Iowa Long-Term Care Resources

Discover state-specific information on long-term health care costs, taxes, rules, care options, and other information for Iowa residents.

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State Information

Planning is easier in Iowa with the availability of the Iowa Long-Term Care Partnership Program offering dollar-for-dollar asset protection when you own a qualified LTC policy. Numerous care options and insurance solutions are available.

Iowa has many quality care options are available statewide, and several insurance solutions are available to address the financial impact of future long-term care.

However, rapidly increasing costs for care services are becoming burdensome on Iowa residents and their families for those who do not have Long-Term Care Insurance.

There are a wide variety of care options available in Iowa for those who require long-term health care services, including 

  • adult day care centers
  • assisted living facilities
  • continuing care retirement communities
  • home health care providers
  • memory care facilities
  • rehabilitation facilities
  • traditional nursing homes

Top insurance companies have several insurance policy options to help residents safeguard income and assets, protect lifestyles, and preserve a legacy. Plus, policyholders will have access to quality care options giving loved ones the time to be family instead of caregivers.

Iowa also has tax incenitives available. 

Federal Partnership Program

The State of Iowa participates in the federal/state partnership program which was authorized under federal law in 2005. The Iowa Long-Term Care Partnership program provides an alternative to depleting assets by forming a partnership between Medicaid and private long-term care insurers.

Consumers who purchase Long-Term Care Partnership policies may be able to qualify for Medicaid before spending down all of their assets. In what is called “dollar-for-dollar” asset protection, the state will disregard an amount equal to the amount your long-term care insurance policy paid out in benefits. This means even a smaller policy will provide outstanding asset protection. Partnership policies must meet state and federal requirements. They are only marketed by licensed insurance professionals who have completed eight hours of training required by the State of Iowa Insurance Division.

Policy Example

Look at this example. Your Iowa Long-Term Care Partnership policy pays out $285,000 in benefits when it exhausts. The state would then disregard that same amount when it calculates your eligibility for the Medicaid Long-Term Care benefit. You can design your policy to protect the appropriate amount of assets based on your individual situation. The protected assets will also be exempted from Estate Recovery in the amount equal to the benefits paid by the partnership policy.


Most states have reciprocity with other states' long-term-care partnership programs including Iowa. This means if you move from or to Iowa your partnership asset protection follows you as well.


Long-Term Care Medicaid spend down is $2,000. A spouse’s minimum asset allowance is minimum of $26,076 up to a maximum of one-half of countable assets up to $130,380. Your spouse’s minimum monthly income allowance is $3,259.50. * The home equity limit is $603,000.

For more information about the Medicaid program visit

Rate Stability Rules

In addition, Iowa consumers enjoy additional peace-of-mind as the state has adopted Long-Term Care Insurance Rate Stability Rules.  These rules, developed the National Association of Insurance Commissioners, makes it much harder for an insurance company to get an approved rate increase.

Products Approved in Iowa

There are several products approved in Iowa for Long-Term Care planning. These include traditional plans, including partnership certified policies, short-duration policies, and asset-based “hybrid” plans.

Tax Incentives

Iowa permits tax deduction from net income for premiums paid for long-term care insurance coverage to the same extent allowable under federal law and to the extent not otherwise deducted in computing Adjusted Gross Income. Federal tax incentives exist as well.

Reverse Mortgages in Iowa

Reverse mortgages are available in Iowa. A reverse mortgage is a home equity loan where the borrower does not have to make payments.

This type of mortgage can increase monthly income, eliminate mortgage payments, and even fund Long-Term Care Insurance. However, Iowa has many rules on these products, and you should seek the help of a qualified and licensed mortgage broker. 

If you have significant equity in your home and you and your spouse are at least 62 years old, you can get a reverse mortgage to turn your equity into funding long-term health care, pay for an LTC Insurance policy, pay bills and add to your retirement lifestyle.

The home must be the principal residence without any tax liens. 

Learn more about reverse mortgages by clicking here.

*The federal government sets a new minimum and maximum amounts each year, but states can set their own minimum requirements at any level between the federal limits. This information is based on the best available sources.

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State Breakdown

State Partnership Program
State Tax Incentives
Federal Tax Incentives
Rate Stability Rules
Medicaid Spend Down $2,000
Minimum Asset Allowance $27,076
Minimum Monthly Income Allowance $3,259.50
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Iowa Cost of Care Calculator

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Long-Term Care Throughout Iowa

Des Moines

Des Moines is the capital of Iowa and the state’s largest city. The average skilled nursing facility cost runs $7,118 a month. Assisted Living averages $3,950 a month. Adult Day Care Centers average $1,490 a month. Care at home, based on a 44-hour week, averages $4,767 a month. Other population centers in the Des Moines metro include West Des Moines, Ankeny, Altoona, Clive, Grimes, Johnston, Newton, Norwalk, Urbandale, and Waukee.

Cedar Rapids 

The Cedar Rapids metro includes towns like Marion, Hiawatha, Robins, Vinton, and Anamosa. The average skilled nursing facility cost runs $6,494 a month. Assisted Living averages $3,925 a month. Adult Day Care Centers average $1,416 a month. Care at home, based on a 44-hour week, averages $4,385 a month.

Quad Cities

I-74 Bridge-standard.jpgThe Quad Cities of Davenport and Bettendorf in Iowa, and Rock Island, Moline, and East Moline in Illinois and their suburbs in northwest Illinois and southeast Iowa also form a large population center. The average skilled nursing facility cost runs $6,464 a month. Assisted Living averages $3,865 a month. Adult Day Care Centers average $1,375 a month. Care at home, based on a 44-hour week, averages $4,004 a month.

More Locations

Other population centers in Iowa include Ames, Boone, Cedar Falls, Council Bluffs (part of the Omaha, Nebraska metro area), Dubuque, Iowa City, Mason City, Sioux City, Waterloo.

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