2026 Updates on Long-Term Care Insurance Tax Deductions, Medicare, Medicaid & Health Savings Account Deductibles

2026 Updates
Provided by: GotLTCi

HIPAA:

Attained age before the close of the taxable year: Amount that counts as a medical expense OR paid through a Health Savings Account OR 1st dollar tax-deduction for self-employed
40 or less $500
41 – 50 $930
51 – 60 $1,860
61 – 70 $4,960
71 and older $6,200

Indemnity/cash policies: Benefit payments above $430 per day that exceed the actual cost of care will be taxed as income. [IRS §213(d)(10)]

Self-Employed Long-Term Care Insurance Deductions:
100% of age-based limits for owner and spouse. C-Corps 100% of premium.

Medicare: 

Part A Deductible
$1,736
Skilled Nursing Facility Coinsurance $217
Part B Deductible $283
Part B Premium $202.90 (incomes below $109,000 individual / $218,000 joint)
Qualified Medicare Beneficiary*
(Annual amounts are issued in approximately February each year)
Individual: $1,304 monthly income / $9,950 assets
Couple: $1,762 monthly income / $14,910 assets

Medicaid: Click here to see state-specific Medicaid information

Spouse’s minimum asset allowance $32,532
Spouse’s maximum asset allowance $162,660 (California: no limit 1/1/24)
Spouse’s minimum income allowance* $2,643.75 (effective 7/1/25 – 6/30/26) 
Excess shelter allowance $793 (effective 7/1/25 – 6/30/26) $991 AK; $912 HI
Spouse’s maximum income allowance $4,066.50
Income cap states (3 x SSI) $2,982
Home equity limits $752,000 / $1,130,000
(California: no limit except estate recovery)

Health Savings Accounts:
(Minimum Deductible: $1,700 Individual / $3,400 Family)

Individual = Maximum contribution of $4,400. Additional 2026 contribution of $1,000 for 55+; Out-of-Pocket maximum: $8,500. Family = Maximum contribution of $8,750. Additional 2026 contribution of $1,000 for 55+; Out-of-Pocket maximum: $17,000.

 

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2 comments

    • Rhonda on January 31, 2022 at 12:42 pm
    • Reply

    I received this kit in 2020 and am just now venturing through the process, procedures and information. Am in great need of forms for power of attorney forms for health and finance. Extremely Difficult to locate in this format. It was described as being very easy, but unfortunately this novice is not having fun. Are you able to direct me?

    1. Hi Rhonda, I believe you are referring to Suze Orman’s Must-Have Documents. Congratulations on purchasing them! I will send your request to someone on Suze’s team. I just take care of people who need help with planning for long-term care. If you ever do need help with that, just complete the short questionnaire at https://www.gotltci.com/contact-us/ and we’ll do the rest!

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