Cost of Assisted Living in Chapel Hill, North Carolina

Page Reviewed / Updated - August 2019

This guide is to help seniors determine the approximate cost of different types of long-term care in Chapel Hill, North Carolina. It includes detailed information about financial assistance programs and other resources that are available to help seniors in the area pay for their care. For more information about financial assistance programs that are available throughout the state, visit our guide to paying for senior care in North Carolina.

The Cost of Senior Living and Care in Chapel Hill

According to the Genworth Cost of Care Survey 2018, seniors who reside in assisted living facilities in Chapel Hill pay about $500 less per month than those in the average city in North Carolina. Seniors receiving other forms of long term care in the area pay more than state averages. The cost of home care is $620 higher in Chapel Hill than the state average, while the cost of adult day care and nursing home care are both close to $300 above state averages.

Note: Specific cost data about the cost of senior care in Chapel Hill isn’t available in the Genworth Survey. Data for Durham, the nearest major city, has been used instead.

Chapel Hill Assisted Living Costs

The price of assisted living in Chapel Hill is quite reasonable when compared with other cities throughout North Carolina. At an average of $3,150 per month, assisted living in Chapel Hill costs just $375 more per month than in Goldsboro, where assisted living costs are among the lowest in the state. When compared with Raleigh, where costs are the highest at an average of $5,750 per month, Chapel Hill’s assisted living cost is $2,600 less per month, making it a very economical choice for seniors seeking long-term assisted living care in North Carolina.

Chapel Hill Home Care Costs

Seniors who receive home care in Chapel Hill pay more than those residing in any other city in the state. At an average of $4,147 per month, Chapel Hill’s home care costs are $381 higher than in Raleigh, the state’s capital. The least expensive home care in the state is available in Goldsboro, where the average price is $3,241 per month.

Chapel Hill Adult Day Care Costs

Adult day care in Chapel Hill costs an average of $1,528 per month, which is about mid-range when compared with other major cities throughout North Carolina. In Goldsboro, adult day care costs are the highest in the state at an average of $2,080 per month, while in Jacksonville, the costs are drastically lower at an average of $758 per month, the lowest average cost in North Carolina.

Chapel Hill Nursing Home Costs

Seniors who require nursing home care in Chapel Hill pay an average of $7,224 per month for their care. Just as with adult day care, nursing home costs in the area are near mid-range when compared with other cities in the state. In Raleigh, seniors pay an average of $7,125 per month, which is just a little less than those in Chapel Hill. Seniors in Greensboro pay the highest cost for nursing home care, which is an average of $7,893 per month in the city. Fayetteville has the lowest nursing home care costs in North Carolina at an average of $6,144 per month.

Financial Assistance Programs in Chapel Hill
Medicaid Program in Chapel Hill

NC Medicaid is North Carolina’s state Medicaid plan. It covers a variety of healthcare costs for low-income families and individuals throughout the state. Many senior citizens require the assistance of NC Medicaid to access safe medical treatment and healthcare services. Some of the costs that are covered by the state plan include hospital services, primary care, dental services, prescription medications and the cost of care in an approved nursing facility. Seniors who require assisted living, adult day care or home care services may be able to apply for one of the state’s waiver programs, which amend the state plan to include coverage for additional services.

As a senior citizen, when applying for NC Medicaid there are several eligibility requirements that must be met. Financially, single applicants may not have an income that’s higher than $1,041 per month or more than $2,000 in countable assets, married applicants may not have an income higher than $1,409 per month or more than $3,000 in countable assets. Although all income sources are counted, including retirement pensions and withdrawals from investments, some assets are exempt. These include the applicant’s primary home, a single vehicle and personal belongings such as clothing and household furnishings.

Applicants with high medical expenses who don’t meet NC Medicaid’s financial eligibility requirements may still qualify for coverage via the Medically Needy Pathway. This program allows applicants to pay for their medical bills using their excess income. When applying via this program, it’s best to work with a professional Medicaid planner to ensure that all requirements are met.

Seniors in Chapel Hill who wish to apply for Medicaid coverage can do so by completing an application online or by contacting the Chatham County Department of Social Services at (919) 542-2759. The NC Medicaid state plan is an entitlement program, which means that all eligible applicants are granted benefits immediately upon approval.

Medicaid Waivers in Chapel Hill

Community Alternatives Program for Disabled Adults Waiver (CAP/DA)

The CAP/DA waiver helps senior citizens and disabled persons to avoid nursing home placement by providing personal care and other services in their own homes. Covered costs include adult day care, meal preparation, transitional services, assistive devices and case management services.

To qualify, applicants must be at least 18 years of age and at risk of nursing home placement. They also must be able to reside safely in their own community with the services provided by the program and financially eligible for NC Medicaid.

Seniors in Chapel Hill can apply for this program online via ePass or contact the NC Medicaid Contact Center for assistance at (888) 245-0179. This program accepts a limited number of participants, so seniors may be placed on a waiting list before they are able to access benefits.

More information can be found here.

Personal Care Services

The Personal Care Services program helps seniors who live either at home or in an approved assisted living facility to pay for their care when they require assistance with activities of daily living such as eating, dressing, bathing or toileting.

To qualify for this program, individuals must have a functional need for assistance with at least two activities of daily living and be financially eligible for NC Medicaid. Each applicant is required to undergo an assessment to determine their need for care.

To apply, seniors can contact the NC Medicaid Clinical Section to request an assessment at (919) 855-4360. This program operates under the state plan and is considered an entitlement.

More information can be found here.

Other Financial Assistance Programs in Chapel Hill

Project CARE

Project CARE is a state-funded support program that helps those who care for loved ones who are living with dementia-related disorders such as Alzheimer's Disease. It provides counseling services and support to caregivers, as well as caregiver training and respite care.

This program is available to all unpaid caregivers and has no financial qualifying requirements.

To learn more or to request assistance, caregivers can contact Duke Dementia Family Support at (919) 660-7510.

More information can be found here.

Special Assistance In-Home Program for Adults

The Special Assistance In-Home Program for Adults is open to low-income individuals who receive care services in their own home. It includes a cash benefit and additional support services to help its beneficiaries avoid or delay placement in a nursing care facility..

To qualify for the program, seniors must undergo a comprehensive assessment, which is conducted by the Department of Social Services. The assessment will review the applicant's functional need for care, finances and housing options.

Seniors who reside in the Chapel Hill area can apply for assistance by contacting the Chatham County Department of Social Services at (919) 542-2759.

More information can be found here.

State-County Special Assistance (For Adult Care Home Residents)

The State-County Special Assistance program for adult care home residents is a cash benefit that's provided to adults who require personal care services and reside in adult care homes, family care homes or group homes.

This program is only available to seniors aged 65 and older who have a functional need for care and live in an approved adult care home.

To apply, seniors living in the Chapel Hill Area can contact the Chatham County Department of Social Services at (919) 542-2759.

More information can be found here.

More Senior Living Resources in Chapel Hill

Resource

Phone Number

Description

Chapel Hill Public Housing Programs

(919) 968-2743

The town of Chapel Hill offers transitional housing to families and individuals who are moving from public housing to private rentals, as well as public housing options for low-income households.

Inter-Faith Council for Social Service

(919) 929-6380

The Inter-Faith Council for Social Service provides emergency financial assistance to families and individuals who require one-time, urgent assistance with rent, utility bills or other necessary expenses. The organization also offers emergency shelter and food assistance.

Orange Congregations in Mission (OCIM)

(919) 644-1126

OCIM is located just outside of Chapel Hill in Hillsborough, North Carolina. It serves all residents of Orange County and surrounding areas by providing assistance to those in need of cash to pay for utility bills or rent, as well as food, clothing and other urgent needs.

The Salvation Army

(702) 522-4970

The Salvation Army of the Carolinas helps residents of North and South Carolina to access emergency food, clothing and shelter in times of crisis. In some cases, it may offer financial assistance to help with rent or electricity bills.

Central Piedmont Community Action, Inc.

(919) 742-2277

Central Piedmont Community Action, Inc. offers low-income households in Chapel Hill and surrounding areas weatherization and energy assistance by helping to lower energy costs by replacing or upgrading heating and air systems.