Costs of long-term care
- 4 min read

Costs of long-term care

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Long-term care costs can add up, but with a little planning, you can stay ahead of the curve and manage them.

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Intro

Hearing about the high costs of long-term care might make you want to bury your head in the sand, just like our ostrich friend above.

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Ostriches actually don't bury their heads in the sand to avoid problems. If they did, they'd die (which is bad for survival). When a bird puts her head in a hole to turn her eggs, it only looks like her head is buried.

In much the same way, ignoring long-term care costs won’t make them go away. With limited government assistance, many families end up paying out-of-pocket for home care, assisted living, or nursing homes.

You’ve already saved for your home and your kids’ education. Now long-term care?

The good news? You’re already ahead of the game by educating yourself now.

Use the same acronym we use for long-term care (LTC) as a reminder to Learn about options, Talk with family, and Create a plan. Understanding the costs is the first step in all three.

Post jargon

assisted living: a type of residential care that assists with ADLs
home care: LTC provided at home
inflation: the rise in the cost of goods and services
inflation protection: LTCi benefit that adjusts for rising costs
LTC: long-term care
LTCi: long-term care insurance
nursing home: like a hospital, but with fewer doctors and for LTC

➡️ Explore all the LTC jargon

Current costs

As a heads up, you're about to see some big numbers.

The current national averages are:

Costs vary significantly by region, so use this cost calculator to learn about your area's current and estimated future costs.

Screenshot from the cost calculator

Some notes on this calculator:

  • Memory care isn't included, but the annual cost is usually a little less than nursing homes.
  • Costs vary widely from state to state, often due to supply and demand. For example, a private room in a nursing home varies from $71k (Missouri) to $182k (Connecticut).
  • You can adjust the number of in-home care hours at the bottom of the calculator:


Break time

If these numbers feel disheartening, pause for a minute to take a deep breath with Nicolas Cage.


Inflation rates

OK, so you know current LTC costs with a high degree of accuracy. To predict future LTC costs, start with a graph of historical LTC costs.

Over the past two decades, costs across all care settings have increased by an average of 4.5% per year.

However, the most recent 2024 survey reveals a significant jump in the cost of assisted living and nursing home care of roughly 10%.

Increase From 2024 to 2025
Home health aide (in-home LTC) 3%
Assisted living facility 5%
Nursing home (private room) 1%


Wrap up

Long-term care costs are high, but by planning ahead, you can manage them and avoid unwelcome surprises. Just as an ostrich doesn’t really bury its head to avoid a lion, you don’t need to ignore the financial challenges of long-term care. Calculating costs and understanding insurance can help you prepare so that when the time comes, you’ll be ready.

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Explore more: KFF/NY Times (best overview of the problem), Washingon Post (subscription needed)