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Do retired military get long-term care insurance? A comprehensive guide

3 min read

Retired uniformed service members are eligible to apply for coverage through the Federal Long Term Care Insurance Program (FLTCIP), though applications were suspended in December 2024. This guide will help you understand the options available for long-term care, including eligibility and application status, for retired military personnel and their families.

Quick Summary

Retired military members are generally eligible for long-term care insurance via the Federal Long Term Care Insurance Program (FLTCIP), but applications are currently suspended. Alternatives include Veterans Affairs (VA) benefits and commercial insurance, each with specific eligibility criteria and coverage limitations.

Key Points

  • FLTCIP Application Suspended: As of December 2024, the Federal Long Term Care Insurance Program (FLTCIP) is not accepting new applications from retired military members, with a suspension lasting at least 24 months.

  • VA Benefits are an Option: Veterans with service-connected disabilities and clinical needs may be eligible for limited long-term care services through the Department of Veterans Affairs, though eligibility is restrictive and dependent on funding.

  • Private Insurance is Available: The commercial market offers long-term care insurance, which can be an immediate option for healthy retired military members, although it requires medical underwriting and can be costly.

  • Evaluate All Alternatives: Given the FLTCIP suspension, it is crucial to research and compare VA benefits and private policies to find the most suitable coverage for your specific needs and financial situation.

  • Spouses May Need Separate Plans: VA long-term care benefits typically do not cover a veteran's spouse, so a separate plan is needed to cover their long-term care needs.

  • Current Enrollees Unaffected: If you currently have an FLTCIP policy, your coverage remains in effect as long as you continue to pay premiums.

In This Article

Understanding the Federal Long Term Care Insurance Program (FLTCIP)

The Federal Long Term Care Insurance Program (FLTCIP) offers a voluntary long-term care insurance option for federal employees, including active and retired uniformed service members, and their qualified family members.

FLTCIP Application Suspension and Eligibility

A 24-month suspension of new applications for FLTCIP took effect on December 19, 2024, announced by the U.S. Office of Personnel Management (OPM). While retired military personnel are typically eligible, they cannot apply during this period. The suspension does not impact current enrollees, who can maintain coverage by paying premiums. Family members are also subject to this suspension.

What Happens During the Suspension?

During the suspension, new applications from retired military members and their families are not accepted, necessitating exploration of alternative long-term care strategies. Current policyholders' coverage and claims processing are unaffected.

Exploring Alternative Long-Term Care Options

Given the FLTCIP suspension, retired military personnel have other options for long-term care coverage.

Veterans Affairs (VA) Long-Term Care Services

The VA provides some long-term care services, prioritized for those with service-connected disabilities, and coverage is based on funding and clinical need as part of a treatment plan. Services may include nursing home, assisted living, and home health care. VA health care generally does not cover a veteran's spouse.

Private Long-Term Care Insurance

Commercial long-term care insurance is available and not affected by federal program suspensions. Key points include:

  • Medical Underwriting: Approval depends on health screening.
  • Customization: Policies can be tailored to specific needs.
  • Portability: Coverage is not tied to military service.

Life Insurance with Long-Term Care Riders

Some life insurance policies offer riders allowing access to a portion of the death benefit for long-term care if certain criteria are met, providing a dual-purpose financial tool.

Comparing Your Long-Term Care Options

Selecting the best option depends on individual circumstances. The table below compares the features of different options:

Feature FLTCIP (Suspended for new applications) VA Benefits Private LTC Insurance
Eligibility Retired uniformed service members & eligible family Veterans with clinical need, often with service-connected disability Anyone who passes medical underwriting
Application Suspended until at least Dec 2026 Via VA based on health status and need Through commercial insurers; always available
Cost Premiums based on age, benefits chosen May involve co-pays based on income and disability Premiums based on age, health, and coverage
Coverage Wide range of settings, including home care Limited, specific settings (home, nursing home) Customizable plans, varies by policy
Availability Not currently accepting new enrollees Available for qualified veterans Widely available via many providers

Making the Best Choice for Your Future

With FLTCIP applications suspended, retired military members should actively pursue alternatives. Assess your health and finances. Private insurance is an option for those in good health. Investigate VA benefits if you have service-connected disabilities. Planning is crucial due to the substantial potential cost of long-term care.

Stay informed about the FLTCIP suspension and potential reopening by visiting the official website at www.ltcfeds.gov.

Conclusion

While retired military personnel are eligible for FLTCIP, the current application suspension requires them to consider alternatives. VA benefits, private insurance, and life insurance riders are viable options to ensure future long-term care needs are met.

Frequently Asked Questions

Yes, retired members of the uniformed services are eligible to apply for FLTCIP. However, new applications have been suspended since December 19, 2024, and this suspension is expected to last for at least 24 months.

The application process was suspended for 24 months, with an end date of December 2026 unless otherwise extended or shortened by the U.S. Office of Personnel Management (OPM). You can find the most current information by visiting the official FLTCIP website at www.ltcfeds.gov.

No, TRICARE generally does not cover long-term care services. It does, however, cover certain related services such as skilled nursing care and hospice care.

Yes, spouses of eligible active and retired members of the uniformed services can also apply for the FLTCIP. However, like military members, new applications are currently suspended.

The VA provides limited long-term care services, but eligibility is often restricted to those with service-connected disabilities and is contingent on funding and availability. Services may include nursing home care, assisted living, and home health care.

If you are a current enrollee, your coverage is not affected by the suspension. You will continue to have coverage as long as you pay your premiums and have not exhausted your benefits.

The best approach is to explore alternative options. Investigate the full scope of VA benefits if you qualify, and research private long-term care insurance or life insurance policies with long-term care riders. Comparing costs, coverage, and eligibility will help you find the best solution for your situation.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.