Page Reviewed / Updated - September 2019
Seniors and their loved ones can use this guide to learn about the costs associated with different types of senior care in Fayetteville, North Carolina, as well as the various financial assistance programs that are available to help seniors in the area pay for their care. To learn more about financial assistance programs that are offered throughout the state, visit our guide to paying for senior care in North Carolina.
The cost of senior living in Fayetteville is reasonable when compared with other major cities in North Carolina. While the cost of home care is on par with the state median, assisted living, adult day care and nursing home care all cost considerably less than state averages. Assisted living is nearly $600 less per month and nursing home care is $806 less. Adult day care is $325 less per month in Fayetteville than in the average North Carolinian city.
The average cost of assisted living in Fayetteville is $3,100 per month, which is quite low when compared with some of the state's largest cities. In Raleigh, costs are the highest at $5,750 per month, followed by Wilmington, where the average cost of assisted living is $5,355 per month. Seniors in the Greensboro area pay an average of $4,833 per month, which is also considerably higher than what seniors in Fayetteville pay. The least expensive assisted living in the state can be found in Goldsboro, where the average cost is $2,750 per month.
The cost of home care in Fayetteville is about mid-range when compared to costs in other North Carolina cities. At an average of $3,527 per month, seniors in Fayetteville pay the same for their care as those in Greenville and similar costs to those living in the Greensboro area, Wilmington and Raleigh, which all have costs that are within $200 of Fayetteville's average.
Seniors living in the Durham area pay the highest prices for home care, which average $4,147 per month, while those in Goldsboro and Rocky Mount pay the lowest in the state at $3,241 per month.
At an average of $867 per month, Fayetteville has the second-lowest adult day care costs in the state. The only less expensive city is Jacksonville, where the average cost is $758 per month. On the opposite end of the spectrum, Goldsboro has the most expensive adult day care at $2,080 per month. Raleigh, the state's capital city, averages $1,192 per month, which is $325 more than what seniors in Fayetteville pay for adult day care.
Senior citizens in Fayetteville who require nursing home care pay the lowest costs in the state. At $6,144 per month, the cost of nursing care in the city is considerably lower than in any other major city in North Carolina. In Raleigh, seniors pay an average of $7,125 per month, and nearby in Greensboro, they pay $7,893 per month, which is the highest cost in the state.
North Carolina's state Medicaid plan, NC Medicaid, offers low-income families and individuals access to free healthcare services. It's specifically designed to meet the needs of senior citizens, disabled persons, pregnant women and families with children. The program covers a vast array of healthcare expenses including medical and dental services, chiropractic care, prescription medication and emergency transportation. When deemed medically necessary, the state plan also covers the cost of care in an approved nursing facility. Seniors who require care at home or in residential care facilities may qualify for additional coverage via one of the state's waiver programs.
To qualify for NC Medicaid on the basis of age, seniors applying must be at least 65 years old and meet the following financial requirements:
NC Medicaid considers all sources of income including Social Security Income and pension when determining eligibility. However, some assets are exempt from consideration including pre-paid funeral arrangements and burial plots, a single vehicle, personal belongings and the applicant's primary home.
Some seniors may not meet the financial requirements of the program yet still be unable to afford their own medical expenses. In these cases, seniors can work with a professional Medicaid planner to apply via the Medically Needy Pathway, which is a program that allows applicants to pay for their medical expenses and count remaining income toward eligibility.
To apply for NC Medicaid, seniors living in the Fayetteville area can complete an application online or contact the Cumberland County Department of Social Services at (910) 323-1540.
NC Medicaid is an entitlement program, which means that all eligible applicants receive benefits immediately once their application is approved and there is no limit on member enrollment.
Personal Care Services
The Personal Care Services program is available to those who live in approved assisted living facilities or who receive care in their own home, provided they have a functional need for assistance with a minimum of two activities of daily living. The program covers the cost of personal care and other home care services such as non-medical transportation and meal delivery.
To qualify for the Personal Care Services program, applicants must undergo an assessment to determine their level of need. All applicants must be financially eligible for NC Medicaid.
To apply for this program, seniors can contact the NC Medical Clinical Section and request an assessment by calling (919) 855-4360.
The Personal Care Services program operates under the NC Medicaid state plan and is an entitlement program.
More information can be found here.
Community Alternatives Program for Disabled Adults Waiver (CAP/DA)
The CAP/DA waiver aims to help those who require a nursing level of care avoid or delay nursing home placement. It covers the cost of in-home care services including personal care, skilled nursing care, nutritional services and case management.
To be eligible for services, applicants must be 18 or older and require a nursing level of care. They must be financially eligible for NC Medicaid.
Seniors who reside in the Fayetteville area can visit ePass to apply for this program online or call the NC Medicaid Contact Center at (888) 245-0179 for help.
The CAP/DA waiver is open to a limited number of participants which means that approved participants may be placed on a waitlist before benefits are available. More information can be found here.
State-County Special Assistance (For Adult Care Home Residents)
The State-County Special Assistance program is a cash benefit that's provided to senior citizens who receive care in adult care homes, family care homes and group homes.
To qualify for this benefit, seniors must be at least 65 years old and have a functional need for care. Additionally, their place of residence must be state-approved.
To apply, seniors who live in Fayetteville can contact the Cumberland County Department of Social Services at (910) 323-1540.
More information can be found here.
Special Assistance In-Home Program for Adults
The Special Assistance In-Home Program for Adults provides financial assistance and support services to seniors and disabled adults who receive care in their own home. The goal of this program is to provide services that help delay the need for nursing home placement.
To be eligible for this program, seniors are required to undergo a comprehensive care assessment to determine the applicant's level of need, as well as to review their financial standing and housing options. This assessment is conducted by the Department of Social Services.
Seniors who live in the Fayetteville area can request an assessment by calling the Cumberland County Department of Social Services at (910) 323-1540.
More information can be found here.
Project CARE provides caregiver training and support to those who care for family members or loved ones with Alzheimer's Disease and other forms of dementia. The program also offers counseling services and respite care. Project CARE offers its services to all unpaid caregivers who are providing services to a loved one.
This program is available to all unpaid caregivers and has no financial qualifying requirements. To learn more, caregivers can contact the Cape Fear Area Agency on Aging in Wilmington at (910) 408-6365. More information can be found here.
|Section 8 Housing Choice Voucher||(866) 466-7328||Section 8 Housing Choice Vouchers are available to low-income families and individuals. They help those who are unable to afford rentals within the private market access the housing of their choice by subsidizing a large portion of their rent.|
|Operation Blessing of Fayetteville||(910) 483-1119||Seniors who are in urgent need of financial assistance can contact this organization for one-time assistance with needs such as rent, mortgage and utility bill payments.|
|Catholic Charities of the Diocese of Raleigh||(910) 424-2020||Catholic Charities offers financial assistance to those in need, regardless of faith. In times of crisis, seniors may contact the organization for urgent help with rent, utilities and household furnishings.|
|Cumberland Community Action Program, Inc.||(910) 223-0116||Low-income households can apply to this program for weatherization assistance, which helps families and individuals to upgrade their homes to reduce energy costs.|
|Fayetteville Urban Ministry||(910) 483-5944||The Fayetteville Urban Ministry collects donations of cash, hygiene products, food and clothing that are available to help homeless persons and low-income households throughout the city. Cash is offered to those who require immediate bill-payment assistance.|
|Fayetteville Salvation Army||(910) 483-8119||The Salvation Army offers emergency utility bill assistance and occasionally has the funding to provide rental assistance to those facing homelessness. Additionally, the Salvation Army provides emergency shelter, food and clothing to those in need.|