Most of the big names that sold long-term care insurance in the 1990s and 2000s have stopped writing new policies. Mutual of Omaha is one of the few that has not. That alone puts it on almost every shortlist a consumer builds, which makes the pricing question urgent and the answer frustrating.
Here is the honest starting point: Mutual of Omaha does not publish a single premium figure anywhere on its consumer site. Its product pages say to call an agent for cost and complete details. So this guide uses the carrier’s own pages for what is covered, state insurance department filings for the rate-increase record, and an independent association index for pricing, and it labels which is which.
What Mutual of Omaha Sells Today
Individual long-term care insurance underwritten by Mutual of Omaha Insurance Company on policy form LTC13, or the state equivalent (LTC09-CA in California, LTC13-FL in Florida, LTC13-NY in New York). Coverage is individual, not group, and the pages carry an active solicitation of insurance notice, which is the practical confirmation that new business is being written.
Benefits trigger the way tax-qualified policies generally do: a licensed health care practitioner certifies that you are chronically ill and files a plan of care. The company defines that as needing help with at least two of the six activities of daily living for at least 90 consecutive days, or needing continual supervision because of severe cognitive impairment.
You then choose three core dials at application: the policy limit (the total dollars available over the life of the policy), the monthly benefit amount, and the elimination period. Mutual of Omaha’s elimination period is satisfied only once in your lifetime, and days on which Medicare pays for qualified long-term care services can count toward it.
This is traditional long-term care insurance, not a hybrid. If you want the death-benefit-if-unused structure instead, see hybrid long-term care insurance and life insurance with a long-term care rider.
What It Costs
Neither Mutual of Omaha nor Genworth publishes premium rates online. The figures below come from the American Association for Long-Term Care Insurance 2026 Price Index, priced July 20, 2026 for Illinois, for an initial pool of $165,000 per insured. AALTCI is a trade association, not a regulator, and its index is a market average across leading underwriters rather than a Mutual of Omaha quote.
| Buyer profile ($165,000 initial benefit) | No growth | 3% compound | 5% compound |
|---|---|---|---|
| Single male, age 55 | $950 a year | $2,200 a year | $3,710 a year |
| Single female, age 55 | $1,500 a year | $3,750 a year | $6,400 a year |
| Couple both age 55 (combined) | $2,080 a year | $5,050 a year | $8,575 a year |
| Single female, age 60 | not published | $4,450 a year | not published |
| Couple both age 65 (combined) | not published | $7,030 a year | not published |
One inconsistency is worth flagging because it appears on the same page. AALTCI’s summary states the 2026 average for a couple both age 55 at 3% growth is $5,010 combined while its detailed table for the same profile shows $5,050. Treat the couple-55 figure as approximately $5,010 to $5,050 a year.
The spread between carriers matters far more than the average. For an Illinois couple both age 60 buying identical $165,000 coverage with 3% compound growth, AALTCI collected quotes of $4,591, $5,661, $6,440, $6,712 and $7,173 a year from five leading insurers, meaning the most expensive costs 56% more than the cheapest for the same benefits. AALTCI reports the 2026 spread reaching 29% at age 60 for a single woman and up to 80% for a couple both age 65. A quote from any one company, including this one, tells you very little without the other four.
For a full breakdown of what drives those numbers, see long-term care insurance cost, and for the buy-or-skip question, is long-term care insurance worth it.
Built-In Benefits and Optional Riders
Mutual of Omaha splits its feature list into what comes with the policy and what costs extra.
Built in at no additional premium:
- Cash benefit. Instead of reimbursement, you can elect a percentage of the policy’s home health care benefit as cash, with no elimination period to satisfy, usable for any expense supporting your plan of care.
- Care coordination. Access to a licensed health care professional who assesses needs, builds the plan of care and helps arrange services.
- Waiver of premium. No premium is due while you are receiving covered long-term care services.
- Alternate care. The policy may pay for treatments or services that become standard practice in the future.
Optional, at additional cost:
- Inflation protection. Increases benefits by a set percentage annually. The company notes it is required to offer lifetime 5% compound inflation protection, with other options available. The premium impact is large: in the AALTCI index, adding 3% compound growth roughly doubles a level-benefit premium and 5% roughly quadruples it.
- Shared care. Lets you draw on a portion of your partner’s benefits under an identical policy after exhausting your own.
- Security benefit. Pays an additional percentage of the monthly reimbursement benefit that can help cover care or living expenses for a partner.
- Return of premium. Refunds part of premiums paid, less benefits received.
Underwriting, Issue Ages and Discounts
These policies are individual, guaranteed renewable, fully underwritten, and sold through agents and brokers, with premiums that vary by issue age and gender, according to the actuarial memorandum Mutual of Omaha filed with the Maryland Insurance Administration in March 2025. That filing also confirms premiums vary by benefit period, inflation option, gender, marital status, cash benefit election and issue age.
Mutual of Omaha’s producer training material states that MutualCare Solutions policies may be issued to individuals ages 30 through 79.
On discounts, the carrier’s June 2022 producer comparison lists a 15% partner allowance when both partners are issued policies and 5% when only one is, plus 15% for preferred health, 5% association group, 5% producer and 5% common employer, and states that the good-health and household allowances can be combined without limit. An older 2018 producer guide listed a 30% both-issued partner allowance, so the schedule has been revised and it varies by state. Because neither figure appears on the consumer site, ask for the current allowance in writing before comparing quotes.
Financial Strength Ratings
Mutual of Omaha publishes its ratings directly. All outlooks are stable.
| Company | S&P Global | Moody’s | A.M. Best |
|---|---|---|---|
| Mutual of Omaha Insurance Company | A+ | A1 | A+ |
| United of Omaha Life Insurance Company | A+ | A1 | A+ |
Long-term care is underwritten by Mutual of Omaha Insurance Company, the first row. Ratings measure claims-paying ability, not the likelihood of a future rate increase, and they are not a guarantee. This is context, not a recommendation to buy.
The Rate-Increase Record on Older Blocks
Every legacy long-term care block in the country has taken increases, and Mutual of Omaha’s is no exception. The clearest public document is its actuarial memorandum filed with the Maryland Insurance Administration on March 12, 2025 for policy series LTC13.
That filing covers pre-rate-refresh LTC13 policies, meaning those issued before a repricing that began taking effect in 2020. Those policies were sold from September 2013 through 2020 in most states, with later cutoffs in a handful (March 2022 in New York, July 2022 in California). The requested nationwide increase ranged from 1% to 50.3%, averaging 32.8%, with implementation split over two years: year one averaging 27.2% (range 1% to 38.0%) and year two averaging 4.4% (range 0% to 8.9%). Policy counts and in-force premium were measured as of December 31, 2023.
Two things about that request deserve emphasis. It is a request, and each state regulator approves, reduces or denies it separately, so the increase actually applied to your policy depends on your issue state. And its stated purpose is to bring older LTC13 rates up to the level of currently marketed LTC13 rates, which is a different exercise from the open-ended increases seen on 1990s-era blocks.
The filing lists the same reduced benefit options most carriers offer: decrease the benefit period, increase the elimination period, reduce the maximum monthly benefit, or reduce the inflation option.
For policy-by-policy history, the California Department of Insurance collects long-term care rate increase data for the current year plus nine preceding years and publishes a searchable rate history application; Mutual of Omaha appears on its active company list under NAIC number 71412. The NAIC notes that decades of experience have let insurers price newer policies more accurately, making increases on recent issue years “far less likely and of a lesser magnitude” than on older ones. That is the industry’s expectation, not a guarantee, and no long-term care policy sold today is priced with a locked premium.
How This Compares and What to Check Next
Against Genworth, the practical difference is simple: Genworth’s legacy companies stopped selling and now manage a closed block, while Mutual of Omaha is still writing. That makes Mutual of Omaha a candidate for a new policy and Genworth a servicing relationship.
Before signing anything, price the care you are insuring against. Our guides to nursing home cost, assisted living cost and home health care cost give current national ranges, and the fair price checker helps test a local number. Then confirm whether premiums would be deductible for you (long-term care insurance and taxes) and understand the fallback if coverage runs out, which is usually Medicaid after a spend-down, since Medicare does not pay for long-term custodial care.
Nothing here is a recommendation to buy, keep or drop a policy. Compare at least three carriers with an independent producer, get every discount and rider quoted in writing, and ask each company for its filed rate-increase history before you decide.