LTC Premium Deduction Limits Table

–enter age for the 2026 deductible limit
Age (end of year)2026 premium limit
40 or less$500
41 - 50$930
51 - 60$1,860
61 - 70$4,960
71 and over$6,200
The five limits are verbatim from Rev. Proc. 2025-32, section 4.27 - the most you can count as medical expenses for qualified long-term care insurance premiums in 2026, banded by the age you attain before the year closes. The banding is steep by design: a 71-year-old gets twelve times the deduction room of a 40-year-old, because the pricing of LTC policies climbs the same curve. Two gates stack on top: the premiums land in Schedule A medical expenses, deductible only above 7.5% of AGI, and the policy must be a qualified long-term care contract - boutique “short-term care” products often are not. Bottom line: a 62-year-old paying $5,400 of qualified premiums deducts only $4,960 of them in 2026 - the excess is not lost, it joins the rest of the medical stack against the floor. Neighbors: HSA contribution calculator, tax brackets table, Medicare enrollment periods, IRS interest rate history.

Qualified long-term care insurance premiums are deductible as medical expenses - but only up to an age-banded cap the IRS adjusts yearly. For 2026 the five bands run from $500 (age 40 and under) to $6,200 (age 71 and over), verbatim from Rev. Proc. 2025-32, and the calculator maps any age to its band instantly.

The cap is per person: a married couple each holding qualified policies stacks two limits, and the premiums then flow through the Schedule A medical stack, deductible only to the extent total medical expenses exceed 7.5% of AGI.

How to use

  1. Enter the age you will attain by December 31, 2026 - the bands key off year-end age, not birthday age.
  2. Read the table for the full 2026 ladder; the steepness mirrors how LTC policy pricing itself climbs with issue age.
  3. Stack check: premiums beyond the band are not wasted - they join all other unreimbursed medical expenses above the 7.5%-of-AGI floor.

Frequently asked questions

Why does the limit climb so steeply with age?

Long-term care insurance is priced on entry age - the same policy costs several times more to start at 70 than at 45 - so the deductible band tracks the premium curve. The $500-to-$6,200 spread is the IRS matching the deduction to what coverage actually costs at each life stage.

Does the 7.5% AGI floor apply to these premiums?

Yes - LTC premiums are Schedule A medical expenses, deductible only above 7.5% of adjusted gross income, shared with all other unreimbursed medical costs. A $60,000-AGI filer gets deductibility only past $4,500 of total medical - the band limit is a ceiling inside that stack, not a separate benefit.

What makes a policy a qualified long-term care contract?

It must meet the HIPAA standards: coverage only for qualified long-term care services, no cash surrender or loan value, guaranteed renewability, and level premiums intended to be paid over at least three years. Employer-signed certificates under a group plan count; short-term-care and indemnity products usually do not.

Are employer-paid LTC premiums deductible?

Not by the employee - premiums paid by an employer under a qualified plan are the employer’s deduction, and they do not flow into the employee’s Schedule A stack. Self-employed filers count their own paid premiums against the same age-banded limits as everyone else.

Related tools