Long Term Care Insurance

Long term care insurance covers expenses and services not covered by health insurance, Medicare, or Medicaid. Speak with one of our specialists about your options today.

 HEALTH COVERAGE · UPSTATE SC

Long Term Care Insurance in Greenville, SC

Medicare and health insurance cover medical treatment — not the ongoing cost of daily care. Long term care insurance protects your savings, your family, and your independence when the time comes.

Large
CARRIER PARTNER NETWORK

70%
WILL NEED LTC AFTER 65

Local
GREENVILLE-BASED AGENT

Fast
NO-OBLIGATION QUOTES

LICENSED IN SOUTH CAROLINA · NORTH CAROLINA · GEORGIA

Our Specialists Hold

CLU Chartered Life Underwriter

ChFC Chartered Financial Consultant

Advanced credentials in life & financial planning

what is iT?

What Long Term Care Insurance Is — and Why Medicare Isn't Enough

Long term care insurance (LTCI) is a policy designed to cover the cost of ongoing care services for individuals who can no longer perform the basic activities of daily living (ADLs) independently — not because they are acutely ill, but because aging, injury, or cognitive decline has affected their ability to function without assistance.


This is a critical distinction: standard health insurance and Medicare cover medical treatment and short-term skilled nursing care. They do not cover the extended, ongoing cost of home care aides, assisted living facilities, memory care units, or nursing home residency — which can run thousands of dollars per month and last for years.


Without long term care insurance, these costs are paid out of pocket — often draining retirement savings and placing a significant financial and emotional burden on family members. For Upstate SC families planning for the future, LTCI is one of the most important and frequently underestimated components of a complete financial protection strategy.

Activities of Daily Living (ADLs)

LTC benefits typically trigger when a person cannot perform 2 or more of the following:

Bathing

Ability to wash oneself without assistance


Dressing

Ability to put on and remove clothing independently


Eating

Ability to feed oneself without help


Transferring

Moving in and out of bed or a chair


Toileting

Moving in and out of bed or a chair


Continence

Ability to control bladder and bowel function

What Your Policy Covers

A standard HO3 provides open-perils protection for your dwelling and named-perils coverage for personal property. Here's what that means for Upstate SC homeowners.

Most Preferred

Home Care

Covers the cost of visiting or live-in caregivers, home health aides, companion services, and private duty nurses — allowing individuals to receive care in their own home. If home care is included in your policy, benefits often begin from the first day of need, up to seven days a week.

Residential

Assisted Living Facilities

Covers residency in assisted living facilities — residential communities that provide personal care, meals, housekeeping, and support services while allowing more independence than a nursing home. A preferred option for many Upstate SC families planning ahead.

Skilled Care

Nursing Home Care

Covers extended residency in a skilled nursing facility for individuals who require around-the-clock medical supervision and personal care beyond what can be provided at home or in an assisted living setting.

Memory Care

Alzheimer's & Dementia Facilities

Covers care in specialized memory care facilities designed for individuals with Alzheimer's disease, dementia, and other cognitive conditions requiring structured, secured environments and specialized staff.

Community

Adult Day Care

Covers structured daytime programs at adult day care centers that provide social activities, meals, health monitoring, and supervised care — an option that allows family caregivers to maintain work and personal responsibilities.

End-of-Life

Hospice & Respite Care

Many LTC policies also cover hospice care for end-of-life comfort and respite care — temporary relief care that gives primary family caregivers a break from the demands of ongoing caregiving responsibilities.

What Medicare Covers — and What It Doesn't

The most common misconception in long term care planning is that Medicare will cover extended care costs. Understanding what Medicare actually provides helps illustrate why LTCI matters.

Care Type Medicare Medicaid LTC Insurance
Short-term skilled nursing (post-hospitalization) Limited Limited ✓ Covered
Extended nursing home care ✗ Not covered Income/asset limits apply ✓ Covered
Assisted living facility ✗ Not covered Generally excluded ✓ Covered
Home care aide / in-home caregiver ✗ Not covered Limited programs only ✓ Covered
Memory care / Alzheimer's facility ✗ Not covered Income/asset limits apply ✓ Covered
Adult day care programs ✗ Not covered Limited programs only ✓ Covered
Choice of care setting ✗ No flexibility ✗ Limited options ✓ Full flexibility

⚠ Medicare and Medicaid coverage rules are complex and subject to change. This table reflects general coverage principles — consult with an agent for specifics applicable to your situation.

Types of Long Term Care Coverage

LTC coverage has evolved significantly — today there are several product structures to consider depending on your age, health, budget, and planning goals.

Traditional LTC Insurance

Standalone Policy

A dedicated long term care insurance policy with a monthly benefit amount, benefit period, elimination period (waiting period), and inflation protection options. Premiums are paid annually or monthly. If you never use the benefits, premiums are not returned — similar to other insurance products.

Hybrid / Linked-Benefit Policies

Life Insurance + LTC

Combines a life insurance or annuity policy with a long term care rider. If you need LTC, the policy pays benefits. If you don't, the death benefit passes to your heirs. Addresses the "use it or lose it" concern of traditional LTC policies and has grown significantly in popularity.

Short-Term Care Insurance

Bridge Coverage

A more affordable option covering care needs for up to one year. Useful as a bridge before Medicare kicks in or as a supplement for those who don't qualify for traditional LTC policies. Often available with less stringent underwriting requirements for older applicants.

Who Should Consider Long Term Care Insurance

The best time to purchase LTC insurance is before you need it — when you're younger, healthier, and premiums are more affordable.

Adults in Their 50s

The optimal window for purchasing LTCI. Premiums are significantly lower and health underwriting is easier to pass. Waiting until your 60s or 70s substantially increases cost and reduces options.

Those with Family Caregivers

If you'd prefer not to place the burden of your care on adult children or family members, LTC insurance funds professional care — preserving family relationships and your loved ones' time.

Retirement Savers

Extended care costs can deplete retirement savings rapidly. LTC insurance protects the assets you've spent decades building — keeping your estate intact for your spouse or heirs.

Homeowners Planning Ahead

Many people assume they'll sell their home to fund care if needed. LTC insurance removes that dependency — preserving the option to stay in your home with in-home care or pass the home to your family.

Family Health History Concerns

If your family has a history of Alzheimer's, stroke, or conditions requiring long term care, LTCI takes on added importance — and it's critical to purchase before any diagnosis that could affect eligibility.

Why Upstate SC Families Choose Priority Insurance for LTC Planning

Our specialists hold the CLU and ChFC designations — advanced credentials that bring a higher level of expertise to one of the most important financial decisions you'll make.

CLU & ChFC Credentialed Specialists

Our agents hold the Chartered Life Underwriter (CLU) and Chartered Financial Consultant (ChFC) designations — the industry's most respected credentials in life insurance and financial planning. Long term care planning deserves this level of expertise.

Independent Carrier Access

We compare traditional LTC policies and hybrid life/LTC products across our carrier network to find the right structure for your age, health profile, and financial goals.

Traditional vs. Hybrid Guidance

The shift toward hybrid linked-benefit policies has changed the LTC market significantly. We explain both options clearly so you can choose the structure that makes the most sense for your situation.

Inflation Protection Analysis

Care costs rise over time — sometimes significantly. We help you understand inflation protection options and how they affect both your premiums and the long-term value of your benefit.

Tax Advantage Guidance

Premiums on qualified LTC policies may be partially tax deductible depending on your age and income. Business owners may have additional deduction opportunities. We connect you with the right information to discuss with your tax advisor.

Family-Centered Conversations

We understand that LTC planning often involves conversations between spouses, adult children, and aging parents. We're available to participate in those conversations and help families make informed decisions together.

Licensed in SC, NC & GA

Serving individuals and families throughout South Carolina, North Carolina, and Georgia from our Greenville office at 140 Milestone Way.

Long Term Care Insurance Questions Answered

  • What are the CLU and ChFC designations and why do they matter for long term care planning?

    The CLU (Chartered Life Underwriter) and ChFC (Chartered Financial Consultant) are two of the most respected advanced designations in the insurance and financial planning industry, both awarded by The American College of Financial Services.


    • CLU — Chartered Life Underwriter: The oldest and most recognized designation in life insurance, the CLU requires rigorous coursework in life insurance, estate planning, business insurance, and risk management. It signifies deep expertise in the products that protect individuals and families at every stage of life.


    • ChFC — Chartered Financial Consultant: A comprehensive financial planning designation covering income taxation, retirement planning, estate planning, investments, and insurance. The ChFC goes beyond product knowledge to encompass the broader financial picture — critical for long term care decisions that intersect with retirement assets, tax strategy, and family legacy planning.


    For long term care planning specifically, these credentials mean your Priority Insurance agent brings a level of knowledge that goes well beyond policy features and premium quotes. We understand how LTC insurance fits into your overall retirement plan, how it interacts with your tax situation, and how it affects your estate — not just which policy has the lowest price.

  • Won't Medicare cover my long term care costs?

    Medicare provides very limited coverage for skilled nursing care — and only under specific conditions following a qualifying hospital stay, and only for a limited number of days. It does not cover extended nursing home stays, assisted living facilities, in-home caregivers for ongoing personal care, or memory care facilities. This is the most common and most costly misconception in retirement planning. Long term care insurance exists specifically to cover what Medicare does not.

  • When is the best time to purchase long term care insurance?

    The earlier, the better — ideally in your mid-to-late 50s. Premiums are meaningfully lower when you're younger and in good health, and you're more likely to qualify without exclusions. Once health conditions develop that are associated with care needs — such as a heart condition, diabetes complications, or early cognitive concerns — qualifying for LTC insurance becomes more difficult or more expensive. The ideal window is before you think you need it.

  • What is the difference between a traditional LTC policy and a hybrid policy?

    A traditional LTC policy is a standalone insurance product — you pay premiums, and if you need care, the policy pays benefits. If you don't use the benefits, the premiums are not returned. A hybrid (linked-benefit) policy combines long term care coverage with a life insurance or annuity product. If you need LTC, the policy pays care benefits. If you don't, your beneficiaries receive a death benefit. Hybrid policies address the "use it or lose it" concern and have become the more popular option for many buyers. Both have advantages depending on your specific situation — our agents walk through the tradeoffs clearly.

  • Are long term care insurance premiums tax deductible?

    Premiums paid on qualified long term care insurance policies may be partially deductible as a medical expense, subject to age-based limits set by the IRS and the standard itemized deduction thresholds. Benefits received from a qualified LTC policy are generally excluded from taxable income. Business owners — particularly sole proprietors and S-corporation shareholders — may have additional deduction opportunities. We recommend discussing the specific tax implications with your tax advisor, and we're happy to provide policy documentation to support that conversation.

  • What is the elimination period and how does it work?

    The elimination period is the waiting period between when you qualify for benefits and when the policy begins paying — similar to a deductible measured in time rather than dollars. Common elimination periods are 30, 60, or 90 days, during which you pay for care costs out of pocket. A longer elimination period generally lowers your premium. Choosing the right elimination period depends on how much out-of-pocket reserve you're comfortable holding — something our agents help you evaluate.

  • What happens if my LTC insurance premiums increase?

    Traditional LTC insurance premiums are not guaranteed level for life — carriers have historically requested rate increases from state insurance regulators when claims experience has exceeded projections. This is a known characteristic of the traditional LTC market and one reason hybrid linked-benefit policies have grown in popularity, as many offer level or single-premium structures. When comparing policies, we discuss the carrier's historical rate increase experience and the options available if a future increase occurs, including benefit reduction alternatives.

Plan for the Care You Deserve — Before You Need It

Our Greenville agent will help you compare LTC options and find the right coverage for your age, health, and retirement goals. Fast, no-obligation quote.

Or call us at (864) 297-9744 · 140 Milestone Way Suite A, Greenville, SC 29615