Are You Entitled To Assisted Living Covered By Medicare?

Are You Entitled To Assisted Living Covered By Medicare?

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Today’s assisted living communities are constantly evolving to better serve an active generation of seniors. Assisted living facilities and communities offer seniors a carefree way of living with housekeeping services, linen and laundry services, holistic dining plans, fitness classes, day trips, dynamic activity calendars, and so much more.

And prices have become drastically reduced as developers have been over-building assisted living developments because they’re anticipating the number of seniors in America to double in the next decade. Essentially, this means that there is a surplus of assisted living right now and communities are desperate to fill their vacancies. If you look in the right places, you should find incredible deals on Assisted Living.

Does Assisted Living Accept Medicare?

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The average assisted living community costs $43,200 each year. Skilled nursing communities range between $80,000-and-$90,000 a year for semi-private and private rooms, respectively. Memory care facility costs are almost $69,000 annually, on average.

Often confused with Medicare, Medicaid is a joint federal and state program that helps people cover health care costs, including long-term care. According to the Centers for Medicare and Medicaid Services (CMS), “each state sets its own guidelines regarding eligibility and services,” but they must meet federal requirements.

Most states offer long-term care Medicaid beneficiaries some degree of financial assistance with assisted living costs, either through regular Medicaid or Medicaid waivers.


As healthcare living costs continue to rise, you may wonder how you – or your children – are going to cover these expenses. 


Medicaid Paid Assisted Living Communities

Medicaid is funded partly by the Federal government and partly by the states. That’s why qualifications for an individual to receive this type of coverage vary.

Almost all state Medicaid programs will cover some assisted living costs for eligible residents.

For qualified seniors, Medicaid does pay for these assisted living services:
• Nursing care
• Case management
• Medication management
• Assessments
• Medical exams

Medicare Paid Facilities

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Medicare coverage for a person with dementia includes inpatient hospital stays, skilled nursing care up to 100 days, and hospice. It also pays for preventive care, doctor appointments, lab, and diagnostic tests, physical therapy, and medical equipment.

Medicaid may cover the costs for a memory care facility if that facility has a Medicaid contract. For those in a non-contracted Medicaid memory care facility, Medicaid will pay for the same services as listed under the assisted living community section, above.

Find The Best Options For Assisted Living Here

Researching can help you determine what kind of housing is available in the area you want to live in, often for free. These sites offer a range of housing options from independent living communities to nursing homes to memory care. Research and comparing is by far the best way to find a senior living facility that checks all of your boxes.

Make the move into assisted living now, and you’ll be able to save tens of thousands of dollars in the years to come. Begin your search now.

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