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Lincoln Financial Research Finds 80% of Families Haven’t Had In-Depth Conversations About Age-Related Healthcare Costs

  • 80% of American families have not had in-depth discussions about age-related healthcare costs despite growing long-term care needs.
  • National monthly average long-term care costs are $7,440 for home care, $5,463 for assisted living, and $9,480 for a skilled nursing home private room.
  • The U.S. population age 80+ is projected to nearly double by 2045, increasing demand for care.
  • Fewer married households and fewer households with children are expected to reduce available family caregiving networks.
  • Lincoln Financial's April 2026 survey of 1,026 U.S. adults found limited conversations regarding retirement income, life insurance, and legacy planning.
  • Families are encouraged to discuss care preferences, caregiving responsibilities, financial resources, and expectations before a health crisis occurs.
  • Long-term care qualification typically requires assistance with two of six Activities of Daily Living for at least 90 days or substantial supervision due to cognitive impairment.
  • Lincoln Financial serves approximately 17 million customers with $359 billion in end-of-period account balances as of September 30, 2026.