It has become an important issue in Taiwan for all families that have to take care of the seniors with disability or dementia as it relates to the rapidly growing aging population and the lack of youth to care for said population. In order to understand the intention of the middle-aged and the elder people to purchase commercial long-term care insurance, we analyze studies based on the theory of planned behavior, the dimension of perceived risk, and the theory of perceived risk, to establish the research framework. People aged over 45 who live in Nantou County were the subjects in this research. A questionnaire was used to investigate the factors that affected the behavior of the middle-aged people and elders purchasing commercial long-term care insurance. The result showed that higher education levels accompanied higher recognition of behavioral attitude, subjective norm, perceived behavioral control, and behavioral intention. The recognition of behavioral attitude and behavioral intention for purchasing commercial long-term care insurance were also higher for the wealthy. In addition, multivariate regression analysis also found that behavioral attitude, subjective norm, and perceived behavioral control would all positively affect the behavioral intention of the middle-aged people and elders in purchasing commercial long-term care insurance. Behavioral attitude and perceived behavioral control had the greatest effect. Subject norm had a significantly positive effect on behavioral intention through the mediating effect of attitude.