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CGCommon Ground Insurance and Consulting

Compare Your Options

Understanding the differences between long-term care solutions helps you make the best decision for your family's future.
FeatureTraditional LTC InsuranceHybrid LTC AnnuitySelf-Insurance
Premium StructureUse It or Lose ItSingle Premium (or a few years)None
Benefits ProvidedLTC OnlyLTC + Contract Value + Death BenefitPersonal Assets Only
FlexibilityLimitedHighComplete
Medicaid InteractionPartnership-qualified policies may allow an asset disregardGenerally not Partnership-qualifiedMust spend down first
Tax TreatmentPremiums may be partly deductibleTax-deferred growth; qualified LTC benefits generally received income-tax-free under federal law. Consult your tax advisor.None
LegacyNoneDeath benefit or remaining value (per contract)Depends on care costs

Detailed Analysis

Traditional LTC Insurance

Advantages

  • Lower initial cost
  • Comprehensive coverage
  • Inflation protection

Disadvantages

  • Premium increases possible
  • Use it or lose it
  • Stricter underwriting

Hybrid LTC Annuity

Advantages

  • Benefit pool may exceed premium
  • Multiple benefits
  • No future premiums on single-premium designs

Disadvantages

  • Higher upfront cost
  • Complexity
  • Surrender charges

Self-Insurance

Advantages

  • No premiums
  • Complete control
  • Keep your savings if care is never needed

Disadvantages

  • Unlimited risk
  • No leverage
  • Medicaid spend-down

Why Many Texans Consider Hybrid LTC Annuities

Hybrid solutions combine features of several approaches, with their own trade-offs.

🛡️ Care Benefits

Benefit pool for qualified care, often larger than the premium (see illustration)

Multiple Benefits

LTC coverage, contract value, and death benefit

Tax Treatment

Tax-deferred growth; qualified LTC benefits generally received income-tax-free under federal law. Consult your tax advisor.

Legacy

Remaining value may pass to your family, per contract

Ready to Compare Your Personal Options?

Get a personalized comparison based on your situation, goals, and budget.

Benefits vary by product and carrier.