In-Home Care Guides

Rhode Island State Guide for Long-Term Care Insurance

Peace of Mind

Estimated Reading Time

15 minutes


Last Updated

Apr 12, 2025

Tendly Home Key Takeaways

TLDR: Rhode Island's guide on long-term care insurance emphasizes planning for the future:  

  • 🏥 Understand Long-Term Care: Long-term care includes services for individuals with chronic illnesses or disabilities that require assistance with daily activities.  

  • 💰 Financial Planning is Key: Purchasing long-term care insurance can alleviate potential financial burdens and protect assets, ensuring that care services can be accessed without financial strain.  

  • 📅 Age Matters: Planning early for long-term care insurance can provide lower premiums and better options. Waiting too long may result in higher costs or limited choices.  

  • 📋 Policy Types Vary: Different policies offer varying coverage levels, benefits, and costs. It's essential to review and compare plans to find one that fits personal needs.  

  • 🔍 Seek Professional Advice: Consulting with financial advisors or insurance agents can help navigate the complexities of long-term care insurance and ensure informed decision-making.
Contributors
Alan Lee
Geriatric Specialist
Emily Sanders
Dementia & Chronic Illness Navigator
Maria Torres
Clinical Social Work

No one wants to imagine a future where we or our loved ones need help with everyday activities—bathing, dressing, or simply moving around. But as we age, the chance of needing long-term care becomes a reality for many. Families in Rhode Island know how deeply personal and emotional these decisions can be. You’re not just planning for potential healthcare; you’re safeguarding dignity, independence, and peace of mind. Long-term care insurance is one of the most powerful ways to prepare. It bridges the gap between needing support and receiving it on your own terms. And in a small yet mighty state like Rhode Island, unique local factors—from regulations to care costs—can have a big impact on your decisions. This guide is crafted to help individuals, caregivers, and families in Rhode Island make informed choices about long-term care insurance with confidence and clarity.

Long-term care refers to a variety of services designed to meet personal and health-related needs of individuals over a prolonged period. This care often becomes necessary as a result of aging, chronic illness, injury, or cognitive impairment like Alzheimer’s. In Rhode Island, where the population of adults over 65 is steadily rising, the demand for these services is increasing rapidly.

The average cost of a private room in a Rhode Island nursing home exceeds $125,000 annually, according to Genworth’s 2023 Cost of Care Survey. Even assisted living—less intensive than skilled nursing—costs Rhode Islanders an average of $6,826 per month. These figures are significantly higher than the national average and can quickly deplete a family’s savings.

Some make the mistake of believing that Medicare or standard health insurance covers long-term care, but these programs often only cover short-term rehabilitation or limited home health care. That’s where long-term care insurance steps in. It helps cover costs for services such as in-home care, adult daycare, assisted living, and skilled nursing facilities.

In Rhode Island, the need to plan ahead is especially crucial. With a limited number of facilities and a high demand due to the state’s aging population, securing access to high-quality care may come down not just to availability—but also to your ability to pay. Having a comprehensive long-term care insurance policy provides both financial security and the freedom to choose the type of care that best suits your needs and values.

For Rhode Island families, it's not just a matter of dollars—it's a matter of maintaining dignity and control during some of life’s most vulnerable moments. Ensuring you or your loved one has the necessary coverage starts with understanding what long-term care insurance can offer, and continuing with how the state’s specific programs and resources can support your decision-making.

The Rhode Island Long-Term Care Partnership Program is a collaboration between private insurance providers and the state. It encourages residents to purchase qualified long-term care insurance by offering an additional layer of protection for their assets. Essentially, it allows policyholders to qualify for Medicaid without having to spend down all of their resources first—a benefit known as “asset disregard.”

Here’s how it works: Let’s say you purchase a long-term care insurance policy under the Partnership, and over the years it pays out $200,000 in benefits for your care. If you later need Medicaid to continue receiving care, Rhode Island Medicaid will disregard $200,000 of your assets when determining eligibility. This means you can both receive care and preserve a portion of your estate for your heirs.

To qualify for the Partnership benefits, your long-term care insurance policy must meet specific state requirements. These usually include provisions like inflation protection and other consumer safeguards to ensure the policy remains robust over time. Not every long-term care policy automatically qualifies. It's essential to check with your provider to confirm whether their offerings are Partnership-compliant.

Why is this program a game-changer for Rhode Island residents?

Because it helps solve a core dilemma: how to prepare financially for long-term care without sacrificing your life’s savings. Plus, it encourages earlier and more thoughtful planning. Buying a policy when you're younger and healthier generally means lower premiums, and thanks to the Partnership program, those premiums work harder for you.

The Partnership Program not only provides financial incentives but also peace of mind. For adult children worried about supporting aging parents, or individuals wanting to avoid becoming a financial burden on loved ones, this is a powerful planning tool. Rhode Island’s initiative is an excellent example of how state-level programs can make a real difference. But understanding its benefits—and limitations—is key to using it effectively. Always work with a qualified insurance advisor familiar with Rhode Island’s rules to ensure you're making a strategic, customized decision.

Picking the right long-term care insurance policy is not a one-size-fits-all process. Rhode Island residents need to weigh a number of personal, financial, and health factors when choosing a plan. The right policy should provide financial security, match your care preferences, and comply with the state's regulatory framework—including eligibility for programs like the Long-Term Care Partnership.

Start by asking yourself and your family a few core questions:

  • How much of your future care costs do you want to cover with insurance?
  • Do you want a policy that covers home care, assisted living, or nursing facilities—or all three?
  • How long do you want your benefits to last?
  • What monthly premium is affordable for your current and projected budget?

Rhode Island insurers offer a range of options, often with customizable riders. For example, you might opt for a shared benefit pool for spouses—ideal for married couples—or add non-forfeiture benefits, ensuring some coverage even if you lapse in payments. Inflation protection is particularly important in Rhode Island, where care costs are among the highest in the Northeast and projected to continue rising.

Shopping around is crucial. Work with an independent insurance agent who is licensed in Rhode Island and has experience navigating the long-term care landscape. Companies like Genworth, Mutual of Omaha, and MassMutual are active in the state and provide policies eligible for Partnership inclusion. Comparing policies by cost alone can be misleading—focus instead on what services and benefits are actually covered.

Don’t forget the underwriting process. Most insurers will require a health screening and review of medical history. It's generally easier and more affordable to qualify in your 50s or early 60s than waiting until later. A denied application due to existing medical conditions may limit your options down the road.

Lastly, involve your family in the conversation. Choosing long-term care coverage is personal, but it affects everyone. Sharing your goals can help avoid future confusion or conflict and ensure your intentions are understood when care is needed.

Learn more about Tendly Home and our mission to empower families in transition
An illustration of a middle-aged woman providing guidance to an elder man.

One of Rhode Island’s strengths as a small state is its accessibility to supportive programs and community-based resources. When planning for long-term care, residents can tap into several valuable services that provide information, financial counseling, and even hands-on support.

Start with the Rhode Island Office of Healthy Aging (OHA). As the state’s leading agency for elder services, OHA provides guidance on long-term care planning, caregiver resources, and legal rights. Their “Point” program connects residents with trained counselors who can help determine eligibility for state-funded programs and assist in navigating complex Medicaid applications.

Another excellent resource is your local Area Agency on Aging (AAA). Rhode Island’s AAAs offer extensive help for seniors and their families, including education around long-term care options, respite care services, and referrals to vetted home health providers or residential facilities. These agencies can also direct you to Rhode Island’s Senior Health Insurance Program (SHIP), which provides free, unbiased counseling about Medicare and other insurance options.

For veterans, the Rhode Island Office of Veterans Services administers benefits that can help cover long-term care, including eligibility for VA nursing homes or aid and attendance pensions. If you or a loved one has served in the military, exploring these options can significantly reduce out-of-pocket expenses.

Legal planning is another important piece of the puzzle. Long-term care doesn’t just affect your health—it impacts your finances, estate plans, and legal rights. Rhode Island Legal Services and the Volunteer Lawyer Program offer workshops and one-on-one legal counseling to elder residents, including help with advanced directives, powers of attorney, and estate conservation.

Financial planning tools, such as the Rhode Island State Health Insurance Assistance Program (SHIP), are also available to compare insurance products and understand their implications for your household budget.

In short, you're not alone. Whether you’re an aging adult, caregiver, or family member in Rhode Island, a web of support is available. These state and community resources shouldn’t be overlooked—they can make your long-term care planning more informed, affordable, and less stressful.

Planning for long-term care is one of the most compassionate steps you can take—for yourself and those who love you. In Rhode Island, where care costs are high and demand is growing, the stakes are even greater. But here’s the good news: you’re not starting from scratch, and you don’t have to walk this path alone.

Long-term care insurance offers a smart, flexible way to protect your assets, honor your preferences, and ensure a higher quality of life later on. Rhode Island’s unique programs, like the Long-Term Care Partnership and community support networks, empower residents to make proactive, confident decisions.

Whether you’re exploring coverage for yourself or helping a loved one plan ahead, begin now. Talk to trusted advisors, weigh your options, and utilize the resources that Rhode Island has to offer. The earlier you start, the more choices you'll have—and the more peace of mind you’ll gain.

Planning today means living tomorrow with dignity, independence, and security. Let Rhode Island’s tools and policies be your guide forward.

Frequently Asked Questions

What is long-term care insurance and why is it important?

Long-term care insurance is a specialized policy that helps cover the costs associated with long-term care services not typically covered by health insurance. This may include home care, assisted living, and nursing home care. It's important as it provides financial protection against the high costs of extended care, allowing individuals to maintain their quality of life and protect their savings.

What are the eligibility requirements for long-term care insurance in Rhode Island?

In Rhode Island, eligibility for long-term care insurance often depends on age, health status, and the type of coverage sought. Most policies require applicants to be in good health when applying, and some may impose waiting periods or clauses for pre-existing conditions. Consulting an insurance agent can help clarify these requirements based on individual situations.

How much does long-term care insurance cost in Rhode Island?

The cost of long-term care insurance in Rhode Island varies widely based on factors such as age, health condition, the extent of coverage, and policy specifics. Generally, premiums for a comprehensive plan can range from a few hundred to several thousand dollars per year. It’s advisable to obtain quotes from multiple providers to get a clearer picture of potential expenses.

What types of coverage options are available for long-term care insurance?

Long-term care insurance policies can include various coverage options, such as in-home care, assisted living facilities, and nursing homes. Many policies also offer riders for additional services like respite care or care coordination. Evaluating different plans can help determine which options align best with individual preferences and needs.

Are there tax benefits associated with long-term care insurance in Rhode Island?

Yes, there are potential tax benefits for long-term care insurance in Rhode Island. Premiums paid for qualified long-term care insurance can be tax-deductible as medical expenses, depending on your adjusted gross income. Additionally, certain benefits received from the policy can be tax-free. Consulting a tax professional can provide personalized guidance on these advantages.

About the Contributors
Alan Lee
Geriatric Specialist

Dr. Alan Lee is a board-certified geriatrician specializing in neurodegenerative conditions including Alzheimer’s disease, Parkinson’s, and Lewy Body dementia. With more than two decades in clinical practice and research, Dr. Lee is a trusted authority in personalized care planning for aging adults. He serves as a medical reviewer for several national caregiving organizations and frequently lectures on aging in place and ethical dementia care.

Emily Sanders
Dementia & Chronic Illness Navigator

Emily Sanders is a Dementia Practitioner and educator who trains in-home caregivers and family members in person-centered dementia care. With a background in occupational therapy and caregiver training, Emily creates practical tools and care plans that improve everyday life for people living with Alzheimer’s and related conditions. She is passionate about preserving identity, dignity, and connection in home-based settings.

Maria Torres
Clinical Social Work

Maria Torres is a social worker with a focus on elder care, family systems, and caregiver mental health. She has worked in both hospice and community health settings and currently supports family caregivers navigating long-term care decisions. Maria brings an empathetic lens to her writing and advocates for proactive planning, emotional resilience, and equitable access to home care resources.