There is little evidence that the first of the baby boom generation or the retirees to follow are financially prepared for the risk of potentially catastrophic costs of disability-related long-term care. Both the high cost of insurance and uncertainty about its value are widely thought to account for the lack of preparedness. This chapter reviews evidence on the risk of long-term care, types of long-term care, financial risks, and consumer knowledge of these risks. Common and not-so-common options for private financing of long-term care and barriers to their widespread adoption are discussed. A final section briefly reviews policies in place or proposed for increasing private preparation.