What Is Qualified Long-Term Care Insurance?

Whether a long-term care insurance plan is "qualified" refers only to its tax treatment. Beginning in 1997, Congress created a way to grant tax-favored status to premiums and benefits covered under long-term care policies.

  1. History

    • Any long-term care policy bought before 1997 that met state standards was extended tax-qualified status. Policies bought after Jan. 1, 1997, had to meet federal guidelines to be tax-qualified.

    Care Requirements

    • Qualified long-term care plans require that you need care for at least 90 days, and you must meet at least one of two requirements: be unable to perform at least two of the six activities of daily living covered in the legislation and/or need substantial assistance because of cognitive disabilities. In either case, a doctor must provide the care plan.

    Advantages

    • Qualified plan premiums can be included as an itemized tax deduction, and benefits will not be taxed.

    Disadvantages

    • The time constraint, as well as the lack of a medical necessity trigger eliminate rehabilitative care -- after surgery or an accident, for example -- as a benefit in qualified long-term care policies.

    Cost

    • Qualified plans typically carry lower premiums than non-qualified policies, based on comparable daily benefits.

    Buying Tip

    • Many companies have discontinued offering non-qualified plans. Before buying, specify which type of plan you prefer.

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