Medicare vs Medicaid, answered plainly
Does Medicare pay for supported homes?
Why Medicare is the wrong program for this — and which one pays.
Medicare vs Medicaid, answered plainly
Why Medicare is the wrong program for this — and which one pays.
Medicare covers medical care — hospital stays, doctors, a skilled nursing facility stay of up to 100 days after a qualifying hospital admission, home health, and hospice. It does not cover long-term custodial care — the day-to-day support and room and board a supported home provides.
Source: Medicare.gov, Long-term care — medicare.gov.
Long-term supported-home living is usually funded by a Medicaid Home & Community-Based Services (HCBS) waiver for the services, while the resident’s SSI pays room and board. See Does Medicaid pay for supported homes? and the waiver-by-state reference.
Source: Medicaid.gov, HCBS — medicaid.gov; SSA, SSI — ssa.gov.
Many people are dually eligible — Medicare for medical care, Medicaid for long-term services and supports. If that’s the case, Medicaid is the program that can fund supported-home services. Your local ADRC (800-677-1116) offers free options counseling.
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