Medicare will pay for 100% of the cost of care up to 20 days at a skilled nursing facility and approximately 80% of the cost up to 80 more days. The care must be for recovery following an inpatient hospital stay. Medicare does not cover any cost of assisted living.

Does Medicare pay for assisted living facility?

En español | No, Medicare does not cover the cost of assisted living facilities or any other long-term residential care, such as nursing homes or memory care. Medicare-covered health services provided to assisted living residents are covered, as they would be for any Medicare beneficiary in any living situation.

Are there any Medicaid benefits for assisted living?

Medicaid will help cover the cost of assisted living, including memory care, or Alzheimer’s care. Eligibility requirements must be met (see below for more). Such requirements, available programs and benefits vary based on your state of residence. The cost of skilled nursing and emergency response systems also may be covered.

Do you have to pay for assisted living?

Paying for assisted living doesn’t all have to be from your own pocket. One preferred way to pay is through Medicaid. Medicaid is a state-administered public health insurance program that gives health care coverage to families or individuals with low incomes. It is the leading government-assistance program for long-term care and assisted living.

Can a nursing home accept a Medicaid patient?

For information on what your state provides, see our series of articles on state-by-state eligibility for Medicaid long-term care. Not all nursing homes, assisted living facilities, and other services accept Medicaid payments. A nursing home or assisted living facility can tell you whether they accept Medicaid patients.

How does Medicaid pay for assisted living in Hawaii?

Hawaii offers Med-QUEST (Medicaid managed care), which will pay for an individual’s nursing services in assisted living residences. Another option is Adult Foster Care which provides assisted living type services in small home-like environments.