Page Reviewed / Updated - May 2015
To alleviate some of the confusion about programs that help with eldercare, we maintain this page which discusses common misconceptions about who pays for nursing home care, assisted living and home care. Also discussed are programs in development that one may have heard of but are not relevant to a wider audience.
Many people assume Medicare will pay for assisted living, Alzheimer's / dementia and other long term care. It does not. At best, Medicare will help pay for short term skilled nursing. Read a summary of Medicare’s Long Term Care benefits.
There is a very large cost difference in home care, assisted living and nursing home care in different states, within the same state and even within the same city or town. From state to state the cost of residential care can vary over 300%. Within a state, one will find certain areas where the cost is twice as expensive as other areas, but most important is that the cost within the same area can be 50% higher or lower. For families, this is good news. By shopping around, it easily possible to dramatically lower one's care costs. Our organization has partnered to provide a free service which helps families to find the most affordable, yet high-quality care in their geographic area. Get help finding affordable care.
This program is only for Medicaid-qualified individuals who currently live in nursing homes and wish to move into the homes of their families or the community. Learn more about the Money Follows the Person program and if it is available in your state and relevant to your situation.
This Act, more commonly referred to as Obamacare, is umbrella legislation that reforms many aspects of health care but does not specifically provide financial resources to individuals. In fact, despite the Medicaid expansion, the Affordable Care Act does very little to impact long term care benefits for the elderly.
SSDI is not an option for seniors, rather it is a program designed for those younger than 67 years old. Read more about SSDI here.
This act provides funding, to state and local agencies called Area Agencies on Aging which provide services that help seniors remain in their homes longer such as meal services. It does not provide money for long term care to individuals directly.
These grants are provided to the states for the development of programs; these grants are not direct assistance provided to families. However, families may still benefits indirectly from these programs; read more about Community Living Grants and Nursing Home Diversion programs.
The CLASS Act was a government sponsored long term care insurance program, however the law that provided for this program was repealed. It is not expected to come into law again nor will it have a positive financial impact for seniors for several years to come. Read more about The CLASS Act.
The Alzheimer’s Disease Supportive Services Program (ADSSP) / Alzheimer’s Disease Demonstration Grants are a series of grants made by the Administration on Aging to various community non-profits, agencies and educational institutions. These grants are provided for the development of programs which assist caregivers largely in the area of training and less so with the providing of care services. Grants are not provided to individuals directly. Instead they are made to partners for the development of new and experimental programs. Some of the programs funded do assist caregivers directly, though again not with care services but caregiver training. These programs include REACH II, Savvy Caregiver and Star-Caregiver.
The Family and Medical Leave Act (FMLA) is a government program that allows people to take time off from their jobs to care for their loved ones without fear of losing their job or their health insurance. However, the FMLA does not pay family members to care for their loved ones. Read about the FMLA.