Does Medicare Pay for Assisted Living?

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Medicare doesn’t typically cover costs associated with assisted living. But certain plans may offer relief for people who need help. Let’s talk more about Medicare coverage and the best ways to pay for senior living. 

What Is Assisted Living? 

An assisted living residence or facility is a type of housing for people with disabilities or for adults who can’t or choose not to live on their own. This housing offers professional help with daily activities, such as dressing, bathing, eating, and bed transfer. 

Related Post: Four Ways to Achieve Financial Security in Retirement

Average Cost of Assisted Living Care 

The average yearly cost of assisted living care is around $48,000 per year. 

When you save for retirement, it’s important to save for assisted living care — should you need help with daily activities.

Does Medicare Cover Assisted Living?

Medicare will (partly) pay for stays of less than 100 days while you’re receiving skilled care. So, the answer is no, but Medicaid may cover assisted living in certain states. 

If you need help with everyday tasks, consider local community programs, state programs, or other kinds of funding, which could include:

  • Annuities
  • Veterans aid
  • Life insurance
  • Reverse mortgage 
  • Long-term care insurance

There are pros and cons to each of these funding options. If you don’t qualify for Medicaid, you can ask the facility about roommate options to reduce costs. 

Related Post: Long-Term Care Insurance: How it Works

What About Medicare Advantage?

Medicare Advantage plans now feature benefits for some additional home care services — which could let Medicare recipients keep living independently as opposed to moving into a full-time assisted living residence. It’s the carrier’s decision whether they include these supplemental home care services in the plan’s benefits. Plans with this type of coverage may only be available in certain areas.  

More on Medicare Advantage

Some Advantage programs may include home modifications, daily living activities, adult daycare, and transportation services. Rules and restrictions will apply. Remember that advantage plans don’t intend to cover assisted living. The extra benefits merely help support aging at home. 

What About Medigap?

Since Medicare doesn’t cover assisted living, Medigap policies won’t either. However, Medicare Supplement Insurance CAN cover some things that Medicare doesn’t, relating to doctors and hospital visits, durable medical equipment, surgeries, and more.

We Can Find Affordable Medicare Plans in Your Area

Although Medicare can’t help with assisted living costs, it can pay for other services and items. If you want more information on your options, contact an agent at Bobby Brock Insurance! We can answer questions about your eligibility and benefits. Plus, we’ll find affordable Medicare plans in your area while also considering your medical needs.  

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Justin Brock

President & CEO of Bobby Brock Insurance