Introduction
Assisted living is a form of housing for seniors who need help with activities of daily living (ADLs). It provides 24-hour supervision and on-site health services such as medication management and medical monitoring. Assisted living facilities are designed to be home-like environments that offer social and recreational activities, meals, and housekeeping services.
Understanding the financial implications of assisted living is essential for seniors and their families. In this article, we’ll explore the costs of assisted living and how to pay for it, different forms of financial assistance available, how long-term care insurance can help cover expenses, and the tax implications of assisted living. We’ll also compare the cost of assisted living to other forms of senior care.
Costs of Assisted Living and How to Pay for It
According to the Genworth 2020 Cost of Care Survey, the national median monthly cost of assisted living is $4,300. However, the cost varies greatly depending on the type of facility and geographic location. For example, the median monthly cost of assisted living in California is $5,500, while in South Dakota it’s only $3,500.
Seniors typically pay for assisted living out of pocket using either private funds or long-term care insurance. Other options include government assistance programs such as Medicaid Waiver Programs, Veterans Benefits, and other state and local programs.
Private Funds
Many seniors use private funds such as savings, investments, or income from Social Security, pensions, and annuities to pay for assisted living. This can be a good option if you have enough money saved up and don’t want to rely on government assistance or long-term care insurance.
Long-Term Care Insurance
Long-term care insurance is a type of insurance policy specifically designed to cover the cost of long-term care services such as assisted living. The policies are typically purchased by individuals in their 50s or 60s who are looking to protect their assets in case they need long-term care services in the future.
Government Assistance Programs
Some states offer assistance programs to help seniors pay for assisted living. These programs may require that seniors meet certain eligibility requirements and may provide limited coverage. Examples include Medicaid Waiver Programs, Veterans Benefits, and other state and local programs.

Exploring Different Forms of Financial Assistance Available for Assisted Living
There are several different types of financial assistance available for assisted living. Below, we’ll take a closer look at some of the most common forms of assistance.
Medicaid Waiver Programs
Medicaid waiver programs are designed to help seniors pay for assisted living and other long-term care services. Eligibility requirements vary by state, but typically include being a U.S. citizen or legal resident, having a low income, and meeting certain functional criteria.
Veterans Benefits
Veterans and their spouses may be eligible for benefits through the Department of Veterans Affairs (VA) to help pay for assisted living. To be eligible, veterans must have served at least 90 days of active duty, with at least one day during a period of war. Spouses must have been married to the veteran for at least one year.
Other State and Local Programs
In addition to Medicaid Waiver Programs and Veterans Benefits, some states and local governments offer programs to help seniors pay for assisted living. These programs may require that seniors meet certain eligibility requirements and may provide limited coverage.
Examining How Long-Term Care Insurance Can Help Cover Assisted Living Expenses
Long-term care insurance is an important tool for covering the cost of assisted living and other long-term care services. Here, we’ll explore the basics of long-term care insurance, qualifying criteria, and policy coverage.
Understanding the Basics
Long-term care insurance is a type of insurance policy specifically designed to cover the cost of long-term care services such as assisted living. The policies are typically purchased by individuals in their 50s or 60s who are looking to protect their assets in case they need long-term care services in the future.
Qualifying Criteria
To qualify for long-term care insurance, you must meet certain age and health requirements. Generally, you must be between 45 and 85 years old and in good health. You may also be required to complete a health questionnaire and submit to a physical examination.
Policy Coverage
The amount and type of coverage provided by long-term care insurance policies vary. Some policies may cover the entire cost of assisted living while others may only cover a portion. It’s important to carefully review the policy to understand what is and isn’t covered.

Reviewing the Tax Implications of Assisted Living
In addition to understanding the costs and payment options for assisted living, it’s important to consider the tax implications. In some cases, assisted living expenses may be deductible as medical expenses on your federal income tax return.
Deductible Medical Expenses
Under the IRS’s rules, long-term care expenses may be deducted as medical expenses if they meet certain criteria. Specifically, the expenses must be for the diagnosis, cure, mitigation, treatment, or prevention of disease, and they must be medically necessary. Additionally, the expenses must be paid for by the taxpayer.
Other Tax Considerations
In addition to deducting medical expenses, there are other tax considerations to keep in mind when it comes to assisted living. For example, you may be able to claim a tax credit for qualified long-term care insurance premiums, and some states offer property tax relief for seniors living in assisted living facilities.

Comparing the Cost of Assisted Living to Other Forms of Senior Care
It’s important to consider the cost of assisted living relative to other forms of senior care. Home care and nursing homes are two other popular options for seniors who need assistance with ADLs.
Home Care
Home care is a type of care provided in the home. Home care services may include meal preparation, errands, transportation, and personal care such as bathing and dressing. According to the Genworth 2020 Cost of Care Survey, the national median monthly cost of home care is $4,481.
Nursing Homes
Nursing homes provide 24-hour professional care in a residential setting. Services may include skilled nursing care, rehabilitation, and social and recreational activities. According to the Genworth 2020 Cost of Care Survey, the national median monthly cost of nursing homes is $7,513.
Conclusion
Assisted living can be a great option for seniors who need help with activities of daily living. Understanding the financial implications of assisted living is essential for seniors and their families. Costs can vary greatly depending on the type of facility and geographic location, and there are several different payment options available, including private funds, long-term care insurance, and government assistance programs. It’s also important to consider the tax implications of assisted living, as well as the cost relative to other forms of senior care.
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