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Long-Term Care

Long-term care means help with everyday activities such as bathing, dressing, eating and getting around, over months or years. It can be provided at home, in adult day care, in assisted living or in a nursing facility. Health insurance and Medicare pay for very little of it, which is why it needs its own plan. Our guide explains what long-term care insurance is and how a policy pays.

Why Long-Term Care Matters

According to the federal Administration for Community Living, someone turning 65 today has almost a 70% chance of needing some type of long-term care in their remaining years. Women need care for 3.7 years on average and men for 2.2 years, and about one in five people will need it for longer than five years.

What Care Costs in Connecticut

The State of Connecticut tracks private-pay rates each year. As of September 30, 2025, a semi-private room in a Connecticut nursing facility averaged $526 a day, or about $191,900 a year. That was 3.0% higher than the year before, and rates have risen an average of 4.6% a year since 1988.

Care at home adds up too. The state’s 2026 figures put a home health aide at $43 an hour and a full day of adult day care at $120. Eight hours of aide care a day, five days a week, comes to roughly $89,000 a year.

Understanding Medicare and Medicaid

Medicare covers skilled nursing facility care only for a short period after a hospital stay of at least three days in a row. In 2026 you pay $0 a day for the first 20 days and $217 a day for days 21 through 100. After day 100 Medicare pays nothing, and it doesn’t cover ongoing custodial care at all.

Medicaid does pay for long-term care, but only after you have spent down nearly all of your assets, and the rules on transferring assets beforehand are strict.

The Connecticut Partnership for Long-Term Care

Connecticut runs a program with private insurers called the Connecticut Partnership for Long-Term Care. Partnership-approved policies pay for care like other long-term care insurance, and they add Medicaid Asset Protection if you ever need to apply to Connecticut’s Medicaid program. State law also requires Connecticut nursing facilities to give Partnership policyholders at least a 5% discount, which brings the 2025 average to $499 a day.

Taking Control of Your Long-Term Care Risk

The right policy depends on your age, your health, your savings and who you would want caring for you. Premiums are generally lower, and approval is easier, when you apply while you are still healthy.

The Jones Group will review your situation, show you what coverage would cost, and explain how it fits with the rest of your retirement plan. Call our Wethersfield office at (860) 529-3788 to start.

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Long-Term Care Insurance Questions

Medicare covers skilled nursing facility care only for a limited time after a hospital stay of at least three days. It does not pay for ongoing custodial care, such as help with bathing and dressing, at home or in a nursing facility.

Many people look at coverage between the ages of 45 and 65. Premiums are based on your age and health when you apply, so waiting can make coverage more expensive or harder to get.

It is a State of Connecticut program run with private insurers. Partnership-approved policies add Medicaid Asset Protection if you ever need to apply to Connecticut’s Medicaid program, and Connecticut nursing facilities must give Partnership policyholders at least a 5% discount.

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Ethan Morgan
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The people at the Jones group are extremely knowledgable, helpful, and friendly. When navigating something as complex as choosing an option for medicare, these are the folks you want on your side!
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Timothy Miller
07/10/2023
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My grandparents recently had the pleasure of working with The Jones Group to navigate the complexity of choosing a Medicare plan, and the experience was nothing short of remarkable. The Jones Group truly stands out in their expertise and the personalized service they provide to older adults looking for healthcare. I highly recommend The Jones Group to anyone.
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Karin was so helpful when my mother was ill and we were trying to figure out her Medicare coverage. She is so knowledgeable and was very kind and supportive during a very stressful time. I highly recommend.
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Working with Karin has made the whole Medicare process easy for me and I am grateful for her knowledge about the system. She has helped me with all of my decisions and I appreciate the assistance.
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