When we did the apples to apples, TransAmerica was more expensive than MedAmerica so the agent and I took them off the list as possibllities. MedAmerica was the most competitive to Genworth.
Gotcha....you're a relatively unique case due to you and your spouse's ages. I like MedAmerica and use them frequently...it's all about the situation though. Everyone says they'll have someone to take care of them, the question is why would you want to burden them? Most family members capable of giving care to you in your later years will have children, careers and other obligations.
At home care seems like a nice idea but often creates extraordinary pressure and resentment within a family.