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How to Pay for Assisted Living Costs

Explore how to pay for assisted living. Seniorly can help you understand the cost of assisted living services so you can make informed decisions.

By Arthur Bretschneider · Updated Dec 1, 2022
Reviewed by Eric Schwarz · Reviewed Nov 30, 2022
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The cost of senior living is high in America, and it’s only getting higher. According to Genworth, the 2019 national median rate for a one-bedroom assisted living apartment runs about $4,500, with an additional $800 to $1,000 per month for care and care-related expenses such as laundry. However, costs for assisted living facilities near you may vary. 

If you’re like most senior residents, or if you’re a typical younger relative of a senior, the question of how to pay for assisted living may seem daunting. Something over $50,000 a year may simply be too much to handle out of pocket. Fortunately, there are alternatives available to help cover the cost of assisted living. These are the most common.

Medicare - A Short-Term Senior Living Option

Medicare is the largest medical insurance provider in the country, and parts of it are offered for free to all citizens over the age of 65.  However, Medicare does not pay for assisted living.  Medicare Part A, specifically, covers the cost of hospital stays, while Part B picks up the bills for doctors’ visits and other odds and ends. The program also provides a certain amount of coverage for a skilled nursing facility, rehab and memory care, which can be invaluable during the first few weeks while you’re moving into your new senior living community. It was never intended to provide for your long-term care, however, and so alternatives must be found before the limited nursing home allowance runs out. 

Medicaid - Help for Low-Income Senior Residents

Medicaid, like Medicare, is a government health insurance plan, except this program is open to the financially needy. Many senior residents on fixed incomes rely on Medicaid to help with some of the costs of care, though if your income is above a certain level, you may be responsible for an annual co-pay or share of cost. Half of Medicaid’s funding comes from the federal government and half from your state, so details of coverage and co-pays vary tremendously from state to state.  Please note in some select states there are Medicaid waivers that pay for the cost of assisted living, but these are very limited.

Long-Term Care Insurance

When your Medicare and Medicaid benefits run out, or when they just aren’t enough to cover the cost of care at your senior living facility, it helps to have another form of insurance to fall back on. That’s where long-term care insurance can be a lifesaver. LTCI acts like a regular insurance policy and picks up the expense of assisted living under whatever the terms were when you signed up for the policy. LTCI usually picks up where government insurance plans leave off and provides for extended residency in an assisted living community near you or memory care facility, with some allowance for nursing and physical rehab, just in case. Plans like these are often included as continuing coverage after retirement from a job, or they’re separately purchased as a supplement.

Veterans’ Benefits

Most veterans are eligible for senior living costs through the Veterans Affairs (VA).  A person who served in the active military, naval or air service and who was discharged or release under conditions other than dishonorable may qualify for VA health care benefits, including qualifying Reserve and National Guard members. If you are eligible, please note the VA does not provide this benefit in all areas of the country, and it’s intended to be used strictly for medical costs associated with age, not rent or other senior living expenses. Independent and assisted living are typically not covered by the VA, though some of your personal care may be. Fortunately, the VA can connect its members with a social worker who has detailed information about what’s covered and what isn’t.

Equity and Reverse Mortgages

When the temporary and partial coverage of Medicare and Medicaid have run out, or when there’s an expense your LTC just doesn’t cover, your only option may be private pay. Most seniors collect a fixed monthly income from Social Security and/or a pension earned from a lifetime of work. These often provide a measure of security, but they may not be enough to cover the $3-5,000 monthly cost of your care. That’s when many seniors turn to the equity in their homes for help with monthly costs. This can be done in one of two ways, equity and reverse mortgages:

  • Equity is the money saved up in your house. You can either sell the property for a lump sum to cover costs, or take out a line of credit backed by the property to supplement your needs.
  • A reverse mortgage is a loan that allows an eligible homeowner to borrow money, but it doesn't work the same as a home purchase. A homeowner who is 62 years of age or older and has a large amount of home equity can borrow against the value of their home to receive funds as a lump sum, monthly payments or line of credit. Unlike a loan used to buy a home—a reverse mortgage doesn’t require the homeowner to make any loan payments during their lifetime. This can be used to plug the gaps in your care.
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  • Deciding how to pay for assisted living or any kind of senior living care for yourself or a loved one can be as challenging as finding the right care was in the first place. Before you commit to one method to cover costs, be sure you know all of the options you may be eligible for.
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Arthur Bretscheider
Arthur Bretschneider is CEO and Co-Founder of Seniorly. As a third generation leader in the senior living industry, Arthur brings both deep compassion and a wealth of practical experience to his work at Seniorly. Arthur holds an MBA from Haas School of Business and has been featured in the New York Times and Forbes Magazine as a thought leader in the senior living space. Arthur is a passionate and vocal advocate for improving the lives of older adults through community, and believes strongly that structured senior living environments can positively impact the aging experience.
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