Virginia long-term care insurance: cost & coverage
What long-term care costs in Virginia, who regulates insurance here, whether the state has an LTC Partnership program, and how to compare quotes.
Who regulates long-term care insurance in Virginia
Long-term care insurance policies sold in Virginia are regulated by the State Corporation Commission - Bureau of Insurance. If you have a complaint about an agent, carrier, or policy, you can file it with the regulator directly.
What long-term care costs in Virginia
Median assisted living cost in Virginia vs. the national median:
| Location | Median / month | Approx. / year |
|---|---|---|
| Virginia | $6,909 | $82,908 |
| National median | $6,313 | $75,756 |
Source: SeniorLiving.org median assisted living costs, 2026. See costs for all 50 states for the full table.
What each type of care costs in Virginia
Assisted living is only one of the settings people use. Median monthly costs across the main care types in Virginia:
| Type of care | Median / month | Approx. / year |
|---|---|---|
| Home health aide | $5,602 | $67,224 |
| Assisted living | $6,909 | $82,908 |
| Nursing home (semi-private room) | $9,197 | $110,364 |
| Nursing home (private room) | $10,424 | $125,088 |
Source: SeniorLiving.org Cost of Care Research (2026)
Virginia's LTC Partnership program
Virginia has an active LTC Partnership program. Virginia has an active federal DRA-compliant LTC Partnership program with dollar-for-dollar Medicaid asset protection.
A Partnership-qualified policy lets you keep an extra dollar of assets, protected from Medicaid spend-down, for every dollar your policy pays out in benefits — see the note above for this state's current status. Learn more about how Partnership programs work.
How the Partnership program works in Virginia
Virginia's Partnership program applies only to long-term care policies issued on or after September 1, 2007, administered by the Department of Medical Assistance Services under the authority of Code of Virginia § 32.1-325 B 24. A qualifying policy must carry a disclosure that it meets IRC § 7702B(b) requirements and must include inflation protection scaled to the buyer's age at issue — compound annual protection is required under age 61, some protection is required from 61 to 76, and none is required at 76 or older. Reciprocity is not automatic: DMAS's own eligibility manual tells caseworkers an out-of-state Partnership policy "may or may not" meet Virginia's requirements and directs applicants to confirm reciprocity with their Medicaid consultant.
Source: Virginia Department of Medical Assistance Services, Medicaid Eligibility Manual (2024)
How Virginia treats LTC premiums at tax time
Virginia gives long-term care insurance premiums no credit or deduction of their own — neither of the Department of Taxation's individual credit pages (common or other) mentions long-term care. If you itemize on your federal return, Virginia requires you to itemize on your Virginia return too, using Virginia Schedule A, and the Department says "you can claim most of the same deductions" you claimed on federal Schedule A — which already includes LTC premiums as a medical expense within the IRS's age-based limits. Choosing Virginia's standard deduction instead ($8,750 single, $17,500 joint) means none of that federal medical deduction carries through.
Source: Virginia Department of Taxation (2026)
This is general information, not tax advice. Confirm your own situation with a tax professional licensed in Virginia.
Medicaid long-term care in Virginia
Virginia's Medicaid long-term services and supports are run by the Department of Medical Assistance Services. The standard path to nursing-facility or waiver eligibility caps countable resources at $2,000 for a single applicant and requires monthly income at or below 300% of the SSI federal benefit rate. A home is exempt only while its equity stays under a limit DMAS raises every January — $752,000 effective January 1, 2026 — unless a spouse, a dependent child under 21, or a blind or disabled child of any age lives there. Above that home-equity limit, Virginia Medicaid will not pay for long-term care regardless of other assets.
Source: Virginia Department of Medical Assistance Services, Medicaid Eligibility Manual (2026)
How to compare quotes in Virginia
- Confirm any agent or carrier you talk to is currently licensed to sell in Virginia — the State Corporation Commission - Bureau of Insurance can confirm licensing status.
- Ask which products a carrier is actively writing in Virginia today — availability changes state by state and year to year. See carriers we compare.
- If a Partnership-qualified policy matters to you, confirm with the carrier or agent whether a policy is currently certified as Partnership-qualified in Virginia — see this state's Partnership status above.
- Compare traditional and hybrid options side by side — see traditional vs. hybrid coverage.
- Get quotes from more than one carrier; pricing for the same coverage can vary significantly.
Please note: Regulator names, complaint channels, and Partnership-program status can change. Confirm current details with the State Corporation Commission - Bureau of Insurance or a licensed agent before making any decision. LongTermCareInsurance411 is not a government agency and does not administer Virginia's insurance regulations or Medicaid program.
Last updated: August 22, 2026
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