Medicare and Assisted Living
Find Out Whether Medicare Helps Pay for Assisted Living
What It Is
Residence in an assisted living facility
Neither Medicare Part A, Medicare Part B, nor any Medicare Part C Medicare Advantage plan (also known as a Medicare Advantage plan) covers residence in an assisted-living facility.
Tip: In limited circumstances, Medicare Part B or a Medicare Part C Medicare Advantage plan can cover short-term, in-home healthcare from an outside agency delivered to a patient who resides in an assisted-living facility.
What Medicare Pays
Medicare pays nothing for residence in an assisted-living facility.
Important: Regardless of the rules regarding any particular type of care, in order for Medicare Part A, Medicare Part B, or a Medicare Part C plan to provide coverage, the care must meet two basic requirements:
The care must be "medically necessary." This means that it must be ordered or prescribed by a licensed physician or other authorized medical provider, and that Medicare (or a Medicare Part C plan) agrees that the care is necessary and proper. For help getting your care covered, see FAQ: How Can I Increase the Odds That Medicare Will Cover My Medical Service?
The care must be performed or delivered by a healthcare provider who participates in Medicare.