Skip to Content

50 Must-Know Statistics About Long-Term Care

The skinny on usage, cost, insurance, caregivers, and more.

Figuring out your financial plan for long-term care is a little like trying to keep your footing on a trampoline that someone else is jumping on. Try as you might to stand up, the ground keeps shifting beneath you.

There's little dispute that the need for long-term care is on the rise with an aging population: The percentage of 65-year-olds who either spent at least one night in a nursing home or needed in-home health care over the previous two years jumped by 40% and 50%, respectively, between 2000 and 2010. And the costs can be staggering--in expensive geographies, the annual outlay for care in a long-term-care facility can exceed six figures.

But while the likelihood that an older adult will need some type of long-term care is increasing, recent data show that the average length of stay is shorter than previous research had indicated--less than a year for men and roughly 1.4 years for women.

At the same time, long-term-care insurance premiums continue to rise at a much higher rate than inflation: A new policy for a 55-year-old in 2015 was 9% more costly than one purchased in 2014, according to the American Association for Long-Term Care Insurance. Existing policyholders have also had to contend with staggering premium hikes (or accept cutbacks in coverage). Many insurers have gotten out of the long-term-care business altogether, as declining interest rates, ultralow lapse rates, and higher-than-expected claims have curbed the profitability of long-term-care policies.

Ultimately, the decision about whether to purchase long-term-care insurance is a highly personal one, dependent on an individual's or couple's asset level and desire to leave a bequest, health history, and the peace of mind derived from having the coverage, among other factors.

To help aid in your decision-making, I've culled a number of statistics on long-term care: usage, costs, caregivers, insurance, and the role of government programs in paying for long-term care. Each statistic includes a link to its source material, and all of the facts and figures are based on U.S. data. I aimed to use the most current information possible, taken from objective sources. (A healthy dose of skepticism is helpful when researching long-term care; the insurance industry produces a lot of data geared toward spooking everyone into buying a policy.)

Usage 8 million: Number of U.S. citizens experiencing difficulty with self-care/activities of daily living, 2011.

13 million: Number of adults who experience difficulty living independently, 2011.

44%: Percentage of men who will need long-term care during their lifetimes.

58%: Percentage of women who will need long-term care during their lifetimes.

8.5%: Percentage of individuals 65 years and older who said they spent at least one night in a nursing home in the past two years, 2010.

40%: Increase from 2000 to 2010 in the percentage of people 65 and older who said they spent at least one night in a nursing home in the past two years.

13.9%: Percentage of individuals 65 and over who said they used some kind of professional home health-care service in the previous two years, 2010.

50%: Increase from 2000 to 2010 in the percentage of people 65 and older who said they used some kind of professional home health-care service in the previous two years.

0.88 years: Average duration of nursing-home stay for men.

1.44 years: Average duration of nursing-home stay for women.

22%: Probability of needing more than one year in a nursing home, men.

36%: Probability of needing more than one year in a nursing home, women. 2%: Probability of needing more than five years in a nursing home, men.

7%: Probability of needing more than five years in a nursing home, women.

14%: Percentage of population age 71 or older who have dementia.

40%: Expected increase between 2015 and 2025 in number of people age 65 and older who have dementia.

64%: Percentage of nursing-home residents who have been diagnosed with Alzheimer's or some form of dementia. Cost of Care $17,904: Average annual cost for adult day care (five days/week), 2015.

$43,200: Average annual cost for assisted living facility, 2015.

$80,300: Average annual nursing-home cost, semi-private room, 2015.

$91,250: Average annual nursing-home cost, private room, 2015.

$182,500: Average annual nursing-home cost, private room, Manhattan, 2015.

$55,115: Average annual nursing-home cost, private room, Monroe, Louisiana, 2015.

4%: Five-year annual inflation rate in nursing-home costs, private or semiprivate room, 2015.

22%: Percentage of long-term-care costs that are paid out of pocket.

13.2%: Percentage of people who receive professional home health care who have long-term-care insurance coverage, 2010.

$5,518: Median total household wealth for people who have lived in a nursing home for six months or more.

$0: Median housing and transportation wealth for people who have lived in a nursing home for six months or more.

Caregivers 43.5 million: Number of adult family caregivers who provide care for someone older than 50 years of age.

14.9 million: Number of adult caregivers who provide care for someone who has Alzheimer's disease or other dementia.

$450 billion: Estimated value of care delivered by unpaid caregivers, 2009.

66%: Percentage of caregivers who are female.

48: Average caregiver age.

70%: The percentage of caregivers who suffered work-related difficulties due to their caregiving-rules.

State and Federal Funding 51%: Percentage of long-term-care services that are paid by Medicaid.

28%: Percentage of Medicaid funding that went to pay long-term-care costs in 2013.

29.5%: Percentage of nursing-home entrants who were covered by Medicaid upon entry, 2010.

47.2%: Percentage of people who spent more than six months in a nursing home who were covered by Medicaid, 2010.

$119,220: Maximum amount of assets that a healthy spouse can retain for the other spouse to be eligible for long-term-care benefits provided by Medicaid, 2015. (Actual amounts vary by state.)

100: Days of care in a skilled nursing facility ("rehab") covered in full or in part by Medicare following a qualifying hospital stay. Insurance 8%: Percentage of all long-term care delivered in the U.S. that is covered by long-term insurance.

13%: Percentage of single individuals over 65 with long-term-care insurance.

$7.8 billion: Amount of long-term-care claims paid out in 2014.

71%: Increase in short-term-care insurance sales in the first six months of 2015 relative to the first six months of 2014. (Short-term-care insurance policies cover periods of one year or less.)

17%: Percentage of applicants ages 50-59 denied long-term-care coverage due to health issues.

45%: Percentage of applicants ages 70-79 denied long-term-care insurance due to health issues.

$2,170: Annual premium for a long-term-care policy for a married couple, both age 60, providing a total of $328,000 of long-term-care insurance coverage.

$3,930: Annual premium that the same 60-year-old couple would pay for a policy that includes an inflation-growth option and builds their benefit pool to a combined $730,000 at age 85.

8.6%: Percentage increase in cost of new long-term-care insurance policies between 2014 and 2015.

33.4%: Percentage rate increase requested by John Hancock Life Insurance in 2015 for long-term policies sold in Connecticut between 1991 and 2010. (Rate increases requested--and, in some cases, approved by regulators--in other states and from other insurers have ranged from 15% to 60%.)

More in Portfolios

About the Author

Christine Benz

Director
More from Author

Christine Benz is director of personal finance and retirement planning for Morningstar, Inc. In that role, she focuses on retirement and portfolio planning for individual investors. She also co-hosts a podcast for Morningstar, The Long View, which features in-depth interviews with thought leaders in investing and personal finance.

Benz joined Morningstar in 1993. Before assuming her current role she served as a mutual fund analyst and headed up Morningstar’s team of fund researchers in the U.S. She also served as editor of Morningstar Mutual Funds and Morningstar FundInvestor.

She is a frequent public speaker and is widely quoted in the media, including The New York Times, The Wall Street Journal, Barron’s, CNBC, and PBS. In 2020, Barron’s named her to its inaugural list of the 100 most influential women in finance; she appeared on the 2021 list as well. In 2021, Barron’s named her as one of the 10 most influential women in wealth management.

She holds a bachelor’s degree in political science and Russian language from the University of Illinois at Urbana-Champaign.

Sponsor Center