Table of Contents
This page is designed to help residents of Indiana understand the costs connected with assisted living, home care, and adult day care. Additionally, it explores payment options and financial aid programs that may be available to help in caring for elderly loved ones.
Please use our Resource Locator Tool to search for assistance programs nationwide. The ones outlined here are comprehensive, but only at the state level, specific to Indiana, and do not include options available at a national level. In order to find the most appropriate program for your situation, it is strongly recommended you search for programs at all levels.
In 2018, the average monthly cost of assisted living in Indiana is approximately $3,598. In Lafayette, Bloomington, Muncie, and Columbus, the monthly cost is quite a bit more costly, averaging between $3,920 and $4,570 / month. The least expensive assisted living can be found in Elkhart, Fort Wayne, Kokomo, and Terre Haute, where the monthly cost swings the other way, with costs approximately $420 - 620 less a month than the state average. Memory care (for persons with moderate+ dementia, such as Alzheimer’s) typically costs 20% - 30% more than regular assisted living.
The average hourly rate for home care across Indiana in 2018 is $20.25 / hour, with little variation between cities and rural areas. Though the average hourly rate in Evansville, Terra Haute, and South Bend on average is $1.25 less / hour. Bloomington is also under the state average at approximately $19.75 / hour. Columbus, Elkhart, Lafayette, Michigan City, and Indianapolis areas have slightly higher hourly rates at approximately $22 to $22.25 per hour.
The average cost of adult day care services is $81 / day in 2018. In the Bloomington, Terra Haute, and Columbus areas, one can expect to pay between $94 and $110 / day, while one can find expected costs as low as $63 to $71 / day in the South Bend, Elkhart, and Muncie areas.
Medicaid covers the cost of nursing home care, as well as limited personal care, for elderly and frail, low-income individuals. In addition to the state Medicaid plan, Indiana also offers a HCBS (Home and Community Based Services) Medicaid Waivers to assist those who need a nursing home level of care, but prefer to remain living at home or in the community. The goal of these programs is for individuals to remain living in their home as long as possible, delaying or preventing nursing home placement. Indiana currently offers one Medicaid-based assistance programs relevant to the elderly.
Aged and Disabled Medicaid Waiver / Consumer-Directed Attendant Care (CDAC) Program – This program is intended to provide state residents assistance for living at home, in foster homes, or in assisted living. This program also assists individuals who currently reside in a nursing home, but wish to return home. Many benefits are available via this program, including adult day care, home and vehicle modifications, and homemaker services. Family members can be hired to act as personal care providers. Waiting lists may apply. To learn more, click here.
Structured Family Caregiving / Caregiver Homes – Rather than a separate waiver, this is a benefit that falls under the Aged and Disabled Medicaid wavier. It is intended to provide a caregiver to an elderly or disabled resident, either in the caregiver’s home or the home of the individual in need of care. This program is designed in an adult foster care model where the individual in need of care lives with their caregivers, and the caregiver receives compensation. Certain family members, including adult children, can be hired as the caregiver. Find out more and learn how to apply here.
As of 2018, the state of Indiana requires that in order to qualify for Medicaid as a disabled or elderly person, one must be a resident at least 65 years of age, or under the age of 65 and disabled. The monthly income limits are set at $2,250 (300% of the Federal Benefit Rate) for single applicants, and the asset limit is set at $2,000. Both the income and asset limits increase should a married couple apply for benefits. If only one spouse of a married couple applies, the non-applicant spouse may be entitled to a portion of the applicant spouse’s income. This is known as the Monthly Maintenance Needs Allowance (MMNA), and as of 2018, may be as much as $3,090 / month. In addition, as of 2018, a non-applicant spouse can retain up to $123,600 of the couple’s joint assets. This is called the Community Spouse Resource Allowance (CSRA). Both of these rules are in place to prevent spousal impoverishment. Read more about assistance qualifying for Medicaid.
The state of Indiana currently offers three non-Medicaid assistance programs. The first is the CHOICE program, also called the Community and Home Options to Institutional Care for the Elderly and Disabled, which provides financial assistance for in-home care, in-home support, and home modifications for aging in place. The second program, HoosierRx, offers financial support to assist seniors in paying their Medicare Part D premiums, which provides for medication coverage. The third program, Indiana Residential Care Assistance Program, provides financial support for individuals residing in state-approved homes and residential care facilities. This assistance may help to cover the cost of room and board, laundry, and care coordination.
Click on the program names below to get more information on specific benefits and eligibility guidelines.
Additional funding for care can also be found at the federal and non-profit levels. In addition to the options listed above, there are programs to assist veterans, as well as loans available for elder care. Use the Resource Locator Tool to find these and other programs that may reduce the cost of care. This tool is also invaluable in finding the program that is best matched to your situation.
Even though the cost of care in Indiana can be more affordable than surrounding states, there is still a broad range of elder care pricing throughout the state. Given this fact, it is strongly recommended that one contact various providers to uncover more affordable care. If adult day care is the biggest concern, one should perhaps avoid the Columbus area, as it is an outlier in cost of care. To help citizens with this process, our organization offers a service, free of charge. This service matches particular care needs with the care providers in the appropriate price range and ideal geographic region. Click here for assistance.