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Methods of payment vary based on the level of care that is required, the income of the individual, and the geographic location in which the care is being provided.
The following matrix gives an overview of the various types of communities and what methods of payment cover services and/or care in each type. A (Y) indicates that payment type and community type match. An (X) indicates a combination that is not possible.
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Medicare
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Medicaid
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Private Pay
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Long-term
Care
Insurance
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Nursing Home
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Y
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Y
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Y
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Y
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Assisted Living
Center
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X
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Y
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Y
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Y
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Board and Care Home
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X
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Y
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Y
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Y
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Independent Living
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X
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X
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Y
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X
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Continuing Care
Retirement Community
(CCRC)
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X
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X
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Y
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X
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A few important points with regard to payment methods for senior living services and care are:
- Medicare does not pay for care in an Assisted Living Center.
- Medicare does not pay for long-term care in a nursing home. Long-term care (of many months and/or years) is typically paid for through Medicaid or a combination of private resources and Medicaid – Many spend down their assets and become Medicaid recipients.
- Medicare only pays for short-term rehabilitative care (up to 100 days of rehabilitation following a qualifying hospital stay.)
Follow the links below to learn about the different methods of payment mentioned above:
Payment Methods by Community type
All living choices have one thing in common: they each require some form of payment. Learn about the various methods of payment here.
Long-term Care Insurance
Long-term Care Insurance may be an option for you to consider when paying for long-term care. Learn what it is, how it works, and the important details you'll need to consider if buying a policy.
At home payment
Learn how most in-home services are paid for.
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