As long-term care (LTC) costs continue to rise in 2025, more Americans are realizing the importance of protecting themselves against the financial risks that come with aging. A single year in a private nursing home can cost over $110,000, and even basic in-home care adds up quickly.
That’s where long-term care insurance comes in. But not all LTC insurance providers offer the same coverage, benefits, or flexibility. Choosing the right company can make a major difference in how much you pay—and how well you’re protected when the time comes.
This guide breaks down the top 5 long-term care insurance providers in 2025, based on financial strength, customer satisfaction, plan options, and innovation.
1. Mutual of Omaha
Why it stands out:
Mutual of Omaha remains one of the most reliable and affordable providers in the LTC insurance market, especially for traditional policies. With over a century in the insurance business, it’s known for strong financial ratings and competitive pricing.
Key Features:
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Offers traditional LTC policies with flexible benefit amounts
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Known for excellent customer service and simple underwriting
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Offers a shared care rider for couples
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Discounts for good health and joint applicants
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Optional inflation protection (3% or 5%)
Best for:
Couples and individuals looking for affordable, customizable traditional long-term care insurance with solid support and reliability.
2. New York Life
Why it stands out:
New York Life offers a unique blend of traditional and hybrid long-term care policies. Backed by strong financial ratings and a trusted brand name, they’ve become a top choice for those seeking long-term stability and premium policy options.
Key Features:
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Multiple policy types, including LTC rider on whole life insurance
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Return-of-premium and death benefit options
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Customizable coverage and payment schedules
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High approval rates for healthy applicants
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Premiums can be guaranteed (with hybrid policies)
Best for:
People who want long-term care coverage with life insurance benefits, or those who prefer premium protection with strong long-term value.
3. Nationwide
Why it stands out:
Nationwide is a leader in hybrid long-term care insurance, offering life insurance and annuity-based plans with LTC riders. Their flexibility and policy add-ons make them popular with middle-aged buyers who want dual protection.
Key Features:
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Offers LTC coverage with permanent life insurance or annuity policies
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Fixed premiums with lifetime coverage
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LTC benefits can be used for home care, facility care, or hospice
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Access to care coordination services
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Tax-advantaged payouts under IRS rules
Best for:
Buyers looking for a hybrid solution that provides long-term care while protecting heirs with a guaranteed death benefit if care isn’t needed.
4. Northwestern Mutual
Why it stands out:
Northwestern Mutual offers one of the strongest traditional long-term care insurance plans in the industry. While not the cheapest, their reputation for customer service and financial stability makes them a top-tier choice.
Key Features:
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Comprehensive coverage with flexible benefit periods
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Strong inflation protection options
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Waiver of premium included when receiving care
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Shared care rider and spouse discounts available
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Trusted by financial advisors and estate planners
Best for:
Individuals who want a high-quality traditional LTC policy with strong long-term value and are willing to pay slightly higher premiums for peace of mind.
5. Brighthouse Financial
Why it stands out:
Brighthouse Financial specializes in hybrid annuity-based long-term care insurance, which appeals to people who prefer predictable returns and long-term protection in one package.
Key Features:
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Offers the SmartCare hybrid LTC policy
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Combines indexed universal life insurance with LTC benefits
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No medical exam required for some policies
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Option to use accelerated benefits for LTC or death benefit
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Protects retirement income while offering care flexibility
Best for:
People near retirement age who want to combine long-term care protection with annuity-style investment returns and minimal underwriting.
How to Compare These Providers
| Feature | Mutual of Omaha | New York Life | Nationwide | Northwestern Mutual | Brighthouse Financial |
|---|---|---|---|---|---|
| Policy Type | Traditional | Hybrid & Traditional | Hybrid | Traditional | Hybrid (Annuity-based) |
| Financial Strength | A+ (AM Best) | A++ (AM Best) | A+ (AM Best) | A++ (AM Best) | A (AM Best) |
| Inflation Protection | Yes | Optional | Yes | Yes | Yes |
| Shared Care for Couples | Yes | Yes | No | Yes | No |
| Return of Premium Option | No | Yes | Yes | No | Yes |
| Best For | Budget-conscious buyers | Hybrid-focused buyers | Flexible planning | Quality seekers | Retirement investors |
Tips Before Choosing a Long-Term Care Insurance Policy
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Start early – The best time to apply is between ages 50 and 60 when rates are lower and approval is easier.
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Know your budget – Make sure premiums are sustainable long-term.
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Understand what’s covered – Read the fine print on what types of care are included.
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Consider inflation – Costs will rise. Inflation protection is critical for long-term value.
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Talk to a specialist – LTC policies are complex. Work with an insurance agent who specializes in this field.
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Compare multiple quotes – Pricing and terms can vary widely between companies, even for similar coverage.
Conclusion: Peace of Mind Has a Provider
Long-term care insurance isn't just about preparing for the worst—it's about giving yourself and your family the freedom to make the best decisions when the time comes. Whether you choose a traditional policy or a hybrid solution, what matters most is finding a trusted provider that fits your budget, goals, and health situation.
In 2025, these top five insurers stand out for their strong financial backing, flexible plans, and high customer satisfaction. The earlier you start, the more options you'll have and the more you'll save.
Need help deciding which policy works best for your lifestyle or retirement plan? I can help you write a comparison post or buying guide tailored to different age groups.