Financial Assistance, Costs and Payment Options for Eldercare in New Hampshire

The costs associated with senior care can be complicated, particularly since different geographic ranges within New Hampshire have differing costs. On this page, the costs of assisted living, home care, and adult day care in various geographic regions throughout the state will be explored. Programs that provide financial and care assistance, both in the home and in the community, will also be covered.

The programs listed on the page include all of the programs provided by the state of New Hampshire. However, there are also other options that are available on a national level and these programs are not listed on this page. To assist in your search for these other options, please use our Resource Locator Tool. This tool is free of charge to use, is easy to navigate, and is very instrumental in exploring all of your options for elderly care.


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New Hampshire Elder Care Costs

Assisted Living / Memory Care

As of 2017, the range of cost of assisted living in New Hampshire is quite large throughout the state, with a monthly low of $2,800 and a monthly high of $9,025. However, the statewide average is $4,850 / month. Even so, Manchester has a monthly average ($5,855 / month) that is approximately 20% higher than the statewide average. Memory Care assisted living, also called Alzheimer’s Care, is available for individuals suffering from moderate to severe dementia. On average, one should expect to pay an additional $900 / month more than for traditional assisted living.

Home Care

The range of cost of home care (non-medical) throughout the state of New Hampshire in 2017 is $19.50 - $28.60 / hour, though the hourly average is $24.50 statewide. Again, the area of Manchester is the most costly in the state with an hourly average of $24. Home health care (medical care) is another option for senior care and costs $1.50 - $2.50 / hour more than home care. 

Adult Day Care

For seniors who wish to remain living in their own home, or the home of a family member, adult day care, which provides daytime supervision and assistance, is one of the most affordable options for elderly care in New Hampshire. Statewide, the average daily cost is $52 /day in 2017. Hillsborough County, which includes Manchester, is once again the most costly geographic area in New Hampshire, with an average daily cost of $73. 



New Hampshire Financial Assistance Programs

Medicaid Programs for the Elderly

Medicaid is a jointly funded (state and federal) health care program for low-income residents of the United States. While the parameters of the program are set federally, each state is able to work within these parameters to run the program to best fit the needs of their particular state. As in all states, nursing home care is paid for by the state Medicaid plan in New Hampshire. Some limited personal care is also covered. The Medicaid state plan is an entitlement program, which means that anyone who meets the eligibility requirements of the program is able to receive services.

In addition to the state Medicaid plan, New Hampshire also has a Home and Community Based Services (HCBS) Waiver for elderly and disabled residents, which is not an entitlement program. This means that the number of New Hampshire residents who are able to receive services via this wavier is limited. Therefore, a wait list may exist. This HCBS waiver is intended to assist those who are seniors and/or disabled in remaining in the community, rather than require nursing home placement.

The Choices for Independence Waiver, previously called the Elderly and Chronically Ill Waiver, provides services for those who require a nursing home level of care. Supports may be received in a variety of settings, including the individual’s home, a residential care home, an adult foster care home, or an assisted living facility. A number of supports are provided via this waiver, including assistive technology, home health services, specialized durable medical equipment, meal delivery, home and vehicle modifications, and adult day care. This waiver allows for self-direction, allowing individuals to choose their own providers for care services.

Medicaid Eligibility

In order for seniors to be eligible for Medicaid in New Hampshire, there are both income and asset restrictions. As of 2017, an individual’s income must not be greater than $591 / month. However, New Hampshire allows applicants to “spend down” their income, therefore, qualifying for Medicaid. For instance, after an applicant’s medical expenses are paid, if their remaining income is under $591 / month, they will qualify for services under Medicaid, as far as income is concerned. Furthermore, Supplemental Security Income or SSI is not counted as income, so the effective income limits is $1,326 ($591 + $735 in SSI).

The asset limit is set at $2,500 and includes all liquid assets, such as cash, mutual funds, stocks, and retirement funds. A senior’s primary home, if valued under $560,000 and he or she lives in it, is considered exempt. The process of applying for Medicaid can be tricky, especially if one has income or assets over the allowable amount. In this instance, consulting a Medicaid planning professional may be very beneficial.


State (Non-Medicaid) Assistance Programs

Unfortunately, New Hampshire does not have any non-Medicaid state programs offering assistance with elderly care. However, the following two programs may free up income that could in turn be used to pay for senior care.

The Low Income Home Energy Assistance Program (LIHEAP) offers financial assistance for low-income individuals and families to assist in paying for heating and cooling their home.

Discount Prescription Drug Cards offer discounts anywhere from 15% to 80% off prescription medications.


Other Financial Options for Care

In addition to the state specific programs that assist in covering the cost of elderly care in New Hampshire, there are also federal and non-profit programs available. In order to find other programs that assist in paying for care or reduce your out-of-pocket cost, make sure to use our Resource Locator Tool.  This tool makes it easy to locate and consider all of your options and choose the program that best fits the circumstances. Eldercare loans and programs that aid veterans with assisted living are other available options.


Finding Affordable Care

With such a wide range of cost for elderly care in New Hampshire, it is extremely important to find care at an affordable rate. In order to do so, one should accurately assess what care is needed and check rates with multiple providers. Our organization has paired with multiple organizations that are able to match your needs with high quality providers within your budget and geographic location. There is no charge for this service. Click here for help in finding assistance options