I still maintain the premiums on an LTC policies from a previous employer for spouse and me. When we got them, no medical exam necessary, but might have been a brief questionnaire - over 30 years ago.
It’s a key element in the protection of assets in case.
Premiums for females are more expensive than males. Premiums steadily rose over the years, but have risen more sharply in the past few years, as many insurance products have.
For the two of us, our premiums are just around $3k annually. This includes built-in inflation tracking for the monthly benefit, but you can generally choose a fixed benefit option for less in premiums.