Page Reviewed / Updated - Jan. 2019
The guide below provides information for the San Antonio area on the cost of senior care, about financial assistance program, and additional senior resources available. For more information about costs and financial assistance in the rest of the state, read our guide to paying for senior care in Texas.
In San Antonio, the cost of senior care is fairly close to the state’s median and according to the Genworth 2018 Cost of Care Survey, the average monthly cost for assisted living care is over $1,000 less than the average cost in the Austin area at $5,190 a month.
Assisted living in San Antonio costs an average of $3,975 a month, which is a little over $100 more than the state median. While it may be more expensive than the state’s median, it is considerably cheaper than Austin which is the most expensive in the state at $5,190 a month.
The other major cities in the state average between $3,800 to $4,500 – Victoria and Dallas are on the high end, while El Paso is the lowest in the state at $2,250 a month.
In San Antonio, the average cost of home care is $3,718 a month which is about $100 cheaper than the state median at $3,813.
Compared to other major cities, San Antonio is on the more expensive side, but it is still relatively affordable when compared to Houston which is $3,909 a month. El Paso is the lowest in the state at $3,041 a month, while the other cities average between $3,000 to $4,200 a month.
Adult day health care cost averages at $867 a month, which is significantly less expensive when compared to Dallas and Austin which are the most expensive in the state at $1,408 a month. Abilene is the lowest at $618 a month.
The STAR+PLUS Medicaid Waiver helps adults 65 or older that require a nursing home level care. Under Star+PLUS, long term care services, both non-medical and medical, are covered, including help with daily living activities, adult day care, home modifications and more.
STAR+PLUS services are provided by Managed Care Organizations (MCO) and each county has their own specific MCOs and the participants get to select their preferred provider.
In order to qualify for STAR+PLUS one must be 65 or older, unable to do daily living activities unassisted or require full-time medical supervision. Income requirements for a single person must not exceed $2,250 a month and countable assets must not be valued more than $2,000.
Texas Medicaid’s Primary Home Care Program (PHC)
The Primary Home Care Program (PHC) is set up to help adults with daily living activities such as eating, grooming, shopping, and medication administration. The PHC is an entitlement program which means anyone who qualifies for this program will receive services. Participants can receive up to 50 hours of assistance a week but the average awarded is 16 hours a week.
This program allows participants to have the state choose and manage their care provider or they can choose for themselves; typically in San Antonio and the rest of the state one cannot choose a spouse or legal guardian to provide their care.
You can apply for Primary Home Care through YourTexasBenefits.com.
Day Activity and Health Services Program (DAHS)
The Day Activity and Health Services Program (DAHS) provides care services on weekdays during regular business hours, up to 10 hours a day. The service includes services such as help with grooming, medication administration, and transportation. This particular program allows adults to continue living at home while still receiving a nursing home level care. To qualify, one must receive a medical diagnosis that states the applicant requires nursing home level care. For a single person, their income must not exceed $750 per month and have no more than $2,000 worth of countable assets.
You can apply for DAHS by contacting your local Area Agency on Aging or by apply online at YourTexasBenefits.com. If you are in the San Antonio area you can call your Area Agency on aging by telephone at (210) 477-3275.
Community First Choice (CFC)
Community First Choice is a new program that allows the elderly to receive care at home instead of being placed in a nursing home. CFC is an entitlement program so anyone who applies and is qualified will receive assistance. CFC offers assistance with daily living activities such as meal prep, bathing, and light housework, it also provides support with health maintenance activities like administration of medications, skin care, and tube feeding. CFC also gives participants the control of choosing who provides their assistance. However, a spouse isn’t eligible.
You can apply for CFC by going to YourTexasBenefits.com.
Texas Community Care for Aged/Disabled (CCAD)
The Texas Community Care for Aged/Disabled is a program set up for low-income seniors to help keep them at home, in adult foster care, or assisted living facilities by offering several different types of services and care. The CCAD program offers a wide variety of services such as adult day care, emergency response services, and family care. Eligibility for the different services provided by CCAD may vary.
You can apply for CCAD by contacting your local Aging and Disability Resource Center (ADRC) via their website or by calling (855) 937-2372.
Texas Community Attendant Services Program (CAS)
The Community Attendant Services Program (CAS) is part of the Community Care for the Aged/Disabled Program; however, unlike CCAD, CAS is Medicaid funded. CAS is for seniors who are unable to perform their daily living activities such as bathing, eating and walking without assistance. Participants in this program have the option to work with a provider agency to manage their care services or they can use Consumer Directed Services (CDS) option to choose their own. The CAS provides up to 50 hours a week for an individual to receive services but typically the average is between 16-20 hours.
Bexton Place offers 54 units to adults 62 years and older. It is a subsidized independent senior living community that is operated by a national non-profit organization to help seniors in their communities.
Villa De Amistad Apartments are privately owned and operated subsidized apartments available to seniors 62 years and older; rent it based on your income.
Williamsburg apartments are for seniors in San Antonio and rent is 30% of your monthly income, but it does not include utilities.
The W.C White Apartments provide seniors with affordable homes by only charging rent equal to 30% of their income.
Villa Tranchese Apartments offer 142 one bedroom apartments for seniors who meet their low-income limit and offers rent at 30% of their income. The cost of rent also includes utilities.
Christian Village Apartments is low-income housing for seniors in the area. Residents pay 30% of their gross monthly income for rent or have the opportunity to pay a flat fee.