Navigating the real cost and needed services for Senior Care is complex, time consuming, and exhausting. We offer a FREE 15-Minute Initial Consultation to help explain options to meet your goals concerning health, safety, socialization and/or independence.

We can help craft a plan to make change successful.

Types of Senior Health Care

  1. In-Home Care: For many seniors, aging in place is the preferred option. In-home care costs vary depending on the level of care needed. According to Genworth’s 2021 Cost of Care Survey, the national median cost for a home health aide is $5,148 per month.
  2. Assisted Living Facilities: These provide a combination of housing, personal care services, and health care. The national median cost for assisted living is $4,500 per month.
  3. Nursing Homes: For seniors requiring the highest level of care, nursing homes are the most intensive and expensive option. The median monthly cost for a semi-private room is $7,908, while a private room costs about $9,034 per month.
  4. Adult Day Health Care: This is a more affordable option for families needing daytime supervision and care for their elderly relatives. The median cost is approximately $1,690 per month.

Book a date and time with me for your FREE 15 minute Get Acquainted Call.

Insurance and Out-of-Pocket Costs

  1. Medicare: While Medicare provides significant health care coverage for seniors over 65, it does not cover all expenses. For example, long-term care is not covered, leaving a significant gap for those needing extended care.
  2. Medicaid: This joint federal and state program assists with medical costs for those with limited income and resources. Medicaid covers long-term care costs, but eligibility requirements vary by state, often necessitating that seniors deplete their assets to qualify.
  3. Out-of-Pocket Expenses: Even with Medicare, seniors face substantial out-of-pocket costs. A 2019 report from the Kaiser Family Foundation found that, on average, Medicare households spent 14% of their total budgets on health care, compared to 5% for non-Medicare households. This includes premiums, deductibles, co-pays, and services not covered by Medicare.

Rising Costs

    The cost of senior health care is projected to rise due to several factors:

  • Aging Population: The number of Americans aged 65 and older is increasing, putting additional strain on health care systems and increasing demand for services.
  • Chronic Conditions: Many seniors suffer from chronic conditions that require ongoing medical attention, driving up costs. According to the National Council on Aging, 80% of older adults have at least one chronic disease, and 77% have at least two.
  • Workforce Shortages: There is a growing shortage of health care workers specializing in geriatric care, which could lead to higher wages and, consequently, higher care costs.

Financial Impact
The financial impact on families can be significant. Many families are unprepared for the high costs, leading to difficult financial decisions. AARP reports that unpaid family caregivers spend an average of $7,400 annually on out-of-pocket costs related to caregiving.

The real cost of senior health care is substantial and multi-dimensional, encompassing direct care expenses, insurance gaps, and significant out-of-pocket costs. With an aging population and rising health care costs, both individuals and policymakers must prepare for the financial demands of senior care.


  1. Genworth. (2021). Cost of Care Survey 2021.
  2. Centers for Medicare & Medicaid Services. (2021). Medicare & You 2021.
  3. Kaiser Family Foundation. (2019). Health Care and the Budget: Medicare Households.
  4. National Council on Aging. (2021). Chronic Disease Management.
  5. AARP. (2021). Family Caregiving and Out-of-Pocket Costs: 2021 Report.

Kathy Faenzi PhotoKathy C. Faenzi MA is a Clinical Gerontologist and Senior Care Consultant based in Northern, CA.