In those states, the service component of assisted living may be paid for by Medicaid if the state has applied for and been approved under a home and community-based waiver. The waiver is for persons who are determined to be eligible for nursing home care. In most cases, however, the resident or family pays for the majority of assisted living services. Financial Assistance for Nursing Homes N ursing home care, like all good health care, is costly. Before you agree to pay in services, understand completely all the financial arrangements of the home you have selected.
Nursing homes charge a basic daily or monthly rate.
Many residents or their families pay for nursing home care out of their own private funds. One way to help defray nursing home expenses is to purchase private long-term care insurance. Others whose finances are depleted rely on Medicaid to cover the costs of their nursing home care. Ask the admissions staff at the nursing home of your choice what the basic monthly fee is and what it includes. Ask if the home charges extra for physician's fees, medications, laundry, special feeding, frequent linen changes or special supplies such as wheelchairs and walkers.