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Does Medicare pay for assisted living?

No. Medicare doesn't pay for long-term care, and assisted living is one of the places people get that kind of non-medical care (Medicare.gov: Long-term care).

Updated November 2026 · Sources linked in the text · General information, not medical, legal or financial advice.

Why Medicare doesn't cover it

Medicare covers medical care: doctors, hospitals, and short-term skilled nursing after a hospital stay (Medicare.gov: Skilled nursing facility care). Help with everyday activities like bathing, dressing and taking medications is long-term or "custodial" care, which Medicare doesn't pay for (Medicare.gov: Long-term care). Medicare can still cover your doctor visits and other medical care while you live in assisted living.

How families pay for assisted living

  • Private pay from income, savings or the sale of a home.
  • Long-term care insurance, if you have a policy (Medicare.gov: Long-term care).
  • Medicaid, depending on your state's eligibility rules and programs (Medicare.gov: Long-term care). Rules differ by state, so check with your state Medicaid agency.
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What "assisted living" means in California

In California, assisted living homes are licensed as Residential Care Facilities for the Elderly (RCFEs): housing chosen by people 60 or older where care and supervision, protective supervision or personal care is provided based on residents' needs (California Health & Safety Code §1569.2). "Care and supervision" includes help with activities of daily living, such as taking medications, money management and personal care (California Health & Safety Code §1569.2). You can look up any home's licence and inspection history on the CDSS Care Facility Search.

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Quick answers

Does Medicare pay for assisted living?

No. Medicare doesn't pay for long-term care, which includes help with daily activities in assisted living (Medicare.gov: Long-term care).

Does Medicaid pay for assisted living?

It may, depending on your state's eligibility rules and programs (Medicare.gov: Long-term care). Check with your state Medicaid agency.

Will Medicare still pay my medical bills if I move to assisted living?

Yes, Medicare continues to cover covered medical services like doctor visits wherever you live. It just doesn't pay for the assisted living itself (Medicare.gov: Long-term care).

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