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Does Medicare Pay for Assisted Living?

5 minute readLast updated February 5, 2025
Written by Chacour Koop
fact checkedby
Danny Szlauderbach
Reviewed by Letha McDowell, CELA, CAPCertified Elder Law Attorney Letha Sgritta McDowell is a past president of the National Academy of Elder Law Attorneys.
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No, Medicare doesn’t pay for assisted living. For residents of assisted living facilities, Medicare support is generally limited to health care-related expenses, such as doctor visits and on-site therapy. It can’t be used to pay for the costs of daily living, such as room and board, or for help with activities of daily living (ADLs), such as bathing and dressing. For these services, you or your loved one will need to use private pay methods, such as personal savings or retirement funds.

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Key Takeaways

  1. Medicare doesn’t pay for custodial care, a term that refers to caregiver assistance with daily tasks like bathing and dressing.
  2. Medicare doesn’t pay for room and board in an assisted living community.
  3. Medicare will cover the cost of some medical services received in assisted living, such as medications, on-site therapy, and doctor visits.

Understanding Medicare and assisted living

Medicare does not cover assisted living or other types of custodial or long-term care.[01] This is true whether your loved one has original Medicare (Parts A and B), a Medicare Advantage plan (Part C), or Medigap (supplemental insurance).

Medicare is federal health insurance for older adults and people with certain disabilities that can be used to pay for preventative and medically necessary care, such as doctor visits, prescription drugs, and hospital stays.[02] Assisted living is a type of senior living designed for older adults who are still active and independent but who need help with activities of daily living (ADLs). Assistance with ADLs is considered nonmedical care and isn’t covered by Medicare.

Does Medicare cover assisted living for people who have dementia?

No, Medicare doesn’t cover the cost of memory care or assisted living for people who have dementia. But seniors who have dementia may benefit from a Medicare Special Needs Plan (SNP), which tailors coverage to people living with specific diseases or conditions.[03] Someone who has dementia could be eligible for a Medicare SNP if they have Medicare Parts A and B and reside in the plan’s service area.[04]

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How much does Medicare pay for assisted living?

Since Medicare pays nothing for assisted living, families are responsible for paying the full cost out of pocket, using other benefits, or through a combination of the two.

However, Medicare may cover some products and services that a residents needs while in an assisted living facility, such as:

  • Medical supplies like wheelchairs, oxygen, and walkers
  • Physical, occupational, or speech therapy
  • Part-time or intermittent skilled nursing care
  • Medical social services to cope with issues from an illness
  • Hospice care

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Other sources of financial assistance for assisted living

Many seniors use their savings to pay for assisted living. However, the median monthly cost of assisted living in the U.S. is $5,190, according to A Place for Mom’s 2025 Cost of Long-Term Care and Senior Living Report. This is a price that leaves many seniors and families searching for additional ways to pay for care, such as veterans benefits and Medicaid.

Several VA benefits can help cover the cost of long-term care, including in an assisted living community. In most states, Medicaid helps pay for some assisted living services, with varying eligibility requirements. In states where Medicaid doesn’t cover assisted living, it may pay for alternative senior care options, such as in-home care.

Find the best assisted living community for your loved one

If you’ve determined that assisted living is the best option for your loved one, the next step is to find the right community. This process can be overwhelming, especially if you’re on a budget. A Place for Mom’s Senior Living Advisors can help you find local assisted living options that fit your loved one’s unique needs and price range. Plus, they can help set up tours, compare options, and plan the logistics of a move — all at no cost to you or your family.

Families also ask

No, Medicare Part B doesn’t pay for assisted living. Medicare Part B typically only pays for medically necessary services, such as doctor visits, preventive care, or necessary medical equipment.

No, Medicare doesn’t pay for a short-term stay in assisted living since assistance with personal care tasks isn’t considered medically necessary. However, Medicare does pay for medically necessary short-term care in a nursing home.

Yes, Medicare does partly pay for a hospital bed if a doctor prescribes it since it’s considered durable medical equipment. However, hospital beds are not regularly provided in assisted living facilities.

Medicare doesn’t pay for any days in assisted living. However, Medicare may pay for up to 100 days in a skilled nursing facility or nursing home, but seniors may incur copays during their stay.

No, Medicare doesn’t pay for adult diapers that seniors may need in assisted living. These and other incontinence supplies are typically paid for out of pocket or with a health savings account.

Yes, Medicare pays for rehabilitation services provided at an assisted living community. In order to be covered, therapy must be considered necessary to help a senior meet a health goal. It’s important to note, though, that not all assisted living communities offer on-site rehabilitation services.

SHARE THE ARTICLE

  1. Centers for Medicare and Medicaid Services. (2020, December). Items and services not covered under Medicare.

  2. Social Security Administration. (2025, January). Medicare.

  3. Centers for Medicare and Medicaid Services. Special needs plans (SNP).

  4. Centers for Medicare and Medicaid Services. (2024, September 10). Medicare special needs plans.

Written by
Chacour Koop
Chacour Koop is a former copywriter at A Place for Mom, where he published articles focused on Medicare, Medicaid, dementia, and wellness with a hope that other families can use the information to improve their lives. As a former family caregiver, Chacour Koop strives to bring practical knowledge about senior care to readers who are navigating this complex topic. Before writing about senior living, he was a journalist with bylines in The Associated Press, Miami Herald, Sacramento Bee, and dozens of other publications. He earned a degree in journalism from Eastern Illinois University and a master’s degree in public affairs reporting from the University of Illinois Springfield.
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Danny Szlauderbach is a Video Producer and a former Managing Editor at A Place for Mom, where he's written or reviewed hundreds of articles covering a wide range of senior living topics, from veterans benefits and home health services to innovations in memory care. Since 2010, his editing work has spanned several industries, including education, technology, and financial services. He’s a member of ACES: The Society for Editing and earned a degree in journalism from the University of Kansas.
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Certified Elder Law Attorney Letha Sgritta McDowell is an elder law attorney and past president of the National Academy of Elder Law Attorneys.
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