Care benefits · By goal
Compare annuities with LTC benefits
Compare annuities that may help if long-term care becomes part of retirement, including options with LTC riders, enhanced income features, or confinement-related benefits.
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- Care-related benefit comparisons
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Care & chronic-illness annuities available right now
Annuities with chronic-illness and long-term-care enhancements from our reviewed lineup. Filter by your state, age, term, and carrier strength — ranked by our independent editorial rating.
| Product | Type | A.M. Best | Term | Issue ages | Rating | |
|---|---|---|---|---|---|---|
| American National Select Income Focus 7 American National | Income | A | 7-yr | 50-80 | ★ 4.4 | View → |
| American Equity EstateShield 10 American Equity | Income | A | 10-yr | 40–75 | ★ 4.3 | View → |
| Allianz Benefit Control+ Allianz | Income | A+ | 10-yr | 0-80 | ★ 4.3 | View → |
| Income Pay Pro North American | Income | A+ | 10-yr | 40-79 | ★ 4.3 | View → |
| American Equity IncomeShield 7 American Equity | Income | A | 7-yr | 40–80 | ★ 4.2 | View → |
| American Equity IncomeShield 10 American Equity | Income | A | 10-yr | 40–80 | ★ 4.2 | View → |
| American Equity IncomeShield BONUS 10 American Equity | Income | A | 10-yr | 40–80 | ★ 4.2 | View → |
| Allianz Benefit Control Allianz | Income | A+ | 10-yr | 0-80 | ★ 4.2 | View → |
| Secure Horizon Plus North American | FIA | A+ | 10-yr | 40-79 | ★ 4.2 | View → |
| SecureIncome 7 F&G | Income | A | 7-yr | Non-qualified: 0-85, Qualified: 18-85 | ★ 4.2 | View → |
| NAC BenefitSolutions 10 North American | Income | A+ | 10-yr | 40-79 | ★ 4.1 | View → |
| Income 150+ SE 7-Year Forethought | Income | A | 7-yr | 55-85 | ★ 4.1 | View → |
What is an annuity with LTC benefits
An annuity with LTC benefits includes a feature designed to help if you later need long-term care or assistance with daily living. Depending on the product, that feature may come in different forms — some contracts include a true long-term care rider; others offer increased income or easier access to contract value if qualifying care events occur later.
Many people nearing retirement are concerned about how future care costs could affect their income, savings, or spouse. That is why LTC-related annuity benefits can be appealing — they may provide an added layer of flexibility if health needs change. The important question is not just whether an annuity has an LTC benefit; it is what kind of LTC benefit it actually provides.
The type of benefit is the whole game
A true LTC rider serves a different purpose than an income multiplier, and both are different from a nursing home waiver.
Comparing the type of benefit is just as important as comparing the annuity itself.
LTC rider vs. enhanced income vs. confinement waiver
Many retirees see the words “LTC benefit” and assume every annuity works the same way. It does not — one may increase income, another may simply make it easier to access your own money, and another may offer a more dedicated care-related rider.
LTC rider
Enhanced income benefit
Confinement waiver
What to compare before choosing
Type of benefit
Is it a true LTC rider, an income enhancement feature, or a confinement waiver?
Trigger requirements
What has to happen before the benefit becomes available?
Waiting period
Does the feature begin right away, or only after a set number of years?
What actually increases
Does the feature increase income, increase access to contract value, or simply remove penalties?
Effect on the contract
Does using the benefit reduce cash value, future income, or other available values?
State availability
Some LTC-related annuity features may vary by state.
Who this is for
This page may be helpful if you want to:
- Compare annuities that may help if long-term care becomes part of retirement
- Understand the difference between an LTC rider and an income enhancement feature
- See whether a confinement benefit is a true care benefit or simply easier access to funds
- Review retirement options that may help protect income or assets if health changes later
- Narrow down care-related annuity options before requesting a personalized quote
Susan wanted income — and a plan for care
Susan, 64, wanted an annuity that could help provide retirement stability, but she was also concerned about what would happen if she later needed extended care.
She compared whether each annuity offered a true LTC rider, a feature that increased income if care was needed, or simply a waiver that allowed easier access to her contract value — and focused on the options that matched both goals.
Best for
Pre-retirees who want retirement stability but are also concerned about what happens if they later need help with daily activities or extended care.
Before choosing an annuity with LTC benefits
A care-related feature can be valuable, but only if you know what it actually does. Some annuities are built to provide meaningful long-term-care-related support; others simply improve access to your money if a qualifying event happens. Questions worth asking:
- What type of LTC benefit does this annuity actually provide?
- What triggers the benefit, and what conditions must be met?
- Is there a waiting period before the benefit becomes available?
- Does the benefit increase income, increase access to value, or just remove penalties?
- What happens to the contract value or future income if the benefit is used?
- Is this feature available in your state?
Explore more
LTC-related annuity features differ widely — a rider, an income enhancement, and a confinement waiver are not equivalent, and triggers, waiting periods, and state availability vary by product. These features are not a substitute for standalone long-term care insurance. All guarantees are backed by the claims-paying ability of the issuing insurance company. This is educational information, not a recommendation.
Find which annuities with LTC benefits may fit your goals
- Rider vs. income vs. waiver
- Triggers & waiting periods compared
- 100% free. No pressure.