In this research note, we present the results of the InCARE survey on attitudes, experiences and expectations on long-term care (LTC) for selected Balkan countries (Albania, Kosovo, North Macedonia and the Republic of Moldova), the first data of this type collected for these countries. We find that there is substantial reliance on informal care provided by family and friends, alongside significant cost and availability barriers to formal services. The results indicate a large divergence between the current systems’ design and societal preferences, the latter leaning towards care systems that place more responsibility on the state to organise and provide care than on the family.