In discussing long-term care insurance in Malaysia, the role of the public and private sectors regarding the facilities for elderly are outlined. The long-term care situation includes projections of long-term care, dementia, and the ratio of people requiring long-term care. Time has an impact on household contribution to family takaful, life insurance, income, and health expenditure. Private long-term care insurance has products with a coverage period of up to 100 years of age and annual coverage exceeding RM1 million. The issues are affordability of the insurance plan, eligibility of the potential policy holder, coverage limitation, and increase of premium throughout the enforcement of the insurance plan. Long-term care facilities are public facilities which are under the administration of the Ministry of Women, Family, and Community Development. The types of public facilities available for long-term care are the Senior Citizen Activity Centers, Senior Citizens Care Unit Program, Respite Care, Home Help Services, and Senior Citizen Club with 143 Senior Citizen Activity Centers in 2024. There were 400 Private Care Centers for older people listed under the ministry as of 2024. They are classified as care centers, day care centers, rehabilitation centers, nursing homes, home care services, and retirement homes. There were 21 licensed nursing homes in Malaysia in 2022 and the profit-making model should be designed with facilities and services tailored to the specific needs of the elderly. Caregivers have to fulfill specific qualifications to better serve the elderly.