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Long-term care insurance · state

WA Cares Fund

WA Cares Fund

WA Cares is a state-run public long-term care insurance program. Most Washington workers contribute automatically through payroll deductions (premiums began July 1, 2023). Self-employed workers can opt in. When a participant needs long-term care, they apply for benefits and a WA Cares team member assesses care needs in person or by phone. Benefits begin July 2026 and cover a wide range of in-home and residential LTC services up to a lifetime cap. Participants who currently have an approved WA Cares exemption cannot qualify for benefits.

Who qualifies

Two requirements: 1) Contribution requirement (one of three pathways): , Permanent pathway: Contribute for at least 10 years → full $36,500 lifetime benefit. , Temporary pathway: At time of application, contributed for at least 3 of the past 6 years → full $36,500 (must keep contributing to maintain). , Transition pathway (born before Jan 1, 1968): Contributed at least 1 year → 10% of full benefit per year contributed (currently $3,650/year). Each calendar year of at least 500 hours worked counts. 2) Care needs requirement: Need help with 3 or more activities of daily living (bathing, bed mobility, eating, medication management, mobility, transferring, toileting) and need help for at least 90 days. Supervision/cueing/set-up assistance counts. Residency: Must currently live in WA to use benefits. Starting July 2026, participants can choose to continue if they move out of state; out-of-state benefits begin July 2030.

What it covers

Up to $36,500 lifetime benefit (grows with inflation; pro-rated under transition pathway at $3,650 per year contributed). Covers long-term care services including: paid family caregiver (including spouse) or home care aide; home-delivered meals; transportation to medical appointments; home modifications (e.g., grab bars); home safety evaluations to prevent falls; assistive devices/technology (e.g., lift chair, bath bench); in-home care; care respite services; residential care.

Cost

Benefit amounts effective for 2026 applications. Benefits begin July 2026. The $36,500 figure is described as growing over time with inflation. Out-of-state benefits begin July 2030.

How to apply

Create a WA Cares benefits account via SecureAccess Washington (SAW). When you need care, apply through your benefits account; a WA Cares team member will conduct a care needs assessment in person or by phone. Self-employed workers must opt in, report earnings, and pay premiums to qualify.

Where to get this in Washington

6 organizations deliver this program. Coverage varies, so check the area each one serves.

Source wacaresfund.wa.gov/