Page Reviewed / Updated - May 2014
The goal of this webpage is to help New York residents understand long term care costs in the state including assisted living, in-home, Alzheimer's and adult day care. It is also to make them aware of the financial assistance programs that help pay for care and options that can reduce the cost of care, prescription drugs and home medical equipment.
In 2014, the average cost of assisted living in New York was $3,684 / month. However in the most expensive areas of the state; Binghamton, New York City and the surrounding area, Ithaca and Long Island, the monthly cost ranges from $4,800 - $5,500. Less expensive areas include; Buffalo, Poughkeepsie, Utica and surprisingly Staten Island where assisted living costs are in the $2,800 - $3,500 / month range.
Alzheimer's residential care thorough out New York, sometimes called Memory Care, adds approximately $1,100 to the monthly cost of assisted living.
Home care across the state on average costs $21 / hour. Binghamton, Syracuse and Ithaca are the most expensive areas for home care, where the range is $22 - $24 / hour. Brooklyn, Queens and Staten Island are the least costly areas for home care where the hourly rate averages near $18.
Non-residential adult day care continues to be the least expensive care option and costs on average $75 / day. It is most expensive in Manhattan, the Bronx, Long Island and Queens where it cost between $90 - $110 / day. It is most affordable in the areas of Binghamton, Buffalo, Syracuse and Utica.
New York offers two programs for lower income residents that do not qualify for Medicaid. These programs provide financial assistance to help seniors with the cost of care and other medical expenses. The Expanded In-home Services for the Elderly Program (EISEP) provides personal care for seniors in their homes. Read more about EISEP qualifications and benefits. The Elderly Pharmaceutical Insurance Coverage (EPIC) program provides two levels of Medicare Wraparound coverage for prescription drugs. Read about EPIC eligibility and benefits.
Medicaid is a program for disabled and elderly individuals with limited incomes and resources. To qualify for Medicaid in the state of New York in 2014, individual residents must have monthly income of less than $809 and couples less than $1,192. The resources or assets limit is $14,550 for individuals and $21,550 for couples. When calculating assets, the state does not include the value of a home or primary vehicle.
Persons with income and assets over these limits can still become eligible for Medicaid assistance. Individuals whose incomes exceed the limit but have high medical expenses may qualify through a Medicaid spend-down program called Medicaid Excess Income. Persons with assets valued over the limit might become eligible by working with a Medicaid planner to structure their resources appropriately. If there is some question regarding qualification, it is strongly recommend individuals contact a Medicaid Planner prior to applying for Medicaid.
In addition to paying for nursing home care for qualified New York residents, New York offers three Medicaid waiver programs that help pay for assisted living and home care.
1) The Managed Long Term Care Waiver will help residents with home care. Read about eligibility and benefits for the MLTC Waiver.
2) The Assisted Living Program (ALP) helps individuals who qualify for nursing home care, but prefer to live in an assisted living residence. Read more about the ALP.
3) The Consumer-Directed Personal Assistance Program (CDPAP) will pay for personal care for seniors in their homes. Program participants have the flexibility to select some of their own care providers and certain family members can be hired as paid caregivers.
In addition to the state specific options that help pay for care, there are many non-profit and federal options. Use our Resource Locator Tool to find other programs that help pay for or reduce the cost of care. There are also programs that help veterans with assisted living and there are eldercare loans available in New York.
To help families find affordable care in New York, we've partnered with several organizations that maintain databases of care providers. These organizations all provide free services that match an individual's specific care needs with care providers in their preferred geographic area. Click here to find affordable care.