The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

As the population ages, the demand for senior living services also increases, including assisted living. Assisted living provides care for older adults needing assistance with activities of daily living (ADLs), usually bathing, dressing, feeding, and medication management. In the United States, assisted living costs vary according to the type of community, location, demand, size, level of care, amenities, and other services provided. The national average cost of assisted living in the U.S. is around $6,077 monthly, per the Genworth Financial and Care Scout Survey in 2025. 

State Variations

While the national median costs around $6,077 per year, assisted living costs in each state vary due to several factors. These include the state’s geographical location, demand, availability of communities, and cost of living. Costs usually range from $4,481 as the least expensive to $11,650 for the most expensive. 

  • Low-cost States 
    • Low-cost states, usually those with a low cost of living, including South Dakota, which offers an average of $4,481 per month for assisted living, tend to have more affordable options. Additionally, Louisiana also offers an average of $5,253 per month for assisted living, which is relatively lower than the national average. 
  • High-cost States
    • On the other hand, high-cost states, like Hawaii and California, have higher rates ranging from $7,571 to $11,650 monthly. Highly urbanized states, like New York, also offer higher costs at $9,244 per month. These are heavily influenced by factors including high cost of living, high demand due to a high number of the aging population, and geographical location. 
  • City-Specific Costs
    • In each state, assisted living costs in each city may also vary, especially those with a combination of urban and suburban areas. For example, Maryland’s state average often costs more than the national average. However, some cities, like Cumberland, may have lower costs. 

Cost Breakdown

  • The monthly base fee for assisted living usually covers:
    • Housing – Includes private or shared living spaces. 
    • Meals – Typically three meals a day, with a variety of dining options that can accommodate special diets. 
    • Utilities – Services, including electricity, water, and gas, are usually covered. 
    • Housekeeping – Regular maintenance. 
    • Activities – Communities usually conduct activities, social events, and fitness classes. 
  • Level of care
    • The higher the level of care needed, the higher the rates are. 
  • Amenities and Add-Ons
    • Luxury communities often provide a variety of amenities and services that come with a cost. These include a spa, gourmet dining, and specialized therapies. 
  • Move-in Fees
    • Most communities require a one-time fee for reserving a spot, typically ranging from $1,000 to $5,000. 

All-inclusive vs A la Carte Pricing

Assisted living communities utilize different pricing models for their services. 

  • All-inclusive Pricing
    • Usually includes most services in a bundle offer, allowing predictability in planning. 
  • A La Carte Pricing
    • This pricing model charges individually for each service, allowing flexibility.

How Families Pay for Assisted Living?

There are several ways older adults and families can pay for assisted living, including:

  1. Private Pay – this is the most common way for covering assisted living costs, but it can deplete funds easily, especially without proper planning. 
  • Personal Savings and Retirement Funds
    • Older adults and families mostly rely on savings, pensions, Social Security income, or retirement accounts. 
  1. Real Estate Strategies 
  • Selling a House – usually, to fund assisted living and allow downsizing, older adults and families sell their homes.
  • Renting Out Property – a way to generate passive and consistent income, especially for those who don’t want to sell their homes. 
  1. Insurance Options
  • Long-Term Care Insurance – Depending on the policy, long-term care insurance can cover assisted living costs. 
  • Life Insurance
    • Living Benefits – For the terminally ill with insurance, selling a policy back to the company for 50 to 75% of its value may help offset costs. 
    • Life Settlements – Selling a policy to a third party for 50 to 75% of the death benefit. 
    • Accelerated Death Benefits (ADB) – Tax-free advances, around 2 to 3% of the death benefit monthly, for policyholders with complex needs. 
  1. Government Programs
  • Medicaid – Usually covers care services, including medication management, ADL support. However, the board and room are not covered. 
  • Medicare – Room and board are not covered, but medical services, like physical therapy and short-term skilled nursing, are covered. 
  • Veterans Benefits – Eligible veterans or surviving spouses receive up to $2,100 per month from the VA’s Aid and Attendance benefit program. 
  1. Other Financial Strategies
  • Annuities – Provide steady income, especially after an upfront investment. 
  • Reverse Mortgages – Allow older adults and families to access home equity without selling. 
  • Shared Accommodations – Instead of private accommodations, opting for a shared room may help reduce costs. 

Strategies for Managing Costs

  • Research and Compare – visit and tour several communities, and research the pricing model that best adheres to your needs. 
  • Use Cost Calculators – Trusted industry providers often have a cost calculator that may help with estimating expenses, allowing adjustments for long-term planning. 
  • Leverage Community Resources – Non-profit and mission-driven, as well as smaller communities, may offer lower rates. 

The cost of assisted living in 2025 is around $6,077 monthly; however, costs vary by state, with prices ranging from $4,481 to $11,650 per month. Aside from monthly base fees, older adults and families may also need to cover move-in fees, escalating level of care, and in some instances, extensive amenities. Assisted living communities also charge older adults and families, depending on the pricing model they use, to ensure their needs and preferences will be met. Older adults and families may also utilize various funding options, aside from their own resources, to cover assisted living. Since costs vary widely according to the state and providers, it is highly recommended that older adults reach out to local agencies and communities for precise quotations. 

Optional State Supplementation (OSS)

Optional State Supplementation (OSS), also referred to as State Supplementary Payments (SSP), in coordination with the federal Supplemental Security Income (SSI), provides financial assistance for low-income older adults, blind, and disabled individuals in the United States. 

Services and Benefits

OSS/ SSP services are usually direct cash payments that aim to cover basic living expenses. 

  • Increased Cash Assistance
    • A higher monthly income than Federal SSI, allowing eligible individuals to afford housing, food, utilities, and clothing. 
  • Support for Specific Living Arrangement
    • Most OSS programs cover residential care in assisted living, adult family care homes, residential care communities, and mental health residential treatment communities. 
  • Reduced Burden on Individuals/ Families
    • OSS provides additional financial support, helping beneficiaries with their financial burdens. 
  • Alternative to Institutional Care
    • OSS helps older adults from nursing homes, especially those with a lower level of care needed. 

Although OSS is not a Medicaid program, some states allow recipients to be eligible for Medicaid. 

Eligibility

  • Characteristics
    • Applicants must be 65+, blind, or disabled, as per the federal guidelines. 
  • Low Income
    • Most states follow the federal SSI income limit of 125% of the federal Poverty Guidelines for SSI. 
    • Although some states may have higher income limits for those who are not eligible for federal SSI.
  • Asset Limit
    • Individual applicants have a $2,000 asset limit, while couples have $3,000. 
  • Residency
    • Applicants must be residents of the state they are applying for OSS. 
  • Living Arrangement
    • Those living in a residential care home, including assisted living and adult foster care, may receive higher benefits compared to those living independently at home, depending on the state. 
  • Functional Need
    • Those needing additional support for activities of daily living (ADLs) and those who require assistance for physical or mental conditions are subject to assessment. 
  • Application Process
    • For states administered by SSA, application to federal SSI is also an application for OSS. While in state-administered programs, residents should apply to the state’s social services or human resources department. 

Senior Community Service Employment Program SCSEP

The Senior Community Service Employment Program (SCSEP) is a program created to help those 55+ who are low-income and unemployed, to help them gain work experience, hone skills, and transition into unsubsidized employment. 

Services

  • Subsidized Part-Time Community Service Assignments
    • Eligible participants are tasked with part-time training assignments with an average of 20 hours per week at a local non-profit organization or public institutions, including schools, hospitals, day-care centers, and senior centers. This serves as the heart of the program. 
  • Skill Enhancement and Training
    • Participants are provided with training that includes:
      • Basic academic skills, such as reading, writing, and computation. 
      • Computer skills
      • English as a Second Language (ESL)
      • “Soft skills” include communication and team building. 
      • Resume building and interview preparation
      • Specialized vocational training
  • Individual Employment Plan (IEP) Development
    • A personalized care plan is created to highlight the participants’ career goals, possible challenges, and further steps until unsubsidized employment. 
  • Job Search and Placement Assistance
    • The program helps participants connect with local employers. 
    • Referrals to American Job Centers and workshops on job search strategies. 
  • Paid Training
    • During their community service assignment, participants receive a stipend or training wages. 
  • Supportive Services
    • To cope with barriers, the program also provides:
      • Transportation assistance
      • Work attire assistance
      • Health check-up referrals. 
  • Ongoing Support
    • Participants receive assistance throughout the process, from initial assessment to job placement and maintaining it. 

Eligibility

  • Age – Participants should be 55+. However, priority is given to those 65+. 
  • Must be unemployed at the time of application. 
  • Has a family income limit that does not exceed 125% of the Federal Poverty Guidelines, per the U.S. Department of Health and Human Services. 
  • Must be a resident of the SCSEP’s service area. 
  • Be legally able to work with a completed I-9 form. 

Priority

Individuals with the following qualities are prioritized for enrollment:

  • Veterans and qualified spouses. 
  • Those 65+ above
  • Those with a disability, but can still function. 
  • Those with low literacy skills. 
  • Those coming from rural areas. 
  • The homeless or those at risk of homelessness. 
  • Those who have failed to find employment, even with the One-Stop delivery system. 
  • Individuals who are previously incarcerated, or under supervision from release in prison within five years. 

Program of All-Inclusive Care for the Elderly (PACE)

The Program of All-Inclusive Care for the Elderly (PACE) is coordinated by an interdisciplinary team of healthcare professionals, aiming to provide a wide range of services.

Services

  • Adult Day Health Care
    • Provides centralized medical care, rehabilitation, social activities, and meals. Transportation to and from the PACE center is typically included.
  • Home Care
    • Assistance with daily activities and personal care at home.
  • Hospital Care
    • PACE covers hospital stays and helps with care during and after hospitalization, whenever necessary.
  • Nursing Home Care
    • If health declines to the point where nursing home care is necessary, PACE covers and coordinates nursing services, ensuring continuity of care.
  • Primary Care
    • Usually includes regular doctor and nursing services, check-ups, and ongoing health monitoring.
  • Other Medically Necessary Services
    • PACE covers any other services deemed necessary by the team to improve and maintain overall health and allow a safe living. 

Eligibility

  • Applicants must be 55+.
  • Must be within the service area of the PACE organization.
  • A nursing home level of care is required. 
  • Applicants should not be enrolled in a separate Medicare Advantage Plan, Medicare Prepayment Plan, the Medicare Hospice Benefit, or Medicare prescription drug plan. 

Financial Eligibility

  • Medicaid Eligible
    • Eligible Medicaid beneficiaries do not have to pay for the long-term care portion of the PACE benefit. 
  • Medicare Only
    • For Medicare beneficiaries without Medicaid, payment for a monthly premium is required for long-term care and Medicare Part D. Co-payments and deductibles are not feasible. 

Medicare Savings Program

Medicare Savings Programs (MSPs), also known as Medicare Buy-In Programs or Medicare Premium Payment Programs, fundamentally act as a bridge between Medicare and Medicaid. 

Types of MSPs

  1. Qualified Medicare Beneficiary (QMB) Program
  • Has the most coverage, including:
    • Medicare Part A premiums (if you don’t qualify for premium-free Part A)
    • Medicare Part B premiums
    • Medicare Part A and Part B deductibles
    • Medicare Part A and Part B coinsurance and copayments
  • Providers are prohibited from billing QMB beneficiaries for Medicare Part A or B deductibles or co-insurance, similar to a Medicare Supplement (Medigap) policy. 
  1. Specified Low-Income Medicare Beneficiary (SLMB) Program
  • Pays for Medicare Part B premiums. 
  1. Qualifying Individual (QI) Program
  • Pays for Medicare Part B premiums. 
  • Priority is often given to those who received the benefit from the previous year. Additionally, those who are eligible for full Medicaid benefits cannot qualify for QI. 
  1. Qualified Disabled Working Individual (QDWI) Program
  • Covers Medicare Part A premiums only. 
  • Specifically for those with disability under age 65 who are not eligible for Medicaid. 

Eligibility

  • Medicare Part A
    • Must be eligible for Medicare Part A. 
  • Limited Income and Assets
    • Income and asset limits vary by program and by state. 

Income and Asset Limits (Federal Guidelines 2025)

While states have the freedom to disregard certain income or assets, the general guidelines are based on a percentage of the Federal Poverty Level (FPL) and updated yearly. 

ProgramIndividual Monthly Income LimitMarried Couple Monthly Income LimitIndividual Asset LimitMarried Couple Asset Limit
QMB$1,325 (100% FPL)$1,783 (100% FPL)$9,660$14,470
SLMB$1,585 (120% FPL)$2,135 (120% FPL)$9,660$14,470
QI$1,781 (135% FPL)$2,400 (135% FPL)$9,660$14,470
QDWI$5,302 (400% FPL)$7,135 (400% FPL)$4,000$6,000
  • Income Disregards
    • MSPs include a $20 general income disregard, wherein the first $20 of monthly income is not counted. 
  • Excluded Assets
    • Assets, including the following, are not counted
      • Primary home
      • One car
      • Household goods and personal effects
      • Burial plots
      • Up to $1,500 per person in burial funds
      • Life insurance with a cash value of less than $1,500
  • State Flexibility
    • Some states may have higher income or asset limits than the federal guidelines. Moreover, states like California, Alabama, Arizona, Connecticut, Delaware, Louisiana, Mississippi, New Mexico, New York, Oregon, Vermont, and the District of Columbia have removed the asset limit for MSPs.  

Low-Income Subsidy-LIS

  • Beneficiaries of QMB, SLMB, or QI programs automatically qualify for Medicare’s Extra Help (Low-Income Subsidy – LIS) program, lessening the burdens of prescription drug costs under Medicare Part D, including:
    • Monthly Part D plan premiums
    • Annual Part D deductibles
    • Part D copayments and coinsurance

Respite Care Programs

Respite care programs are services that provide temporary relief to primary or family caregivers, typically of older adults or those with a chronic illness or disability. 

Types of Respite Care

  • In-Home Respite Care
    • A professional caregiver delivers care at home, allowing the recipient to age in place. 
  • Adult Day Centers
    • Supervised programs in a community provide social activities, meals, and therapeutic services during the day. 
  • Residential/Facility-Based Respite
    • For longer rest or higher levels of care, short-term stays are usually offered in an assisted living community or nursing home. 
  • Community-Based Respite
    • Usually provided by churches, community centers, or non-profit organizations. 
  • Medical Respite Care for the Homeless
    • Dedicated to those who are too frail to recover from illness or injury on the streets but do not require hospitalization, providing safe shelter, clinical care, and aftercare planning. 

Depending on the state, funding for respite care is usually influenced by its type, duration, location, and level of care. Moreover, different agencies for respite care may provide funding, including:

  • Medicaid Home and Community-Based Services (HCBS) Waivers
    • Most states offer HCBS waivers that include respite care, especially those that meet Medicaid’s eligibility requirements. 
  • National Family Caregiver Support Program (NFCSP)
    • The NFCSP grants states the ability to cover caregiver support services, including respite care, through funds from the Older Americans Act. Local Area Agencies on Aging (AAAs) usually provide aid for caregivers of those 60+ or those with cognitive conditions. 
  • Lifespan Respite Care Program
    • Administered by the Administration for Community Living (ACL), this program allows states to create coordinated systems of respite care for family caregivers of any age with special needs.

Home and Community-Based Services (HCBS) Waivers

Home and Community-Based Services (HCBS) Waivers are an umbrella term used to categorize programs provided by the state and Medicaid. These programs often cover long-term care services and support in a home or community setting. HCBS waivers are known differently in each state, such as Georgia’s Community Care Services Program and California’s Home and Community-Based Alternatives (HCBA) waiver. Additionally, each state may offer several HCBS waivers to cover eligible residents’ various needs. 

Services include:

HCBS waivers widely depend on each state, hence, coverage differs. However, common services include:

  • Adult Day Health Services – recreational programs and health services in a supervised community setting.
  • Behavioral Supports – services related to behavioral changes. 
  • Case Management/ Support and Service Coordination – helps with coordinating and planning their care plans. 
  • Community Transition Services – assistance for those moving from an institutional setting back to the community.
  • Environmental Accessibility Adaptations/ Home Modifications – modifying one’s environment to improve accessibility and safety. 
  • Homemaker Services – assistance with household chores. 
  • Home Health Aide Services – assistance with daily living activities.
  • Home-delivered meals. 
  • Respite Care – relief for primary caregivers/ family caregivers.
  • Personal Care Services – support to activities of daily living. 
  • Private Duty Nursing – skilled nursing at home. 
  • Therapies – physical, occupational, speech-language pathology, and respiratory therapies. 
  • Transportation – assistance with travel to medical appointments. 

States provide a combination of these services to lessen eligible residents’ financial burdens. Additionally, other services that are not usually covered by Medicaid can be subject to approval if they are cost-effective and necessary to prevent institutionalization. 

Eligibility

  1. Medical/ Functional Eligibility (Level of Care)
  • A level of functionality is assessed, which qualifies residents for special care, including nursing facility level of care, hospital level, or intermediate care facility for individuals with intellectual disabilities. 
  • The ability to perform Activities of Daily Living (ADLs) is evaluated, alongside instrumental activities of daily living (IADLs) and cognitive or behavioral needs. 
  1. Financial Eligibility
  • Applicants must meet the Medicaid standard of income and asset limits.
    • In Georgia, CCSP eligibility requires income limits of an average of $2,829 per month or 300% FBR per individual in 2025, while asset limits are $2,000 for an individual and $3,000 for a couple. 
    • California, on the other hand, has abolished the asset limit for most Medicaid programs since January 2024. However, income limits still exist at around $1,801 per month in 2025. 
  • Spousal impoverishment rules may also come into effect to protect a part of a spouse’s income and assets. 
  1. Other Requirements
  • Residency
  • Citizenship
  • Need for Services
  • Waiver Capacity
  • Depending on the state, HCBS waivers provide services to those 55+ or 65+. 

How to Apply for HCBS Waivers

  • Identify HCBS Waiver programs.
    • States may have several HCBS programs; hence, research the right waiver that fits your needs. State Medicaid agencies, Departments of Human Services, or Departments of Aging and Disability provide good resources. 
  • Reach out to the Administering Agencies
    • Local agencies provide more detailed information on requirements, eligibility, and the application process. 

How to Get Medicare and Medicaid to Pay for Assisted Living

Assisted living aims to help older adults with activities of daily living (ADLs), including dressing, grooming, and feeding, providing accommodations and personalized care. There are several ways that can help offset the costs of long-term care, including Medicaid and Medicare. 

Medicare and Medicaid Defined

Medicare is a federal program focusing on medical care for those 65+, including hospital stays, doctor visits, prescription drugs, and skilled nursing services. While this program generally does not cover long-term care in nursing homes, it can still cover medical-related expenses, like prescription drugs and medical supplies. 

Medicaid, on the other hand, is a joint federal and state program that helps eligible individuals and families, especially older adults and people with certain disabilities, with limited incomes and resources. Depending on the state, Medicaid offers Home and Community-Based Services (HCBS) waivers that can help cover assisted living services. Medicaid typically does not cover board and accommodation. 

Medicare and Assisted Living

Medicare does not cover custodial care or residing in an assisted living community, and non-medical services like support for activities of daily living (ADLs), adult day care, and home-delivered meals. However, it can pay for medical services in an assisted living community, including:

  • Skilled nursing after hospitalization.
    • Medicare Part A can cover part of the costs for a short-term stay of up to 100 days if the beneficiary:
      • Admitted to the hospital with an inpatient stay of three days or more. 
      • In need of skilled care, including physical therapy and other skilled nursing services. 
      • The community where they reside is Medicare-certified. 
      • If admitted to a Medicare-certified community within 30 days of an inpatient hospital stay. 
    • Medicare pays for the full cost for the first 20 days, while a co-payment is required for the remaining days until 100. 
  • Medical services are necessary for treating an illness or injury.
    • Medicare Part A or Part B can pay for long-term care services that are deemed necessary. These services can be covered intermittently if:
      • The service remains a medical necessity.
      • The attending physician requires them every 60 days. 
    • These include:
      • Intermittent skilled nursing care
      • Therapy services, like physical therapy, occupational therapy, or speech-language pathology services. 
      • Medical social care services for social and psychological issues. 
      • Medical supplies
      • Medical equipment
  • Memory care
    • Cognitive conditions, including stroke, Alzheimer’s, Parkinson’s, ALS, and Multiple Sclerosis, can be covered to prevent further decline. 
  • Hospice Care
    • Medicare Part A covers the full cost of hospice care. However, certain prescriptions for any outpatient drugs required for pain and symptom management require a copayment of $5. 

Limitations of Medicare

  • Custodial or residential care and most assisted living services, like ADL support, are not covered. 
  • Only covers short-term skilled nursing. 

Medicaid and Assisted Living

Medicaid coverage varies by state and is usually administered through Home and Community-Based Services (HCBS) Medicaid waivers or 1915(c) Medicaid waivers. However, most Medicaid waivers do not cover board and room, and the services covered widely depend on the state. 

  • Covered services usually include:
    • ADL support, including grooming, bathing, dressing, and continence management.
    • Transportation
    • Housekeeping services 
    • Recreational activities 
    • Emergency response systems
  • HCBS Waivers
    • Aims to delay the transition to nursing homes by covering a variety of services based on state policies. 

Eligibility 

Medicaid focuses on those low-income older adults and individuals with disabilities who meet certain financial and functional requirements. 

  • Income and Asset Limits 2025
    • The individual income limit is $1,800 per month and $2,433 per month for couples. 
    • Asset limits are generally $2,000. 
    • State Variations
      • Income and asset limits generally follow federal guidelines. However, states have the freedom to adjust accordingly.
      • For example, California, as of 2024, has abolished the asset limit for most Medicaid programs. However, income limits are still applicable at around $1,801 per month. 
      • Each state also has different state programs for Medicaid, like Georgia’s Community Care Services Program, California’s Home and Community-Based Alternatives (HCBA), and Texas’s STAR+PLUS waiver.
  • Functional Requirements
    • Eligibility for waiver programs is usually determined through assessments by Medicaid-partnered healthcare professionals. 
  • Other requirements
    • Applicants must be residents of the state they are applying to, and the community must be Medicaid-certified. 
    • Waiver capacity
    • Depending on the state, waivers may only provide coverage for those 55+ and 65+. 

Steps to Get Medicare and Medicaid to Pay for Assisted Living

  1. Assess Eligibility
  • Medicare
    • Medicare only covers medical services, including skilled nursing, therapy, and hospice. Hence, health assessments or medical diagnoses are necessary. 
  • Medicaid
    • Ensure that your financial and functional capabilities meet the state’s requirements. Applicants may reach out to the state’s Medicaid office of the Health Insurance Marketplace to ensure eligibility. 
    • HCBS waivers have limited enrollment, so even if an applicant meets all requirements, they are not guaranteed the benefits. 
  1. Verify Medicaid-Certified Communities
  • If eligibility is verified, it is important for beneficiaries to verify that their chosen communities are Medicaid-certified. 
  1. Supplement Room and Board Costs
  • Since Medicaid and Medicaid waivers generally do not pay for room and board, it is the responsibility of older adults and their families to find supplementary funding options to cover the gap.
    • Private Pay or Personal Funds
      • Most families and older adults resort to utilizing savings, pensions, and Social Security incomes. 
    • State Supplements
      • Several states provide Optional State Supplementation (OSS) of Supplemental Security Income (SSI) to cover part of room and board expenses. 
  1. Plan for Medicare-Covered Services
  • In case of a medical emergency, having Medicare may ease financial burdens for covered services, even while staying in an assisted living community. 
  1. Recertify Medicaid Eligibility
  • To ensure ongoing eligibility, beneficiaries are required to submit updated financial and medical documentation. 

Challenges and Considerations

  • State Variability 
    • Since coverage and services widely vary by state, it is highly suggested for residents to reach out to local agencies to avoid mishaps. 
  • Dual Eligibilities
    • Beneficiaries with both Medicare and Medicaid should ensure that Medicare is charged first for covered services to optimize coverage of both programs. 
  • Limited Medicaid Communities
    • Not all assisted living communities are Medicaid and Medicare-certified, so it is best to verify to optimize benefits. 
  • Spend-Down Rules
    • Income spend down
      • Allows individuals with exceeding income to qualify by reducing countable income through spending on medical expenses. 
    • Asset Spend Down
      • Individuals may use excess assets through permissible methods, like paying off mortgages or debts, home repairs, and pre-paying funeral and burial expenses. 
  • Waitlists
    • Since HCBS waivers have limited enrollment, those eligible but who have not reached the limit may be subjected to delays in receiving benefits. 

Generally, Medicare does not pay for assisted living services, but medical services in an assisted living community may be covered, depending on eligibility. On the other hand, Medicaid provides more coverage than Medicare, especially through HCBS waivers. However, most Medicaid waivers do not cover room and board, so it is highly suggested that older adults and families find suitable supplementary funding. To avoid depleting resources for long-term care, it is highly suggested that older adults and families plan their funding options accordingly.