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October 7, 2025

Hybrid Annuities with Long‑Term Care Benefits: A Closer Look

Stewart Willis
PRESIDENT & HIGH NET WORTH ADVISOR
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TL;DR: A hybrid annuity with long term care combines guaranteed retirement income with coverage for potential care costs. This strategy helps retirees protect assets, maintain independence, and avoid burdening family members.

Main points:

  • How a hybrid annuity blends investment growth and guaranteed income with a long-term care rider.
  • Why it offers value even if care benefits are never used.
  • Key differences between hybrid annuities and traditional long-term care insurance.
  • The pros and cons, including eligibility, costs, and tax advantages.
  • Who benefits most—especially retirees seeking both income stability and care protection.


Long-term care expenses can quickly change even the most well-built retirement plan. Many people underestimate how much care costs. In reality, care often fall on personal savings or family members.

A hybrid annuity with long term care benefits combines two goals: creating reliable income and preparing for possible care needs. It’s a way to stay financially independent while protecting loved ones from sudden costs.

What Is a Hybrid Annuity with Long-Term Care Benefits?

A hybrid annuity combines variable and fixed annuity while providing guaranteed income. The difference lies in its long-term care rider. This rider allows part of your annuity value or an enhanced benefit to pay for qualified care expenses if needed.

When a qualifying care event occurs, the rider activates and increases payouts for care costs such as home health services or assisted living. If long-term care is never required, the contract continues to provide regular income. You maintain control and can use the income as planned. Morningstar notes that these policies can provide heirs with an unused balance.

Comparing Hybrid Annuities and Traditional Long-Term Care Insurance

Traditional long-term care insurance focuses only on covering care expenses. Premiums can rise, and if you never use the benefits, you may get nothing in return.

With an annuity with long-term care riders, you retain value no matter what happens. It may also be easier to qualify, especially for those with mild health issues. In some cases, growth inside the contract can receive favorable tax treatment, further improving efficiency.

Each annuity with long term health care rider has its own rules. Benefit amounts, elimination periods, and costs vary. It’s important to review these details carefully and compare offers. According to the National Association of Insurance Commissioners (NAIC), these riders are becoming more transparent and adaptable, giving consumers more control over benefit triggers and costs. Because contracts can be complex, working with a fiduciary helps ensure recommendations to align with your interests, not commissions.

How Long-Term Care Disability and Annuity Insurance Help and When They May Not

Long term care disability and annuity insurance can be valuable tools for aging adults. They help cover income gaps caused by illness or disability while ensuring ongoing care needs don’t drain savings. These policies can provide predictable cash flow even if a retiree can no longer work or manage daily activities independently.

However, they are not ideal for everyone. Fees and rider costs can reduce long-term growth potential. Withdrawals may impact Medicaid eligibility or estate planning goals. Seniors should review contract terms carefully, especially benefit duration, inflation protection, and payout triggers to avoid surprises. Working with a fiduciary ensures that the solution fits in personal health and financial circumstances.

Who Might Benefit from a Long-Term Care Rider Annuity

An annuity with a long-term care rider creates a bridge between insurance and income planning; something traditional products rarely do. A long-term care rider annuity fits well for:

  • Retirees who want both income and protection.
  • Individuals without a family support network.
  • Those aiming to preserve assets for heirs.

Protect What You’ve Built

Combining long term care, disability and annuity insurance may bring balance to your retirement plan. You can maintain income, prepare for care costs, and protect the wealth you’ve worked hard to build. Take the next step with confidence. Get your complimentary portfolio review today!

Stewart Willis is the founder and president of Asset Preservation Wealth & Tax, a financial planning firm in Phoenix, Arizona. Investment advisory services offered through Foundations Investment Advisors, LLC, an SEC registered investment adviser.

Any comments regarding safe and secure investments and/or guaranteed income streams refer only to fixed insurance products overseen by state insurance regulators and not any investment advisory products. Rates and guarantees provided by insurance products and annuities are subject to the financial strength of the issuing insurance company; not guaranteed by any bank or the FDIC.

The commentary on this blog reflects the personal opinions, viewpoints and analyses of the author, Stewart Willis, providing such comments, and should not be regarded as a description of advisory services provided by Foundations Investment Advisors, LLC (“Foundations”), an SEC registered investment adviser or performance returns of any Foundations client. The views reflected in the commentary are subject to change at any time without notice. Nothing on this website constitutes investment, legal or tax advice, performance data or any recommendation that any particular security, portfolio of securities, transaction or investment strategy is suitable for any specific person. Personal investment advice can only be rendered after the engagement of Foundations for services, execution of required documentation, including receipt of required disclosures. Any mention of a particular security and related performance data is not a recommendation to buy or sell that security. Foundations manages its clients’ accounts using a variety of investment techniques and strategies, which are not necessarily discussed in the commentary. Any statistical data or information obtained from or prepared by third party sources that Foundations deems reliable but in no way does Foundations guarantee the accuracy or completeness. Investments in securities involve the risk of loss. Any past performance is no guarantee of future results. Advisory services are only offered to clients or prospective clients where Foundations and its advisors are properly licensed or exempted. For more information, please go to https://adviserinfo.sec.gov and search by our firm name or by our CRD # 175083.

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