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Medicaid Spending for Long-Term Care Recipients (2011)
Long-Term Care Costs by Level of Care and Facility Type
The following are indicative of costs associated with various levels and types of long-term care services as of 2015. These are national average median rates; actual costs vary dramatically by state and by geographic location within each state.
Homemaker services—Nationally, the median hourly rate charged by a non-certified but licensed home-care agency for homemaker services is $20. Homemaker services include housekeeping, cooking, and running errands.
Home health aide services—Nationally, the average median rate charged by a non-certified but licensed home-care provider for home health aide services is $20 per hour. Home health aides provide assistance with ADL's, not medical care.
Adult day care
Nationally, the median daily rate charged for adult day care (which provides social and other support services in a community-based setting) is $69.
Assisted living facilities—Nationally, the monthly median rate for a private one-bedroom unit in an assisted living facility is $3,600 (implying an average annual cost of $43,200). These rates exclude one-time community or entrance fees. Thirty-five percent of the assisted living facilities surveyed charge a one-time fee, commonly referred to as a community fee or entrance fee, ranging from $25 to $120,000.
Nursing homes—Nationally, the median rate for a single-occupant private room is $91,250 per year, or $250 per day. The median rate for a semiprivate (i.e., double occupancy) room is $80,300 per year, or $220 per day. Considering that the average length of stay in a nursing home is two and a half years, the total cost of an average stay today would be about $200,000 to $228,000. For many, this expense could easily consume a lifetime of savings. Others may not be able to cover the cost at all.
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