CLCare and Living GuideCare, costs, and coverage — in plain wordsGet help
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Care and Living Guide

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Clear information for complicated care decisions — care, housing, costs and coverage, from Medicare and Medicaid data and official sources.

Who usually pays for housing and care services?
Housing or serviceMedicareMedicaidPrivate pay
Housing and residential settings
Independent livingDoes not pay for rent, meals, or community fees. Medicare may still pay for separate covered medical care.Usually does not pay ordinary rent or independent-living fees. A state program may help with eligible support services.Usually pays the housing, meals, amenities, and service fees.
Assisted livingDoes not pay the rent or ongoing personal care. It may pay for separate covered medical services.May pay for eligible care services through a state program or waiver. Room and board usually remain the resident’s responsibility.Commonly pays rent, meals, personal care, and charges the program does not cover.
Memory careDoes not pay memory-care housing or long-term personal care. It may pay for separate covered medical services.May help with eligible care services or nursing-facility care under state rules. Coverage and participating settings vary.Commonly pays housing, supervision, personal care, and uncovered services.
Care home or board-and-care homeDoes not pay room, board, or ongoing custodial care. It may pay for separate covered medical services.A state home- and community-based program may help with eligible care services. It generally does not pay ordinary room and board.Commonly pays the residential rate and services not covered by a public program.
Long-term nursing-home residenceDoes not pay for long-term custodial nursing-home care. It continues to cover eligible medical care under normal Medicare rules.May pay for care in a Medicaid-certified nursing facility when financial and level-of-care rules are met.Often pays first or pays when the resident is not eligible for Medicaid or chooses a noncovered facility or service.
Short-term skilled nursing or rehabilitationMay pay for a limited stay in a Medicare-certified skilled nursing facility when all coverage conditions are met.May pay when the person is eligible and the service is covered under the state program.Pays deductibles, coinsurance, noncovered days, or the full cost when coverage conditions are not met.
Care services and support
Non-medical home care or personal assistanceDoes not pay when help with bathing, dressing, meals, supervision, or housekeeping is the only care needed.May pay through a state personal-care or home- and community-based program when eligibility rules are met.Commonly pays hourly or live-in caregiver charges that are not covered by a program.
Medicare home healthPays for eligible part-time or intermittent skilled care ordered by an authorized provider and delivered by a Medicare-certified agency.May cover home-health and personal-care services for eligible members under state rules.Pays for added hours, noncovered services, or care from a provider that is not covered by the person’s benefit.
Hospice carePart A pays for eligible hospice care from a Medicare-approved hospice. It generally does not pay room and board where the person lives.May cover hospice for eligible members. State rules and the person’s other coverage affect payment.Pays room and board, added caregiving, and other services outside the hospice benefit.
Palliative careMay pay for covered doctor, hospital, home-health, therapy, and other medical services under the usual Medicare rules.May pay for covered medical and supportive services when the person and service are eligible.Pays deductibles, coinsurance, and services that are not covered by the person’s benefit.
Adult day servicesGenerally does not pay for adult day care as long-term custodial care. PACE or a Medicare Advantage extra benefit may differ.A state home- and community-based program may pay for adult day health services when the person qualifies.Commonly pays daily attendance, meals, transportation, and other noncovered charges.
Respite carePays for short inpatient respite only as part of the Medicare hospice benefit when its conditions are met.A state home- and community-based waiver may pay for respite when the person qualifies and a slot is available.Pays facility, in-home respite, or caregiver-relief charges that are outside a covered benefit.
Disability and community-living supportPays for covered medical services, but not most ongoing personal assistance or long-term support.May pay for personal assistance, habilitation, case management, home modifications, and other approved services under state programs.Pays for supports, equipment, modifications, or service hours that are not covered.

Coverage, costs and providers

Medicare Advantage companies and Medicare Supplement plans
Medicare AdvantageMedicare Supplement
CareSource MyCare Ohio (HMO D-SNP) — 1 plans for 2027Plan A — Medicare Supplement (Medigap)
VIVA Medicare — 8 plans for 2027Plan B — Medicare Supplement (Medigap)
Native Advantage — 1 plans for 2027Plan C — Medicare Supplement (Medigap)
Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO) — 1 plans for 2027Plan D — Medicare Supplement (Medigap)
Devoted Health — 723 plans for 2027Plan F — Medicare Supplement (Medigap)
Wellcare — 102 plans for 2027Plan G — Medicare Supplement (Medigap)
Wellpoint — 30 plans for 2027Plan K — Medicare Supplement (Medigap)
Verda Health Plan of ArizonaPlan L — Medicare Supplement (Medigap)
Peak Health — 3 plans for 2027Plan M — Medicare Supplement (Medigap)
Trinity Health Plan of Michigan — 4 plans for 2027Plan N — Medicare Supplement (Medigap)

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