{"id":9220,"date":"2016-05-03T07:38:21","date_gmt":"2016-05-03T12:38:21","guid":{"rendered":"https:\/\/www.senioradvisor.com\/blog\/?p=9220"},"modified":"2017-09-19T11:58:39","modified_gmt":"2017-09-19T16:58:39","slug":"how-to-pay-for-assisted-living","status":"publish","type":"post","link":"https:\/\/d30braiqprupoq.cloudfront.net\/blog\/2016\/05\/how-to-pay-for-assisted-living\/","title":{"rendered":"How to Pay for Assisted Living"},"content":{"rendered":"<h1><span style=\"font-weight: 400;\">How to Pay for\u00a0Assisted Living<img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-9224\" src=\"https:\/\/s3.us-west-2.amazonaws.com\/img.prod.aplaceformom.com\/main\/uploads\/sa-blog\/2016\/04\/How-to-Pay-for-Assisted-Living-350x293.png\" alt=\"How to Pay for Assisted Living\" width=\"350\" height=\"293\" srcset=\"https:\/\/s3.us-west-2.amazonaws.com\/img.prod.aplaceformom.com\/main\/uploads\/sa-blog\/2016\/04\/How-to-Pay-for-Assisted-Living-350x293.png 350w, https:\/\/s3.us-west-2.amazonaws.com\/img.prod.aplaceformom.com\/main\/uploads\/sa-blog\/2016\/04\/How-to-Pay-for-Assisted-Living-768x644.png 768w, https:\/\/s3.us-west-2.amazonaws.com\/img.prod.aplaceformom.com\/main\/uploads\/sa-blog\/2016\/04\/How-to-Pay-for-Assisted-Living.png 940w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/span><\/h1>\n<p><span style=\"font-weight: 400;\">Anyone who\u2019s priced assisted living knows why you need a plan to pay for it. The annual US median cost was $43,200 in 2015 <\/span><span style=\"font-weight: 400;\">according<\/span><span style=\"font-weight: 400;\"> to <strong><a href=\"https:\/\/www.genworth.com\/corporate\/about-genworth\/industry-expertise\/cost-of-care.html\" target=\"_blank\">Genworth<\/a><\/strong>, which conducts a yearly survey. That\u2019s $3,600 per month, and rates are projected to rise 2% annually over the next few years. The good news is, depending on your insurance coverage, benefits eligibility, home equity, and\/or willingness to move, you may be able to reduce the amount you pay out of pocket for assisted living. <\/span><\/p>\n<h2>Location, location, location<\/h2>\n<p><span style=\"font-weight: 400;\">Relocating might save you thousands per year. For example, someone who lives in <strong><a href=\"https:\/\/www.senioradvisor.com\/stamford-ct\/assisted-living\" target=\"_blank\">Stamford, Connecticut<\/a><\/strong> can expect to spend about $6,270 per month on assisted living there, while a resident of <strong><a href=\"https:\/\/www.senioradvisor.com\/port-saint-lucie-fl\/assisted-living\" target=\"_blank\">Port St. Lucie, Florida<\/a><\/strong>, will spend about $2,900 per month\u2014and enjoy warmer winters, too.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Assisted living costs notably more than the national median in New England, New Jersey, and New York, and also in Alaska and Washington State, per Genworth. The most expensive area in 2015 was Washington, DC, with a median monthly cost of $7,838. By comparison, Hawaii looked like a bargain with a median rate of $4,000 per month.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you live in a high-cost area, consider the benefits of moving to a more affordable place, especially if it brings you closer to friends and family. States with 2015 median assisted living costs at or under $3,000 per month included Utah, Missouri, Georgia, and North Carolina. Most of the remaining states were within a few hundred dollars of the national median.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Whether you decide to stay local or relocate, you\u2019ll need to review your other payment options. First, we\u2019ll look at insurance programs, then benefits, and then home equity-related choices.<\/span><\/p>\n<h2>What insurance may pay for, what it won\u2019t<\/h2>\n<p><span style=\"font-weight: 400;\">Let\u2019s rule out the types of insurance that won\u2019t help you here. Health-care insurance paid for by your employer (or you, if you\u2019re self-employed) does not cover assisted living. Neither do disability policies intended to replace lost income for adults under age 65. Two types of insurance you may be able to use are <strong><a href=\"https:\/\/www.senioradvisor.com\/blog\/2015\/10\/life-insurance-vs-long-term-care-insurance\/\" target=\"_blank\">long-term care insurance and life insurance<\/a><\/strong>.<\/span><\/p>\n<h4><strong><i>Long-term care insurance<\/i><\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">A long-term care policy, if you have one, may cover most of your assisted living expenses. Review your policy with your agent to make sure you\u2019re clear on what\u2019s covered, what\u2019s excluded, and what the payout limits are. Set up an auto-payment arrangement if you haven\u2019t already. Policyholders are more likely to forget to pay premiums when their health declines&#8211;exactly when they need coverage. <\/span><\/p>\n<p><strong><i>Life insurance<\/i><\/strong><\/p>\n<p><span style=\"font-weight: 400;\">You may be able to withdraw some or all of the cash value of a life insurance policy to pay for care, but experts advise caution. That money may be taxable, and that can leave with you with an unexpectedly high bill the following April. This option also, of course, reduces or eliminates what you can leave to heirs. Consult with your tax preparer and financial planner before tapping your life insurance. As with long-term care insurance, stay current on premiums.<\/span><\/p>\n<h4><strong><i>Medicare<\/i><\/strong><\/h4>\n<p><span style=\"font-weight: 400;\">Medicare <strong>does not pay<\/strong> for assisted living or long-term nursing home care. Medicare <\/span><strong><a href=\"https:\/\/www.medicare.gov\/coverage\/skilled-nursing-facility-care.html\" target=\"_blank\">will pay<\/a><\/strong><span style=\"font-weight: 400;\"> for short-term stays in residential rehabilitation facilities if your doctor prescribes rehab after an inpatient hospital stay (in which you\u2019re admitted, not kept for observation) of at least 3 days. <\/span><\/p>\n<h2>What benefit programs may pay for<\/h2>\n<p><span style=\"font-weight: 400;\">People sometimes think Medicare covers assisted living because it\u2019s often confused with Medicaid, which <strong>does help<\/strong> some people pay for care.<\/span><\/p>\n<h4><strong><i>Medicaid<\/i><\/strong><\/h4>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.senioradvisor.com\/blog\/2016\/03\/does-medicaid-cover-assisted-living\/\" target=\"_blank\"><strong>Medicaid covers qualified long-term care costs<\/strong><\/a> for people over 65 with:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">a documented need for daily assistance<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">very low incomes, and<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">in most states, assets worth less than $2,000 (excluding their home and one vehicle)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Exact Medicaid rules differ from state to state because the program uses both federal and state money. Your state\u2019s Medicaid office can provide details on eligibility, coverage, and applications. Bear in mind, federal Medicaid rules require the recovery of the recipient\u2019s assets after they pass away, which means your house and car may be sold off to pay back the program.<\/span><\/p>\n<p><strong><i>VA Aid &amp; Attendance Pension Benefit<\/i><\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Honorably discharged or separated veterans, and surviving spouses of such veterans, who served at least one active-duty day during war time (although not necessarily in combat) and at least 90 active-duty days total, may qualify for the <strong><a href=\"http:\/\/www.veteranaid.org\/apply.php\" target=\"_blank\">VA\u2019s Aid &amp; Attendance Pension<\/a><\/strong>. Healthy veterans with spouses who need care may also qualify.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Eligibility rules also require: <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">a physician\u2019s statement that you need help with at least one activity of daily living and <\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">total assets valued at roughly less than $80,000 (excluding your home and vehicle) <\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Take <a href=\"http:\/\/www.veteranaid.org\/aid-and-attendance-eligibility.php\" target=\"_blank\">this eligibility quiz <\/a>to find out if you should consider applying. Contact the nearest VA regional office for detailed application information. The VA typically takes several months to process applications. If you are awarded the pension benefit, payment will be retroactive to the date of your initial application. <\/span><\/p>\n<h2>Ways to use your home equity to pay for care<\/h2>\n<p><span style=\"font-weight: 400;\">The traditional way to access home equity is simply to sell your home and use the proceeds to pay for care. This comes with tax consequences, of course, and if the market is slow in your area, you may not be able to sell quickly enough to cover your care costs. <\/span><\/p>\n<p><strong><i>Bridge loans<\/i><\/strong><\/p>\n<p><span style=\"font-weight: 400;\">In these cases, <strong><a href=\"https:\/\/www.senioradvisor.com\/blog\/2015\/06\/what-is-a-bridge-loan\/\" target=\"_blank\">bridge loans<\/a><\/strong> can free up a portion of your equity before the sale of your home. They\u2019re not an option for every homeowner, though. Since the 2008 mortgage crisis, lenders are extremely selective about writing bridge loans and typically only extend them to high-net-worth buyers with excellent credit. <\/span><\/p>\n<p><strong><i>Reverse mortgages<\/i><\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Another option is a <strong><a href=\"https:\/\/www.senioradvisor.com\/blog\/2015\/05\/what-is-a-reverse-mortgage\/\" target=\"_blank\">reverse mortgage<\/a><\/strong>, which frees up equity and allows a spouse to remain in the home. The loan proceeds aren\u2019t taxable, which helps the money go farther. Your home will be sold to pay off the loan after you (and your spouse, if applicable) pass away. Also, if your partner who remains in the home has to move out for an extended period of time, because of illness, work, or any other reason, the lender may sell the home and settle the loan. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Any time you\u2019re thinking of tapping your home equity, taking out a loan or selling your home, talk it over with your financial planner and tax preparer. They may be able to help you make the best possible plan for assisted living based on your financial circumstances and goals. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>How to Pay for\u00a0Assisted Living Anyone who\u2019s priced assisted living knows why you need a plan to pay for it. The annual US median cost was $43,200 in 2015 according to Genworth, which conducts a yearly survey. That\u2019s $3,600 per month, and rates are projected to rise 2% annually over the next few years. The good news is, depending on [&hellip;]<\/p>\n","protected":false},"author":2198,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3,200,162],"tags":[26,14,287,204],"class_list":{"0":"post-9220","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-assisted-living","7":"category-families-caregivers","8":"category-retirement-planning","9":"tag-aid-and-attendance","10":"tag-assisted-living-2","11":"tag-financial-assistance","12":"tag-medicaid"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to Pay for Assisted Living - SeniorAdvisor.com Blog<\/title>\n<meta name=\"description\" content=\"Assisted living costs upwards of $3,500 per month. 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