventually need Medicaid after your policy benefits are used. Buying a Partnership policy does not automatically qualify you for Medicaid — it only protects assets if and when you need to apply.

Coverage types

What Types of Long Term Care Insurance Are Available?

Nursing Home Care

Covers the cost of residing in a licensed nursing facility, one of the highest-cost forms of long-term care.

Core coverage

Assisted Living Coverage

Covers residential care communities that provide help with daily activities while allowing more independence than a nursing home.

Core coverage

Home Health Care

Covers professional caregiving services in your own home — often the preferred option for people who want to age in place.

Core coverage

Traditional Standalone LTC

A dedicated LTC policy with no life insurance or annuity component — pure long-term care benefit, with no payout if care is never needed.

Standalone option

Hybrid Life/LTC Insurance

Combines life insurance with an LTC rider — if care is never needed, the death benefit passes to beneficiaries instead.

Hybrid option

LTC Annuity

Links annuity growth to an available long-term care benefit pool, often with simplified underwriting compared to traditional LTC insurance.

Hybrid option

What you'll pay

What Does Long Term Care Insurance Cost?

Cost depends heavily on your age and health at the time of purchase — buying earlier, while healthier, generally locks in a lower premium.

Cost rises with age
Buy earlier
for lower premiums
NC home care
$68,640
/year CareScout 2025 median
Partnership policy
Similar cost
to non-Partnership LTC
Hybrid policies
Higher upfront
but guaranteed value
Your age at purchase — the single biggest factor; costs rise substantially the longer you wait, and health issues can affect eligibility entirely
Your health at underwriting — LTC insurance requires medical underwriting, and existing conditions can affect eligibility and pricing
Your daily/monthly benefit amount — higher benefit amounts and longer benefit periods raise premium
Your inflation protection election — required for Partnership qualification if you're under 61, and adds meaningful long-term value
Couples/shared care discounts — some carriers offer discounts for couples or shared-care benefit pools

Exclusions

What's NOT Covered by Long Term Care Insurance?

  • Care below the elimination period — most policies require an initial waiting period of self-funded care before benefits begin
  • Non-Partnership benefit gaps — a non-Partnership policy provides no Medicaid asset protection once benefits are exhausted
  • Care from family members in some policies — certain policies limit or exclude benefits for care provided by family, though this varies by carrier
  • Care exceeding daily/monthly limits — costs above your policy's daily or monthly benefit maximum come out of pocket
  • Lifetime maximum exhaustion — even lifetime benefit policies typically have an overall dollar cap that can eventually be reached

Why independent

Why Work With an Independent Agent for Long Term Care Insurance?

Long term care planning involves real tradeoffs between traditional, hybrid, and Partnership-qualified policies. ALLCHOICE Insurance compares carriers to structure the right combination of protection and value for your situation.

Multiple carriers compared

We compare LTC coverage across multiple top-rated carriers — including NC Partnership-qualified options.

Partnership qualification guidance

We help you understand exactly what inflation protection and consumer protection requirements apply to your age group.

Traditional vs. hybrid analysis

We help weigh a standalone LTC policy against a hybrid life/LTC or annuity/LTC product based on your goals.

Local advocacy for your family

If long-term care is ever needed, your ALLCHOICE advisor works on your family's behalf through the process.

Greensboro Winston-Salem Clemmons Hendersonville Asheville Wilmington Denton
IIANC Agent of the Year 2022
IIANC Chairman's Citation 2023

FAQ

Common Long Term Care Insurance Questions

People also ask

People Also Ask — NC Long Term Care Insurance

At what age should I buy long term care insurance?

Many financial professionals suggest considering LTC insurance in your 50s or early 60s, since premiums rise with age and health issues can affect eligibility entirely if you wait too long.

Does Medicare cover long-term care?

Only in limited circumstances. Medicare covers skilled nursing facility care for a limited time under specific conditions following a qualifying hospital stay, but it does not cover ongoing custodial care like help with daily activities, which is what most long-term care actually involves.

Can I move out of North Carolina and keep my Partnership policy's protections?

It depends on the destination state. A Partnership policy may lose its Partnership status if you move to a state that doesn't recognize North Carolina's Long-Term Care Partnership Program — worth confirming before an interstate move if this protection matters to your planning.

Is long-term care insurance worth it if I already have significant savings?

It depends on your goals. Some people with significant assets self-insure the risk; others prefer to protect those assets from a potentially six-figure care expense using insurance, particularly if they want to preserve an inheritance or avoid a Medicaid spend-down entirely.

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