Solutions
Does Medicare Cover Assisted Living and How Do You Pay for It?
Medicare does not cover the cost of assisted living.
It covers only short-term skilled nursing facility care following a qualifying inpatient hospital stay of at least three days, and only for up to 100 days under specific conditions. Assisted living, which provides help with daily activities such as bathing, dressing, and medication management in a residential setting, is considered custodial care and is explicitly excluded from Medicare coverage. The national median monthly cost of assisted living reached $6,200 per month as of the CareScout 2025 Cost of Care Survey, or approximately $74,400 annually, a 5% increase from the prior year. For those who need memory care due to dementia or Alzheimer’s disease, costs run significantly higher, typically $6,500 to $8,000 per month nationally in 2026. The primary ways to fund assisted living include personal savings and retirement assets, long-term care insurance, veterans benefits for eligible individuals and their spouses, Medicaid for those who have spent down their assets to qualifying levels, and home equity through a reverse mortgage or home sale. Long-term care insurance purchased in advance is the most reliable tool for protecting retirement savings from these costs, which is why planning for long-term care well before it is needed is one of the most important aspects of a comprehensive retirement plan.
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