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The Daily Insight

What created long term tax-qualified?

Author

Andrew Ramirez

Published Mar 24, 2026

Tax-Qualified Long Term Care Insurance officially began in 1996 when the HIPAA law was enacted. Policies with specific language defining benefit payments and consumer protection provisions may offer favored tax treatment.

Can I deduct long-term care premiums on my federal taxes?

If you have a tax-qualified long-term-care insurance policy, you can count a portion of the premium as a tax-deductible medical expense. Medical expenses are deductible to the extent they exceed 10% of your adjusted gross income (or more than 7.5% of AGI if you’re 65 or older).

How are the benefits received from tax-qualified LTC insurance policies treated?

According to the Internal Revenue Service (Publication 525), long-term care insurance is treated much like health insurance—the dollar amounts the policyholder receives (other than dividends and premium refunds) for personal injury or sickness generally are excludable from income, and the premiums paid generally are …

What is not a standard ADL that must be specified in a tax qualified long-term care policy?

Tax-Qualified Policy You must be unable to perform two out of six, or in some cases two out of five, Activities of Daily Living (ADLs). Cognitive impairment must be severe and require substantial supervision. Medical necessity, injury or sickness probably will not qualify you to receive benefits.

How much of long-term care is deductible?

You can deduct only the amount of medical expenses that exceed 7.5% of your adjusted gross income. So if your adjusted gross income is, say, $100,000, your premiums and other medical expenses would have to top $7,500—and only the amount spent above $7,500 would be deductible.

What are the requirements for a tax-qualified long-term care policy?

Tax-Qualified Policy In order to qualify for the tax deduction you must be certified by a health professional as having a chronic illness that will last for a minimum of 90 days. You must be unable to perform two out of six, or in some cases two out of five, Activities of Daily Living (ADLs).