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Does Medicare cover assisted living?

On Behalf of | Jul 29, 2020 | Estate Planning

Many people believe that all aspects of estate planning only come into effect after death, but this is not true. Considering how Americans are living longer lives than ever, careful financial planning for your golden years is essential.

The realities of old age mean that you may need assistance with daily tasks at some point. However, many people do not budget appropriately for this expense. Some people think that Medicare will cover the costs associated with hiring an assisted living helper. According to LongTermCare.gov, Medicare only covers costs associated with assisting living if it is medically necessary.

What is “medically necessary” assisted living?

Medicare will cover expenses related to assisted living if a physician deems it a necessary acute care cost. For example, if you require assistance in the direct aftermath of an injury, surgery or illness, Medicare will cover this.

However, there are limitations to this. Medicare will cover 100% of the cost related to nursing care for the first 20 days only. After this, Medicare will cover part of the expense and bill the patient a copay for the first 100 days. After 100 days, Medicare will cover no part of the cost.

Additionally, persons who suffer from degenerative conditions will also get assistance from Medicaid. Degenerative conditions include diseases like Alzheimer’s, Parkinson’s, multiple sclerosis and ALS.

How can I pay for assisted living?

Assisted living expenses are generally privately financed. Many people choose to sell their homes and use the profits to move into an assisted living facility if it is necessary. If you are a veteran or married to one, you may also receive veterans benefits that you can use to finance assisted living.


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