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Planning For Assisted Living Costs

Not to anyone's surprise, the costs associated with eldercare keep going up. Most recently in the unhappy news was a new MetLife study reporting that assisted living costs across the country rose an average of 15% last year to an average of $2,524 per month, or $30,288 per year. The highest monthly average base cost was reported in Stamford, Connecticut at $4,327 while the lowest was Miami, Florida at $1,340. These are averages - many facilities charge much more.

This means that financial planning for eldercare is getting more complicated by the day. What was once affordable is growing out of reach for many, including those who are already living in a facility. As needs grow, so do costs - effectively pricing many residents out and into nursing homes. Or back into the homes of relatives.

The implication, of course, is that we're never done planning. What once looked like a great plan can go out of date in an instant if either needs or costs go up.

One often-overlooked resource for financial help with assisted living, available in some states, is a Medicaid-Waiver program. Each state that has a waiver program structures it differently, but many cover the costs of assisted living as an alternative to nursing home care if assisted living would be medically appropriate. Medicaid dollars are used to pay part or all of the cost of assisted living if this kind of residential alternative would cost the same as, or less than, nursing home care.

(The "Waiver" part of the program name alludes to the "waiving" of the requirement that the recipient be in a nursing home to receive financial assistance.)

If assisted living is, or might be, a good option for your elder place a call to your local Medicaid office (see the blue pages of your phone book). Ask whether your state has a Medicaid Waiver program, and if so, whether it covers assisted living in any way. If your state does have such a program, ask for any available written information about it and how to qualify.

In the states that have them, Medicaid waivers are popular and waiting lists are often long. If you think you might want to take advantage of this kind of program you would be most wise to get started as soon as possible.

In case you're interested, here's a partial list of average monthly assisted living costs around the country according to the MetLife study:

Statewide, AK - $3,757 Des Moines, IA $2,139
Birmingham, AL $2,441 Boise, ID $2,317
Little Rock, AR $2,011 Peoria, IL $2,008
Tucson, AZ $2,057 Fort Wayne, IN $2,638
San Diego, CA $2,103 Wichita, KS $2,347
San Francisco, CA $2,630 Louisville, KY $2,438
Denver, CO $2,056 New Orleans, LA $2,418
Stamford, CT $4,327 Boston, MA $3,424
Washington, DC $3,920 Silver Spring, MD $3,718
Wilmington, DE $3,782 Billings, MT $2,339
Orlando, FL $2,000 Dallas/Fort Worth, TX $2,361
Atlanta, GA $2,535 Milwaukee, WI $2,798
Honolulu, HI $3,112
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