Page Reviewed / Updated - May 18, 2019
The purpose of this guide is to help seniors, caregivers and other loved ones understand some of the costs associated with moving into senior living in Spring, Texas. It is also meant to be a window into what levels of care are available to Spring seniors, as well as to help with finding the financial resources necessary to cover some of the expenses of senior living in Spring.
This guide is also intended to help seniors looking for affordable independent and low-income housing in the Spring area. For more information and links to helpful resources about paying for assisted living in Spring, visit our comprehensive guide to paying for senior care in Texas.
Note: Senior care cost data wasn’t available for Spring, so the data for the closest city, Houston, was used.
Senior living costs in Spring are generally higher than the average cost of similar services in the rest of the state of Texas. The difference between prices in Spring and the average for the state is sometimes slight, as it is for assisted living.
Assisted living costs in Spring average $3,863 a month, while the average cost of assisted living in Texas is $3,795 a month, according to the 2018 Genworth Cost of Care Survey. Home care is another field where Spring is close to the Texas average. Average costs for this service come to $3,909 a month in Spring, while the average cost for the rest of Texas is $3,813.
The price difference between Spring and the rest of the state is more pronounced in other fields of care. Adult day care, for example, costs $1,300 a month in Spring, while the state average is $758, or $542 a month less than seniors in Spring can expect to pay. Skilled nursing care is one of the more expensive options in Spring, where the average monthly cost of a semi-private room is $5,095. This is nearly $300 a month higher than the average cost for the rest of Texas, which runs to $4,798.
Assisted living costs an average of $3,795 a month in Texas, which is slightly lower than the $3,863 seniors in Spring typically pay. These prices are close to the average cost of assisted living in Abilene, where the average senior pays $3,868 a month. Lubbock is likewise close to the middle range of costs for Texas cities, at an average of $3,200 a month.
The state of Texas has a very wide range of costs associated with assisted living. At the high end, Austin averages $5,190 a month for assisted living, while Arlington and San Angelo follow at $4,350 and $4,450, respectively. At the far end of the cost spectrum,Texarkana and ElPaso are among the least expensive cities in the state for assisted living. Costs in Texarkana average $2,265, while El Paso averages $2,250 a month.
Home care costs an average of $3,813 across the state of Texas. This is somewhat less than the typical cost in Spring, where seniors pay an average of $3,909 for home care services. Austin and Arlington are not far off from these prices, at $4,099 and $4,004, respectively.
Other Texas cities are significantly less expensive for home care. Costs in Abilene, for example, run to $3,504 a month. San Angelo and Lubbock are in the same general range, at $3,432 and $3,600, respectively. Texarkana and El Paso are again among the least expensive cities in Texas. Home care costs in Texarkana average $3,022 a month, while El Paso's average cost runs to $3,041.
Adult day care in Spring averages $1,300 a month. The Texas state average is well below this, at just $758 a month. Among surveyed Texas cities, only Arlington and Austin report higher costs for adult day care. Both cities average $1,408 a month, which is nearly double the state average. Texarkana seniors also pay more than the state average for adult day care, though the difference in Texarkana is much less than other cities, at $888 a month.
Several Texas cities report monthly costs for adult day care that are well below the average cost in the rest of the state. Lubbock, for example, averages $704 a month for adult day care, while costs in El Paso run to $628. Abilene is close behind these cities, with average costs of $618.
Skilled nursing care in Texas costs an average of $4,798 a month. Spring is significantly more expensive than this, with average monthly costs of $5,095 for a semi-private room in a nursing care facility. Arlington is very close to Spring for costs, with a reported average monthly expense of $5,064. Only Austin has higher costs than this, at $5,323 a month. Texas cities that fall between the average in Spring and the state average include El Paso and Lubbock, where nursing care costs run to $4,867 and $4,958, respectively.
The central Texas city of San Angelo is the least expensive city surveyed for nursing home costs. Seniors in San Angelo pay an average of $4,365 a month for semi-private rooms in nursing care facilities. Abilene and Texarkana report somewhat higher costs, at $4,639 and $4,410, respectively.
Medicaid provides assistance for low-income seniors in Spring who need help covering the cost of preventative and emergency medical care. The program also helps seniors with the cost of residential senior care and some services and supplies to help seniors remain at home. Intensive residential care costs may also be covered under the Texas Medicaid program, including memory care and hospice services.
Texas delivers Medicaid coverage through a network of local private sector insurance carriers. Participation in these plans is part of an entitlement benefit, which means qualifying seniors in Spring may join and receive benefits without enrollment caps or placement on a waiting list.
Texas Medicaid maintains a set of criteria for applicants to meet before qualifying for benefits. Some criteria are financial, while others pertain to residency and citizenship status. Non-financial criteria for Texas Medicaid participation require that the applicant be:
Income requirements also apply to Spring seniors who wish to participate in Texas Medicaid managed care plans. These are based on the federal government's income guidelines, and the qualifying thresholds are subject to change from one year to another. As of 2018, the pre-tax total qualifying household income is less than:
If more adults live in the applicant's household, an additional $8,554 is added to the allowable household income. These limits are universal across the Texas Medicaid program and do not change based on which specific managed care plan the benefits recipient opts for. Applications for Texas Medicaid are available online or in person from an intake worker at a Harris County Human Services office. Staff at residential care and medical facilities can often also begin the application process on behalf of seniors who arrive uninsured.
STAR+PLUS helps seniors in Spring pay the monthly cost of residence in an assisted living facility. STAR+PLUS pays a voucher to the facility on behalf of Medicaid-eligible seniors who have been recommended for residence in skilled nursing, but who opt to stay in residence at a lower level of care, such as assisted living or in-home care support at home.
To apply for a STAR+PLUS waiver, seniors in Spring must be age 65 or over and earn less than $2,250 a month from all sources combined. Qualifying seniors must also own less than $2,000 in countable assets, which does not include a personal vehicle or the first $572,000 in a single home. STAR+PLUS intake workers may assess income and assets across a five-year look-back period to establish the applicant's baseline assets, in an effort to prevent asset transfers immediately before joining the waiver program.
Some costs Spring seniors can get help paying with a STAR+PLUS waiver include:
Home and Community Based Services (HCBS)
The Texas HCBS program helps Spring seniors who have been diagnosed with certain intellectual disabilities find the care they need without leaving their own homes. HCBS vouchers pay for many services seniors with disabilities need to stay safely at home, with payments made as close to the recipient's level of care as possible. By delivering care under the control of the recipient, the HCBS program seeks to empower seniors to direct the course of their own caregivers, home health workers and others whose services fall under the HCBS umbrella.
Services covered by the Texas HCBS program can include:
To be eligible for the HCBS program, seniors in Spring must also be eligible for Texas Medicaid and have been diagnosed with mild to severe cognitive deficits by a doctor. The program requirements specify applicants should have an IQ of less than 69, though this may go up to less than 75 for applicants with specific mental health conditions. Seniors can apply for HCBS through their Medicaid workers or staff at their assisted living community.
Texas Home Living (TxHmL)
The TxHmL program pays for several essential services to Spring residents with intellectual disabilities or related conditions under a state-funded waiver project. The aim of this program is to encourage community-based approaches to care, such as subsidizing the recipients' choice of caregiver, who may be a personal friend, spouse or family member.
The Texas Department of Aging and Disability Services (DADS) funds TxHmL, which in Harris County is delivered through a number of local contractors and nonprofit organizations. To qualify for the program, seniors in Spring must be eligible for Texas Medicaid and have some kind of intellectual disability, such as Alzheimer's disease, Huntington's disease or advanced forms of Parkinson's. TxHmL benefits can include:
Seniors interested in applying for TxHmL, or for any of the other waivers Texas offers, can request information from the Harris County Local Intellectual and Developmental Disability Authority (LIDDA).
Texas Support Services
Texas Support Services helps seniors in Spring who wish to live at home or in a community care environment. Covered benefits include caregiver services to help with bathing, food preparation, some shopping services and reasonable amounts of laundry. Support Services program vouchers allow seniors to hire caregivers themselves, with friends, spouses and family members eligible to participate.
Qualifying Spring seniors must have a doctor's diagnosis for some form of physical or mental disability. Drug and alcohol dependency count as disabilities for the Support Services program. Spring-area seniors or their loved ones can apply online for the program at YourTexasBenefits.com. Applicants can also call or visit a Houston-area Area Agency on Aging office.
Community Care for the Aged/Disabled (CCAD)
Community Care for the Aged/Disabled (CCAD). Community Care for Aged/Disabled (CCAD) is a state program that helps Harris County seniors maintain something close to their normal level of self-sufficiency during the recovery period following an illness, accident or other injury cause disabling physical limitations.
Covered benefits under the program include home-based care and post-acute rehab services delivered in a facility. The program's anonymous senior abuse and neglect reporting hotline also helps protect enrolled seniors. Applications for CCAD go through the Harris County Aging and Disability Resource Center (ADRC).
Community Attendant Services (CAS)
Community Attendant Services (CAS) helps low-income seniors in the Spring area hire non-medical helpers to assist with regular daily chores. Caregivers and in-home assistants whose work is covered through CAS can deliver their services in the senior's own home or at a residential care facility.
Program funds are paid out as vouchers at the discretion of the benefit recipient, which empowers seniors to direct the ways their own care is delivered. Applications for the CAS program can be made online.
|My Brother's Keeper Outreach||(281) 498-9933||My Brothers Keeper helps Spring seniors with emergency assistance finding and paying for shelter. Rent and mortgage payments are given on a first come-first served basis while funds are available to walk-in applicants.|
|Humble Area Assistance Ministries (HAAM)||(281) 446-3663||Humble Area Assistance Ministries is an interfaith program that provides needy seniors of all faiths in Spring and the surrounding areas of Harris County with food assistance, help meeting basic health and personal care needs and occasional disaster assistance. Applications can be made by phone.|
|YWCA Houston||(713) 868-9922||The Houston YWCA helps seniors in Spring with home stabilization assistance and rent or mortgage aid, funding levels permitting. All seniors over the age of 50 are potentially eligible for aid, though the Houston YWCA prioritizes giving aid to seniors and the disabled in Harris County.|
|Northwest Assistance Ministries (NAM)||(281) 583-5600||Spring seniors in dire financial situations can appeal to NAM for help with some or all of the cost of food, rent, gas vouchers, mortgage, housewares, prescriptions and medical or dental expenses. Another benefit NAM can offer is rent assistance, as well as vouchers for local thrift stores where housewares are relatively affordable. Applications are made in person during the last week of the month prior to the assistance being granted.|
|Covenant With Christ International||(281) 592-5001||Covenant With Christ International helps Spring seniors of all backgrounds with prescriptions, rent and weatherization financial assistance, funds permitting. Applications can be made by phone.|