Preferences for In-Kind and In-Cash Home Care Insurance

Jochem de Bresser, Marike Knoef, Raun van Ooijen

Research output: Working paperDiscussion paperOther research output

121 Downloads (Pure)


We study preferences for different types of home care insurance using a discrete choice experiment. We consider domestic, personal, and social care, a home care annuity, and home adaptations lump-sum. To understand variation in preferences, we relate willingness to pay to personal circumstances, preferences, and expectations. We find that the majority value in-kind and in-cash insurance above the actuarial premium. While most respondents value coverage for basic levels of support, we find diminishing marginal utility for higher levels of support. For in-kind care, willingness to pay is positively associated with respondent characteristics: being single, household income, home ownership, risk aversion, low bequest motives, expected length of home care use, expected expenditures when in need of care, and low expected availability of informal care. In contrast, in-cash support is valued regardless of respondent characteristics, possibly because its inherent flexibility. These results contribute to the design of insurance schemes for home care.
Original languageEnglish
Place of PublicationTilburg
PublisherCentER, Center for Economic Research
Number of pages46
Publication statusPublished - 25 Nov 2021

Publication series

NameCentER Discussion Paper


  • long-term care insurance
  • home care
  • Willingness to pay
  • discrete choice experiment
  • saving motives
  • health expectations


Dive into the research topics of 'Preferences for In-Kind and In-Cash Home Care Insurance'. Together they form a unique fingerprint.

Cite this