Page Reviewed / Updated - July 2019
This page provides information on the cost of senior care in Sugar Land, including financial assistance and resources available to low-income seniors in the area. Our guide to paying for senior care in Texas gives a broad overview of senior care costs and financial assistance available in the state.
The cost of senior care in Sugar Land is higher than the state median in all categories. The Genworth Cost of Care Survey shows that the cost of assisted living and home care in Sugar Land is only slightly higher than the Texas median. The difference in costs is larger with nursing home care and adult day care, with seniors in Sugar Land paying $542 a month more than the state median for adult day care.
Note: Senior care cost data wasn’t available for Sugar Land, so the data for the closest city, Houston, was used.
The cost of assisted living in Sugar Land is $3,863 a month, just $68 more than the state median. It is more affordable than large cities like Dallas, San Antonio and Austin. The Austin area has the least affordable assisted living in the state, with seniors paying $5,190 a month, $1,327 more than those in Sugar Land.
In Beaumont, the average cost is $3,900 and in College Station, it is $3,995, both are slightly higher than Sugar Land. El Paso has the most affordable assisted living in Texas, with seniors paying just $2,250 a month, $1,613 less than those in Sugar Land.
Home health care costs in Sugar Land are similar to many cities in Texas. Costs in the big cities range from $3,718 in San Antonio to $4,099 in the Austin area, and Sugar Land's average price of $3,909 sits in the middle. The nearby College Station area is $95 a month more expensive, while in Beaumont seniors pay just $3,337 a month, $572 less than those in Sugar Land.
Prices elsewhere in the state vary more widely. Odessa's average cost of $4,815 a month is the highest in Texas, while Laredo has the lowest home health care costs at $2,860 a month.
The cost of adult day care in Texas varies widely and Sugar Land is on the higher end of the scale. Sugar Land's average cost of $1,300 is $542 higher than the Texas median. The big cities of Austin and Dallas have the least affordable adult day care, at a cost of $1,408, but other cities are significantly less expensive. The average in San Antonio is $867 and in Abilene, which has the lowest cost adult day care in the state, seniors pay just $618 a month, $682 less than in Sugar Land.
The cost of nursing home care in Sugar Land is $5,095 a month, $297 more than the state median. This is one of the more expensive cities in Texas, although the highest cost nursing home care is in Austin at $5,323 a month, $228 more than in Sugar Land.
Nearby cities that are more affordable than Sugar Land include College Station, at a cost of $4,760 and Beaumont, where seniors pay $4,471 a month, $624 less than in Sugar Land. The most affordable nursing home care in Texas is in Longview, where the average monthly cost is $3,954, $1,141 less than in Sugar Land.
Medicaid in Texas is administered by Texas Health and Human Services and services are delivered through managed care organizations. The program provides care to people who meet eligibility requirements.
Regular Medicaid is available to people aged 65 and over or those with a long-term disability. Applicants who are single must have an income of less than $771 a month and assets of less than $2,000. These limits are the same for married people where only one spouse is applying for entitlement. For married couples where both spouses are applying, the income limit is $1,057 a month and the asset limit is $3,000.
There are higher income limits for those in nursing home care, although asset limits remain the same. Singles and married people with one spouse applying can have an income of up to $2,313 a month and married couples who are both applying can have an income of up to $4,626 a month. Where only one member of a married couple is applying, the non-applicant spouse can have up to $126,420 of additional assets. Those going into nursing home care must also be assessed as needing a nursing home level of care. This program is an entitlement, so all applicants who are eligible will receive care.
Some assets aren't included in calculations for Medicaid eligibility. Exempt assets include a house if the senior still lives at home, household furnishings, personal belongings, burial trusts and an automobile. An applicant's home is exempt if it is valued at less than $585,000 and is the primary home for the applicant or their spouse.Texas residents who don't meet the financial eligibility criteria may be able to use a Qualified Income Trust to meet the criteria. These irrevocable trusts allow the applicant to put excess income into the QIT where it will not be counted towards Medicaid eligibility. The money in trusts can only be used for certain purposes, such as medical expenses. Working with a Medicaid planning professional may also help residents find strategies to qualify for Medicaid. Seniors can apply for benefits online.
STAR+PLUS Medicaid Waiver
STAR+PLUS allows disabled adults and Texans aged 65 and over who require a high level of care to receive that care in the community, including in their homes, assisted living facilities or adult foster care. To be eligible for the waiver, applicants must require a nursing home level of care. There are also financial criteria that applicants must meet. Single applicants and married applicants with only one spouse applying must have an income less than $2,313 a month and assets of less than $2,000. Married couples who apply can have up to $3,000 in assets and a monthly income of $4,626. Assets that are exempt from the calculation are the same as Medicaid exemptions.
The program helps pay for a wide range of services including adult day care, assisted living, home care, medical supplies and respite care. In addition, the program can assist with assistive technology, home modifications and personal emergency response services. Assistance with activities of daily living is provided by the waiver and may be self-directed by the participant. This isn't an entitlement program, so waiting lists may exist. Further information can be found on the STAR+PLUS website and applications are made through the Your Texas Benefits website.
Primary Home Care Program
The Primary Home Care program provides assistance to Texas residents who require help with activities of daily living. It is an entitlement program, so all those who are eligible will receive aid. To be eligible, applicants must be aged 21 or older and need help with at least one activity of daily living. This limitation must be due to a medical condition and documented by a medical professional. The financial criteria are the same as regular Medicaid. Singles and married couples with one spouse applying must have an income less than $771 a month and assets less than $2000, while married couples who are both seeking Medicaid must have a monthly income less than $1,157 and countable assets less than $3,000.
Participants in the program can manage their own care providers or choose to have them managed by the state. Certain family members, such as adult children, can be paid to provide care under the self-managed option. Participants are approved for a certain number of hours of assistance, which can be up to 50 hours a week. The assistance can be personal care assistance, such as bathing or grooming, transportation assistance and help with daily activities such as housekeeping, shopping and meal preparation. Seniors can find information on the PHC page and apply through the Your Texas Benefits website.
Day Activity and Health Services Program
Sugar Land residents who require a nursing home level of care, but who wish to remain living in the community, may benefit from the Day Activity and Health Services program. This program provides eligible Texans with up to 10 hours of day care in licensed adult day care centers. The care is only available during the day on weekdays. It is designed to allow elderly adults to live with primary caregivers on nights and weekends and lets family caregivers continue to work.
Care provided in the adult day care centers includes assistance with activities of daily living, medication administration, nursing services, social activities and physical, occupational and speech therapy. Applicants must be at least 18 years old and require nursing home level care. They must qualify financially for Medicaid and be willing to receive care in an adult day care center rather than a nursing home. Applications are made through the Your Texas Benefits website or at the local Area Agency on Aging. Further information can be found on the Health and Human Services page.
Community First Choice Program
Community First Choice helps elderly Texans stay in their homes longer by providing certain types of assistance in the home. This is an entitlement, so all applicants who are eligible receive care. Personal care, such as bathing, medication administration assistance, light housework and grocery shopping is provided by this program. Health maintenance activities, such as ulcer and skin care, tube feeding and administration of oxygen are included, however, higher-level in-home care isn't provided.To be eligible, applicants must need assistance with activities of daily living to such a degree that they would need nursing home care without assistance. This is reassessed annually to maintain enrollment. In addition, participants must be financially qualified to receive regular Medicaid. Individuals who are already in a waiver program may be eligible to switch to Community First Choice, although they aren't required to do so. Seniors can find further information on the Health and Human Services page and apply through the Your Texas Benefits website.
Community Care for the Aged / Disabled
The Community Care for the Aged / Disabled program is also known as Non-Medicaid Services in Sugar Land. It is designed to help people who are at risk of nursing home placement to remain living in the community, by providing a range of services and support. Participants can receive care in their own homes, the home of a caregiver, foster homes or assisted living residences.
CCAD provides case management for participants and supports a wide range of programs that can help pay for adult foster care, personal care, assistance with daily living, emergency response services, home-delivered meals and adult day care. Participants receive different services depending on their living situation.
Applicants must be Texas residents aged over 18 who are functionally impaired to the extent that assistance is required. There are also financial eligibility criteria. Single applicants must have an income less than $2,313 and assets of less than $5,000. For married couples, the income limit is $4,626 and the asset limit is $6,000. Some assets, including a primary home and a vehicle, aren't included in the asset calculation. The asset limit is lower for participants accessing the Community Attendant Services program through CCAD.
Community Attendant Services
The Community Attendant Services program is part of CCAD, but is funded my Medicaid, so has different eligibility requirements. It provides participants with non-technical care in their homes to help them remain in the community. Participants can choose to have the state manage their care or can manage their own care, allowing them to choose their own providers. The self-managed option allows seniors to employ friends or some family members as caregivers. Services provided by the CAS program include personal care, such as bathing, eating and grooming, and home management, such as meal preparation, housekeeping and shopping.
To be eligible, applicants must require assistance with some of the activities of daily living, which is documented by a medical doctor. Financially, single applicants must have an income less than $2,313 a month and countable assets less than $2,000. Married couples can have income up to $4,626 a month and assets of up to $3,000. A primary home, vehicle and certain other assets aren't included in this calculation.
|Gathering Place Program||(281) 848-9906||The Gathering Place program provides respite care to seniors in Fort Bend County with early to mid-stage Alzheimer's disease and dementia. The program is available at limited times.|
|Homestead Exemption||(281) 341-3710||Fort Bend County has a Homestead Exemption for property tax. An additional exemption is available to people aged 65 and over who lives in the house.|
|Lifespan Respite Care Program||1-855-937-2372
||The Lifespan Respite Care program is designed to provide a break for caregivers. Vouchers are provided to pay for respite care either in the home or outside of the home such as adult day care.|
|Utilities Assistance Programs
||(409) 765-7878||Galveston County Community Action Council, Inc, administers two utility assistance programs available to residents of Sugar Land. The Comprehensive Energy Assistance Program is a federally-funded program that helps low-income families pay their energy bills and the Neighbor to Neighbor program helps customers of particular energy companies pay their bills. Both programs have income eligibility criteria.|
|The Houston-Galveston Area Agency on Aging||(713) 993-2436||The Houston-Galveston Area Agency on Aging provides a number of services to older residents of Sugar Land. Services that seniors may be able to access include respite care, home assisted care, personal assistance and emergency response.|