Paying for senior care

Income Calculation
Paying for senior care can be a challenge for many families. While some families have the means to pay for long-term care for an extended period with their income or savings, other families may need to consider leveraging assets or pooling their combined resources. Many families will use a hybrid of these methods.

Income and Savings

Using personal income or savings to pay for senior living is the simplest route. If a senior is not able to full cover expenses, family members may contribute part of their income or savings to help pay for care.

Long-Term Care Insurance

If your loved one has long term care insurance, it may cover assisted living, depending upon the specifics of the policy. Unfortunately, according to the Long-Term Care Association, less than 3% of American have long term care insurance. The most cost effective time to secure coverage is during middle age or younger, as it can be prohibitively expensive as an older adult. If your loved one is covered, depending on the policy provision, it can go a long way to support care costs.

Veteran’s Benefits

The Department of Veterans Affairs (VA) has assistance programs, such as the Aid and Attendance benefit, that can help pay for care for older veterans who served during specific periods of wartime. Assistance is also available to qualifying widowed spouses of wartime veterans.

Home Equity

Many seniors transition from a house or other residence that they own. The sale of their property holdings can pay for their care. For those who need assisted living immediately, but aren’t able to sell their home right away, some communities offer deferments that are paid back once the property sells.

Selling a Life Insurance Policy

This practice, knows and a “life settlement” involves selling your policy to another person or a company for a cash settlement. They pay the premiums from then on, but collect the benefits when you pass away. This can be a complicated process so make sure you understand the impact on your family.

Pooling Family Support

A senior who cannot afford assisted living often relies on some financial support from grown children or other family members.

Reverse Mortgage

A reverse mortgage allows you to borrow money based on the equity in your home. The loan is paid back when you sell the home. A reverse mortgage stipulates that you must reside in your home for the length of the loan. A reverse mortgage can be useful if a couple needs care and has full ownership of the house. For example, if a husband is healthy, but the wife has advanced Alzheimer’s disease, the couple could use a reverse mortgage to pay for the wife’s care at an assisted living community with memory care, while the husband remains at home.


In some states, Medicaid covers care a skilled nursing facilities and assisted living communities. But Medicaid, which is not to be confused with Medicare, is only available to seniors who have little or no assets, so it’s generally an option of last resort.