Home » Assisted Living Options » Payment Options for Adult Family Homes

Please select the primary payment source that will be used to pay for care in an Adult Family Home. This will narrow your results to only the facilities that accept your payment source.

Payment Options for Adult Family Homes

Adult Family Homes offer personalized care in a more intimate setting compared to larger institutional facilities. Below is an in-depth look at the 3 primary payment sources used to pay for Adult Family Homes, helping you navigate your choices and find the best fit for your financial situation.

Private Pay

Private Pay is often the simplest and most straightforward payment source for Adult Family Homes, but it can also be the most financially demanding. This method involves paying out of pocket for care services, offering the greatest flexibility in choosing facilities without the limitations or prerequisites of insurance policies or government programs. It’s suitable for individuals or families who have prepared for long-term care costs, possibly through savings, retirement funds, or other investments. When considering Private Pay:

Assess the long-term financial sustainability of this option.
Explore how private pay impacts the choice of facilities and services available.
Consider consulting with a financial planner to ensure that your assets are managed effectively to support long-term care needs.

Long Term Care Insurance

Long Term Care Insurance is specifically designed to cover costs that traditional health insurance, Medicare, or Medicaid do not, including services in Adult Family Homes. This insurance can significantly offset the financial burden of long-term care, provided the policyholder has purchased such a policy well in advance of needing care. Points to consider:

Review your policy or potential policies carefully to understand what is covered.
Check the daily or monthly benefit amount, the duration of benefits, and any waiting periods.
Policies vary greatly; ensure that your policy covers care in Adult Family Homes specifically.

Medicaid

Medicaid offers a crucial financial lifeline for eligible individuals with limited income and assets, covering various long-term care services, including those provided by Adult Family Homes. However, Medicaid eligibility and benefits are not uniform across the board; they can vary significantly from state to state. Important aspects to understand about Medicaid:

Eligibility requirements for Medicaid can be complex, involving income, assets, and the level of care needed.
Some Adult Family Homes may not accept Medicaid, so it’s crucial to verify the acceptance of Medicaid as a payment source before making any decisions.
Contact your local Medicaid office or Case Manager to determine eligibility, schedule a Care Assesment and to learn about the scope of coverage in your state.