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Assisted Living in Indiana

Considered one of the top 10 most affordable states to live in the United States, Indiana is a state where retirees can stretch their savings and enjoy a potentially high quality of life. Affordable senior care options make this a popular place to retire. Of the 6.8 million people who live here, over 16% are aged 65 and older. The state is home to the Indiana University Health Medical Center, which U.S. News and World Report ranks in the top 50 hospitals in the country for senior care.

On the 2024 Senior Living Report, Indiana ranks sixth for affordability and 17th for senior living and housing costs. Overall, it falls 33rd in the nation for all ranking factors. The cost of assisted living, which averages $4,283 a month, is one of the reasons the state ranks so well for affordability.

This guide outlines the costs of residential care in Indiana and provides resources older adults can use to cover those costs. It gives seniors and their families a convenient list of nonprofit and government agencies that assist seniors with their retirement needs while also outlining the rules and regulations that govern Indiana’s assisted living communities.

The Cost of Assisted Living in Indiana

When trying to decide how to pay for assisted living, one of the first questions that comes up is "How much does it cost?" With the impact of inflation, it's more important than ever to have up-to-date information when making a financial plan for senior living. To help shed light on real senior living prices, has compiled proprietary cost data from its network of over 75,000 senior living providers to offer insight into the average cost of assisted living in Indiana and its 48 cities.

The Cost of Assisted Living in Indiana's Top Cities

Assisted living prices vary considerably across Indiana. At 2023, seniors typically pay $4,036 per month in the state capital of Indianapolis, which is lower than the statewide average. Assisted living communities in Fort Wayne and South Bend are also more affordable than the Indiana average, costing $4,174 and $3,773, respectively. Monthly rates in Carmel are particularly modest, at $3,609. Cost variations make it important that seniors fully research their options.





South Bend


Fort Wayne




Inflation's Impact on the Cost of Assisted Living in Indiana

In Indiana, average assisted living costs saw a slight decrease from $4,360 in 2022 to $4,357 in 2023. Based on current inflationary trends, costs are expected to increase by 7.8% to $4,699 by 2024. Between 2022 and 2023, inflation caused the national average to change from $4,070 to $4,459, representing a 9.6% increase. Inflation impacts states differently. While fees in Illinois fell from $4,959 to $4,742 between 2022 and 2023, Kentucky, Ohio and Michigan saw increases of 14%, 9% and 12%, respectively, for the same period. Planning ahead financially is crucial.

Location2022 Cost (Historical)2023 Cost (Current)2024 Cost (Estimated)
U.S. Average$4,070$4,459$4,802

The Costs of Other Types of Senior Living

In Indiana, long-term senior care costs differ according to the care type. Assisted living costs $4,357 per month in 2023, which is less than memory care ($5,894) but more than independent living ($2,355). Factors such as required care services, amenities, staffing and specialized programming can affect care costs. Therefore, seniors should carefully consider their needs, preferences and budget when exploring their care options.

Assisted Living


Memory Care


Independent Living


Does Medicaid Cover Assisted Living in Indiana?

Medicaid in Indiana doesn’t directly pay for assisted living costs. In Indiana, seniors can use Medicaid funds to pay for assisted living costs through two programs, the Home and Community-Based Services waiver program and the Residential Care Assistance Program. These programs allow Medicaid-eligible seniors to apply their Medicaid funds toward their assisted living costs.

What Assisted Living Services Are Covered by Medicaid in Indiana?

Under the Home and Community-Based Services waiver program or the Residential Care Assistance Program, income-qualified individuals residing in assisted living communities or other residential treatment facilities can have many of their services covered, including:

  • Room and board
  • Assistance with activities of daily living
  • Recreational programs
  • Meals
  • Medical care

Through these waiver programs, all assisted living costs can be paid with Medicaid funds, but the amount of money available depends on the assets and income of the applicant.

Assisted Living Waiver Programs in Indiana

Home and Community-Based Services Waiver

The Home and Community-Based Services Aged and Disabled waiver program provides alternatives to nursing homes for seniors and disabled individuals who need care and support. Some use these funds to live at home, while others use them to move to an assisted living facility.

Some of the services available through this waiver program include:

  • Assisted living care
  • Community transition
  • Health care coordination
  • Emergency response system
  • Respite care
  • Nutritional supplements
  • Transportation

Applicants are assigned a case manager who evaluates their needs and chooses the specific services that apply to each person. These services become part of a Plan of Care/Notice of Action for the applicant.

To be eligible for this program, a senior must:

  • Be aged, blind or disabled
  • Have an income no more than 300% of the maximum Supplemental Security Income amount
  • Meet “nursing facility level of care” criteria
  • Be living in or planning to transition to an HCBS-compliant facility

Seniors should apply as soon as they feel they need these services. Applicants must first qualify for Medicaid. Then, they must visit their local Area Agency on Aging to get help applying for HCBS waiver services. Waitlists for this program are common in Indiana, so applying early is important.

Residential Care Assistance Program

The Residential Care Assistance Program is available for Medicaid recipients or those who receive Supplemental Security Income and are already in an RCAP-approved facility. The program provides funds to pay for:

  • Room and board
  • Laundry
  • Care coordination

Money is paid at an approved per-day rate established through the Division of Aging unless the resident has no income, in which case RCAP pays room and board monthly.

To qualify for this program, a senior must:

  • Be 65 or older or be blind or disabled
  • Currently receive Medicaid or SSI
  • Live in an RCAP facility
  • Not require a nursing home level of care

The RCAP community helps the applicant with the application process, or the applicant’s family members can download the application and collect supporting documentation to submit to the Division of Family Resources via email at

Medicaid Eligibility in Indiana

To be eligible for Indiana Medicaid, applicants must meet income and asset guidelines. Hoosiers can have a monthly pretax income of up to $2,742. This includes all forms of retirement income, including Social Security income, Social Security Disability income, withdrawals from retirement accounts, dividends from investments and government and private pensions. If the applicant is married and their spouse isn’t applying for coverage, only the applicant’s income is counted, and Indiana has laws in place to safeguard the non-applying spouse’s financial security. 

Single applicants can have up to $2,000 in countable assets. This includes cash, investments, bank accounts and vacation homes. It doesn’t include the applicant’s primary dwelling, belongings, vehicle or irrevocable burial trusts. If both spouses are applying, the asset limit is $3,000. For those whose income and assets exceed these limits, there may be other ways to qualify, including Miller trusts and Medicaid planning. 

2022 Medicaid Income Limits for Seniors in Indiana

Household SizeNumber of ApplicantsIncome Limits Per Year*Asset Limits: Applicant(s)Asset Limits: Non-Applicants
One Person1$32,904$2,000
Two People1$32,904**$2,000$148,620
Two People 2$65,808***$3,000

*All monthly income except for a $52 personal needs allowance and Medicare premiums must be paid to the facility as a share of cost. There may also be a monthly needs allowance for a non-applicant spouse, .

**Income limit is for applicant only.

***Income is limited to $2,742 per month per spouse.

In addition to financial limits, Indiana Medicaid applicants must meet other eligibility criteria. Qualifying individuals must be: 

  • U.S. nationals, citizens, permanent residents or legal immigrants
  • In need of health care services and insurance assistance
  • Permanent residents of Indiana

How To Apply for Medicaid in Indiana

To apply for Medicaid in Indiana, seniors can visit the Family and Social Services Administration website to apply online. Seniors can also print applications and drop them off at the Department of Family Resources office closest to them.

Information You Will Need

Before starting the application process, individuals will need to gather some documents. These include:

  • Proof of household income
  • Tax filing details
  • Proof of age
  • Proof of citizenship or legal resident status
  • Social Security number
  • Details about other insurance policies

Seniors applying for HCBS also need proof they are medically in need of these services.

How To Get Help Applying for Medicaid

Several agencies and programs in Indiana can help seniors apply for health insurance through Medicaid. Some seniors already in assisted living facilities can get help there, especially if they’re applying for RCAP. Other groups that can help seniors find the right plan and apply for it include these:

ProgramContactServices provided
Area Agencies on Aging(800) 986-3505The state of Indiana is divided into 16 Planning and Service Areas, each of which has its own Area Agency on Aging. These agencies help connect seniors to the services they qualify for, including health care coverage and Medicaid. They provide case management, referrals and information to help seniors access services they need to live as independently as possible.
Indiana Legal Services(844) 243-8570Seniors who are having trouble getting their Medicaid applications approved can request free legal assistance from Indiana Legal Services. The organization takes applications online or by phone Monday through Friday from 10 a.m. to 2 p.m. It also has a number of free legal resources available online.
Indiana 211(866) 211-9966Indiana 211 is a free helpline that seniors and others in Indiana can call to get connected to local services they need, including Medicaid help. Seniors can simply dial 211 to get free, confidential help finding local resources. The helpline is staffed 24/7.

Does Medicare Cover Assisted Living in Indiana?

The short answer is that no, Medicare does not cover the cost of assisted living in Indiana. Assisted living facilities are considered to be a “residential setting” and not a “clinical setting,” (think nursing homes). While Medicare doesn’t cover the cost of care received in an assisted living community, it does still cover things like approved medications, doctor visits, medical equipment, etc., just like it would if you lived at home.

For more information about when Medicare can be used to pay for senior living in a nursing home, and for Medicare-related resources, see our guide to Nursing Homes in Indiana.

Other Financial Assistance Options for Assisted Living in Indiana

Seniors who are not eligible (due to location, financial situation, or other factors) for other types of financial assistance, do still have some options. See the table below for an overview of some of the most common ways to make Assisted Living affordable.

NameHow To ApplyHow It Works
Aid and AttendanceLearn more and apply online at who receive a VA pension may also be eligible for the Aid and Attendance benefit, a monthly cash allowance that veterans receive in addition to their standard pension amount. The benefit is intended for veterans in need of long-term care services and may be used towards paying for Assisted Living.
Reverse MortgagesLearn more about your options and how to apply at ftc.govIf you own a home, you may be able to use a reverse mortgage to help pay for Assisted Living. Reverse mortgages are loans that one can take out against the value of their home, essentially converting some of the home's equity into cash. Reverse mortgage loans do need to be repaid with interest, typically within 12 months of receiving the loan.
Long-Term Care (LTC) InsuranceLearn more about Long-Term Care Insurance and how to apply for a policy at who already have long-term care insurance may be able to use it to pay for Assisted Living. Most policies cover at least a portion of the cost, but it depends on the specific policy terms. Note that older adults who are already in need of Assisted Living will not typically be eligible to sign up for a LTC insurance policy.

Free and Low-Cost Resources for Seniors in Indiana

There are many resources in Indiana that assist seniors in their retirement. has compiled information on local organizations, programs and agencies and categorized them into care types for easy reference.

Area Agency on Aging

Retirees can find support and advice on various senior-related issues from their local Area Agency on Aging. The agency provides advice on topics such as financial assistance programs, in-home care and long-term care planning. It also connects seniors and caregivers with community-based resources.

Program NamePhone NumberDescription
Indiana Area Agencies on AgingArea Agencies on Aging in Indiana support older adults and their caregivers by providing services ranging from case management, Medicare fraud prevention and referrals to local programs that support the daily needs of seniors. Sixteen agencies across Indiana work with local programs to provide services such as meal delivery, transportation to medical appointments, assistance paying for heating and cooling bills and training for caregivers. Indiana seniors can call a toll-free number to learn about additional services.

Cash Assistance Programs

Cash assistance programs in Indiana provide financial support to help low-income retirees remain in their own homes for as long as possible. Seniors and caregivers can apply for tax rebates and reductions, discounts on vital services and help covering the cost of heating and cooling their home.

Program NamePhone NumberDescription
Indiana Lifeline Program800-234-9473The LifeLine Program offers a discount on landline or mobile telephone service, ensuring that participants can stay in contact with loved ones. Contact your telephone company to begin the application process.
Indiana State Government Division of Family Resources800-403-0865Indiana State Government Division of Family Resources is responsible for administering cash assistance programs and benefits, including the Temporary Assistance for Needy Families (TANF) program. TANF offers temporary financial aid and support for low-income families with dependent children under the age of 18. Payments are based on a family's countable monthly income in relation to the size of the family. The program also offers support for basic needs, job training and employment services to help families work toward long-term self-sufficiency.

Financial Assistance for Senior Care and Senior Living

Whether living in their own home or in a senior living community, Indiana seniors can find financial assistance from numerous local resources. These organizations help residents cover some of the costs associated with in-home or long-term care and connect them with other helpful community-based resources.

Program NamePhone NumberDescription
Indiana's Aged and Disabled (A&D) WaiverHoosier Care participants whose health conditions make them eligible for state-funded care in a nursing home may be able to avoid placement with services provided by Indiana's Aged and Disabled (A&D) Waiver. This waiver pays for many different types of care services that support seniors in their own homes or in assisted living communities and stay out of the more intensive care offered at nursing homes. Services paid for or directly provided by the Indiana Aged and Disabled Waiver include: • Adult day health care • Assisted living expenses • Attendant Care • Self-directed attendant care in the home • Case management support • Transitional care • Home delivered meals • Personal emergency response system (PERS) hardware • Pest control • Respite care • Transportation • Personal vehicle modifications

Food Assistance Programs

Local organizations help ensure elderly citizens have a balanced diet and receive essential vitamins and minerals to remain healthy. Through nutrition programs, congregate meals, home-delivered meals and food pantries, these programs help Indiana seniors afford the nutritious food they need.

Program NamePhone NumberDescription
Indiana Meals on WheelsMeals on Wheels is a food assistance program for Indiana seniors aged 60 and over. To qualify, seniors must have diminished mobility that makes meal preparation and shopping difficult. Seniors receive nutritious meals via home delivery or in a congregate setting at their local senior center. Meals are provided on a sliding scale, so they range from free to full price, and no senior is denied for inability to pay. The program also provides safety checks and friendly visits.
Indiana State Government Division of Family Resources800-403-0864The Indiana Supplemental Nutrition Assistance Program helps low-income Indiana residents, including eligible seniors ages 60 and over, obtain healthy food. To qualify, seniors must meet financial, state residency and citizenship requirements. Financial criteria apply to income and asset limits. Seniors are given an electronic benefits transfer card known as the Hoosier Works card, which functions like a debit card and is accepted at most grocery stores for eligible food items. It can't be used for alcohol or tobacco.

Free Used Medical Equipment

Due to the high cost of purchasing new medical equipment, several organizations in Indiana collect lightly used medical devices such as wheelchairs, ramps and walkers and distribute them to local seniors and residents in need.

Program NamePhone NumberDescription
Indiana The National Federation of the Blind (NFB)410-659-9314NFB offers assistive equipment for blind and visually impaired people throughout the state. The program maintains a large inventory, but customers are encouraged to reserve equipment before a visit.
National Federation of the Blind410-659-9314The National Federation of the Blind operates a Free White Cane Program that distributes free canes to blind or visually impaired seniors. Seniors residing in any state, the District of Columbia or Puerto Rico are eligible to receive a free cane, provided they have a need for it. The National Federation website has information for seniors about deciding what size best fits them. Interested seniors can fill out an online application as often as every 6 months.

Home Repair and Modifications

Seniors and those with disabilities can access a variety of local resources to help them pay for home repairs and modifications. Programs in Indiana have different eligibility criteria and often assist retirees by providing grants or loans.

Program NamePhone NumberDescription
Department of Housing202-708-1112Indiana has several organizations that help low-income seniors in the state pay for vital repairs to their homes. One is the Indiana Affiliates of Habitat for Humanity, which rehabilitates homes so that seniors can stay living in them safely. Another is the Veterans Affairs Regional Loan Center, an organization that provides loans and grants to seniors who need to adapt their existing dwellings to meet their changing needs.
FHLBank Indianapolis 800-442-2568FHLBank Indianapolis provides home repair and modification services to make homes more accessible for seniors with mobility issues. Participating FHLBank financial institutions fund grants through the Accessibility Modification Program, which serves homeowners 62 years or older and their dependents under 17 years old. Any seniors with disabilities can qualify for the program. Household income must be at or below 80% of the Area Median Income HUD Income Limits to qualify for assistance.
Indiana Housing and Community Development Authority800-872-0371Ramp Up Indiana is a Home Repair and Modifications program in Indianapolis, IN, that helps with mobility assistance. Homeowners with household wheelchair users or other mobility issues can apply for exterior ramp installation to improve home accessibility. The pre-built aluminum or steel ramps help reduce falls and improve the quality of life for residents with mobility problems. Ramp repair is also available through Ramp Up Indiana.
Indiana Rural Development State Office317-290-3100The Indiana Rural Development State Office administers Single Family Housing Repair Loans & Grants in Indiana. The USDA program is for homeowners aged 62 and older who live full-time in a residence, can't secure funding from another agency and meet the very low income guidelines for their county. Applicants must use grants to remove health and safety hazards, and loans can go toward repairing, improving or modernizing homes. Applications are available and accepted year-round at each area's local RD office.

Many organizations offer free or low-cost legal services to Indiana seniors. Older adults can access advice on issues such as estate planning, living wills and power of attorney. Some firms also act as long-term care ombudsmen, advocating for the rights of seniors in senior living communities.

Program NamePhone NumberDescription
Indiana Adult Protective Services800-992-6978Adult Protective Services hears complaints about abuse or neglect of vulnerable adults in Indiana, including seniors. If a senior or family member submits a report to the local APS unit, It will investigate and take the necessary measures to protect the individual.
Indiana Legal Services844-243-8570This organization provides free legal assistance in civil cases for seniors who meet income limit requirements. It can help with matters such as wills and estates, advance care directives, guardianships and elder abuse. It also assists with consumer rights issues, including bankruptcy, wage garnishment, repossessions and predatory lending.
Indiana Long-Term Care Ombudsman800-622-4484The Indiana Long-Term Care Ombudsman program allows residents of assisted living communities to receive advocacy help. If a resident or resident's family member believes their rights are not being protected, they can contact the Ombudsman to get help.

Senior Engagement

Senior engagement resources and programs in Indiana help older adults remain active and ensure they contribute to the community. Resources include wellness programs, volunteer opportunities, support groups and organizations that help residents connect with the community to live fulfilling lives.

Program NamePhone NumberDescription
Indiana Dementia Friends317-254-5465Dementia Friends Indiana, a nonprofit run by CICOA Aging & In-Home Solutions, is a referral service that connects older adults with agencies that support those coping with cognitive decline. Through the organization's in-person and virtual events, including Memory Cafes and Become a Friend sessions, seniors and family members can meet others facing dementia-related challenges and learn techniques for safer home management. Loved ones can also access Help and Hope for Family Caregivers, a video series and workbook on navigating caregiving's demands.

Social Security Offices

Social Security offices in Indiana help seniors and disabled people access the benefits they're entitled to. Older adults can contact their local office for information about receiving retirement benefits, disability allowance and Supplemental Security Income.

Program NamePhone NumberDescription
Indiana Social SecuritySocial Security is a source of income available to retirees and people who can no longer work because of a disability. The money for Social Security comes from a payroll tax levied on employers, employees and self-employed individuals. When you retire, you'll receive monthly payments based on how much you earned when you were working.

Tax Assistance

Seniors can apply for tax assistance from several Indiana resources. Elderly residents and those with disabilities could be eligible for tax exemptions on medical expenses, reductions on property tax and other tax assistance programs.

Program NamePhone NumberDescription
Indiana Homestead and Over 65 Deduction800-457-8283Indiana's homestead deduction lowers the property tax burden for a resident's primary residence and up to 1 acre of land. The standard deduction is for a maximum assessed property value of $45,000 or 60% of the property's value, whichever is less. An additional deduction is available for seniors 65+ whose property value is $200,000 or less. Seniors may also apply for the Over 65 Circuit Breaker Credit, which limits how much their property taxes can increase each year.

Utility & Energy Bill Assistance

Low-income seniors who are struggling to meet the costs of maintaining their homes can find support from organizations that offer assistance with utility and energy bills. Indiana retirees could also qualify for emergency funding programs if they're in danger of losing utility services due to unpaid invoices.

Program NamePhone NumberDescription
Indiana Housing & Community Development Authority317-232-7777Energy assistance is available to Indiana residents who meet the program's financial restrictions, which are similar to Medicaid's income and asset limits.

Veteran's Services

Indiana retirees who have served in the U.S. military can find support from local veteran services. These offices and organizations help vets access the benefits they're eligible for and provide advice and information on a variety of issues.

Program NamePhone NumberDescription
Indiana VA Benefits and Health CareSenior veterans and their dependents may receive state income tax exemptions, property tax exemptions, military retired pay and additional funds to help finance care via the Aid and Attendance program from the Indiana VA. Additionally, numerous medical services, including mental health, primary and specialty care, as well as social programs, can be accessed at the Richard L. Roudebush VA Medical Center in Indianapolis. In some cases, the Indiana VA's services are available remotely.

Assisted Living Laws and Regulations in Indiana

The Indiana State Department of Health oversees the rules, regulations and licensing of assisted living communities. A strict set of regulations ensures these facilities can provide the right level of care to each resident they serve.

Assisted Living Service Plan Requirements All facilities must assess the health needs of a senior before admitting them as a resident. This assessment will consist of the scope, type and frequency of service they require. It also includes the senior’s preferences. These evaluations must be redone if the resident’s scope of care changes while they're at the facility. Medicaid-approved facilities must have an individual risk plan for residents when deemed necessary.
Assisted Living Admission Requirements Assisted living communities aren't allowed to admit residents who require 24-hour nursing care or have needs they're not equipped to meet. Residents cannot pose a danger to themselves or others. Any resident cannot be admitted if they require total assistance with any two of these: Eating Toileting Transferring
Assisted Living Scope of Care Assisted living communities must provide the care required to maintain the health and well-being of residents, including any necessary therapies like occupational or physical therapy, medication management and basic care services. Facilities must have a state-licensed nurse if they provide minor nursing services.
Assisted Living Medicaid PolicyMedicaid funds can pay for assisted living care in qualified facilities if the resident is eligible for the HCBS or RCAP programs.
Assisted Living Facility RequirementsIf they accept the Medicaid waiver, assisted living communities must have individual units that are wheelchair accessible. They must include: Private bath, with half of the units having roll-in showers Bedroom Living areas Kitchenettes Residents can share a bedroom if they agree to the shared living arrangement, such as in the case of married couples.
Medication Management RegulationsLicensed nurses or qualified medication aides must administer medication. Injectable medication must always be administered by licensed staff members, but certified nursing aides can give simple treatments. All medications must be under a physician's orders. Residents can keep medications in their units in secure storage if they self-administer their medications.
Staffing Requirements A licensed administrator oversees the overall administration of the facility, and all assisted living communities must have one on staff. If the facility has more than 50 residents who need medication or nursing services, it must have a licensed nurse on duty at all times. Activities directors are also required. Facilities must have a pharmacist on staff or under contract. There's no staff-to-resident ratio requirement. However, faculties must have at least one awake staff member on site at all times.
Staff Training Requirements Facilities must give all new staff members an orientation that covers the policies and procedures of the community. An organized in-service training must happen at least once a year for all staff members.
Background Checks for Assisted Living All employees must complete a background check before starting their work. If they're guilty of abuse, neglect or mistreatment of a resident at any point in their past, or if they have a finding on the nurse aide registry, they may not be hired.
Requirements for Reporting Abuse Any suspected abuse must be reported to the Indiana Adult Protective Services Department. This can be done online or over the phone by calling the state hotline at (800) 992-6978.

Frequently Asked Questions

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