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This webpage is intended to aid Vermont residents in understanding the costs associated with elderly care throughout the state. Average costs of assisted living, home care, and adult day care will be covered. Programs that are available to aid in the cost of paying for senior care, both in-home and out-of-home, will also be discussed.
While the programs listed on this page are inclusive as to what is available from the state of Vermont, nationwide programs are also available for assistance. To assist one in searching for other available programs, such as those from non-profit and private organizations, and to find the best option for one’s needs and circumstances, don’t hesitate to use our free Resource Locator Tool.
As of 2017, the average cost of assisted living statewide in Vermont is $4,900 / month. However, across the state, depending on geographic location, the average monthly cost varies from $1,300 on the low end to $7,000 on the high end. The Burlington metro area is slightly below the statewide average and costs approximately $4,650 / month. Compared to the nationwide average of $3,675 / month for assisted living, the cost of assisted living in Vermont is quite high. For those who have Alzheimer’s or a related dementia, memory care units in assisted living facilities are also available. These types of units, also referred to as Alzheimer’s care units, provide a higher level of care, supervision, and security. For these types of units, one should expect to pay approximately $850 / month more than the average cost of traditional assisted living facilities.
In Vermont, as of 2017, the statewide hourly average rate for home care is $22.50. However, as with the cost of assisted living, the cost per hour ranges greatly based on geographic location within the state. This amount ranges between $11.50 / hour to $25.50 / hour. The metro area of Burlington is slightly above the state average at $23.00 / hour. In addition to home care that is non-medical in nature, limited in-home medical care is also available. On average, this type of care costs approximately $1.00 more per hour than does in-home non-medical care.
In 2017, the statewide average cost of adult day care in Vermont is $95 / day, which is quite high in comparison to the nationwide average of $75 / day. However, the area of Burlington is extremely inexpensive, compared both to the statewide and nationwide average, at approximately $30 / day.
Medicaid Programs & Waivers
Prior to learning about Medicaid based assistance, it is beneficial to understand what Medicaid is. Medicaid is a jointly funded federal and state health care program intended for low-income individuals. The federal government sets basic parameters for the program and each state administers the program as they see fit within the given parameters.
In the state of Vermont, the Medicaid program is called Green Mountain Care. This program pays for nursing home care, as well as limited in-home personal care, for those who are elderly and disabled with limited funds.
The Assistive Community Care Services (ACCS) Program is a state Medicaid option for Vermont residents who live in Level III residential care homes / assisted living facilities. Intended to delay or prevent nursing home placement, personal care assistance, light housecleaning, assistive therapy, routine nursing, and a number of other benefits are available.
In addition to the Medicaid state plan, Vermont offers Home and Community Based Services (HCBS) Medicaid Waivers. Unlike the state Medicaid plan, HCBS Waivers are not entitlement programs. This means there are enrollment caps and not everyone who is eligible for services will receive them if the enrollment cap has been reached. Currently, Vermont has four HCBS Medicaid Waivers.
1. The Global Commitment to Health Waiver provides elderly Vermont residents (including those in an assisted living facility) with in-home services to prevent or delay nursing home placement. Via this waiver, personal care assistance, adult day care, respite care, home modifications, and more is available. The option for self-direction of care allows seniors to hire family members as caregivers.
2. The Attendant Services Program provides in-home personal care assistance (bathing, dressing, mobility, etc.), light housecleaning, meal preparation, shopping for groceries, and so forth, for disabled Vermont residents. This is a self-directed program, meaning eligible applicants hire, train, manage, and fire their own care providers.
3. Via the Adult Day Services Program, seniors are provided with adult day care. At these facilities, benefits include daytime supervision, personal assistance, meals, and recreational activities.
4. The High Technology Home Care Program provides skilled nursing services for Vermont residents who are elderly and disabled and require medical technology. Additional benefits include personal care assistance, homemaker services, medical supplies, and more.
For Vermont residents to be eligible for Medicaid, there are both income and asset limits. Make note, eligibility for the state Medicaid plan and Medicaid Waivers may differ. That being said, as of 2017, single applicants applying for the state Medicaid plan are allowed income up to $1,008 / month. For those residing in Chittenden County, the monthly income limit is slightly higher, with the income limit set at $1,083 / month. The asset limit is $2,000, which does not include the primary home in which one lives, their household items, and personal goods. Applying for Medicaid can be complicated, particularly if one is over the income or asset limit. In cases such as this, it is highly recommended one seek assistance from a professional Medicaid planner. Learn more here.
The state of Vermont also offers a number of non-Medicaid programs that provide assistance to senior residents.
1. The Healthy Vermonters and VPharm are Vermont’s state pharmaceutical assistance programs. Healthy Vermonters provides medications at a discounted rate with no monthly premiums, which VPharm (for seniors enrolled in Medicare Part D) does charge monthly premiums, but offers larger discounts.
2. Dementia Respite Care Grants provide primary caregivers of those with Alzheimer’s and related dementias financial assistance for respite care, which allows caregivers a break from caregiving duties. Respite care may be in-home or in an adult day care facility. Overnight respite care is also available.
3. The VCIL Home Access Program and the Sue Williams Freedom Fund is intended for disabled individuals who have limited income. Through the Home Access Program, home modifications, such as installation of wheelchair ramps and widening of doorways, are made possible. While the Sue Williams Freedom Fund is similar to the Home Access Program, it is available to assist in the cost of mobility aids, such as wheelchairs and walkers.
4. The Home Sharing Program is unique in that it pairs aging Vermont residents who wish to remain living at home with a housemate. In exchange for free or reduced rent, the individual provides care assistance, meal preparation, housecleaning, etc.
Aside from state specific options for senior care assistance in Vermont, there are also non-profit and federal programs available. To assist one in locating other options that aid in paying for elderly care, don’t hesitate to use our free Resource Locator Tool. Utilizing this tool, it is easy to find other options that are available and to choose the one that is best for one’s needs and situation. Other opportunities include programs that help out veterans with assisted living or utilizing eldercare loans.
When searching for senior care assistance, it is beneficial to check with multiple providers to find high quality care at an affordable rate within one’s geographic area. To aid in one’s search, our company has partnered with a number of organizations that have large databases of care providers. There is not charge to use this service. Click here for assistance finding affordable care.