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The average cost of assisted living in the county is $4,050 a month. This guide is a starting point covering the cost of assisted living care in the county, as well as financing options to pay for it. You’ll find in-depth information on 5 assisted living facilities in Madison County and 16 in surrounding areas.
The Cost of Senior Care in Madison County, KY
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According to the Genworth 2018 Cost of Care study, assisted living in Madison County averages $4,224 per month. This is considerably higher than the state average of $3,520 and over $200 higher than the nationwide average of $4,000 per month.
Of the major metropolitan areas surveyed, Madison County was the most expensive for assisted living. The second most costly area for this type of care is the Louisville and Jefferson County region, where it averages over $700 less per month at $3,498. Owensboro is the most affordable city in Kentucky for assisted living with average monthly costs coming in at $1,780.
Note: Senior care cost data isn’t available for Madison County, so data for the closest city, Lexington, was used instead.
The Cost of Assisted Living in Surrounding Areas
Senior care costs in Madison County vary widely depending on the level of care provided. The most expensive type of senior care here is nursing home care, where a semiprivate room costs an average of $6,768 per month. This monthly cost covers round-the-clock care and monitoring and the assistance of a skilled nurse, as well as room and board, meals, transportation services and housekeeping services. Assisted living is the second most expensive option, with monthly costs coming in about $2,700 cheaper at $4,050. As is the case with nursing home care, this monthly fee includes living expenses such as meal services and room and board.
In-home care, including homemaker and home health aide services, is a little less expensive at $4,004 per month. However, living expenses, including housing, utilities and groceries, are not included in the monthly cost of care. Adult day health services are the most affordable option at $1,408 per month, where care is only given during weekdays in a community setting and no living expenses are included.
Senior Care Cost Comparison Chart
Kentucky Medicaid is a program that’s jointly funded by the state and federal government to provide health care for eligible low-income, high-risk Kentucky residents. Medicaid offers several different programs and services depending on the type of service an applicant is eligible for and their health needs. Nursing home and some in-home care services are paid for by the state program.
Kentucky Medicaid is an entitlement, meaning there are no enrollment caps. To qualify for this program, Madison County seniors can have a monthly income of no more than $2,313 ($4,626 per couple) and are limited to $2,000 ($4,000 per couple) in countable assets.
Seniors who qualify for Supplemental Security Income are automatically eligible for Medicaid. The income limit for SSI for a single applicant is $771 per month, and for a married couple it’s $1,157 per month.
Additional services may be covered for those interested in assisted living through the state’s Home and Community Based Services waiver program, including home-delivered meals, case management, minor living adaptations and personal care.
To qualify, individuals must be aged 65 and older or disabled and require a nursing home level of care. Income guidelines are the same as Medicaid.
To apply for Kentucky Medicaid or the waiver services, seniors can submit an application at a local Department for Community Based Services office or call (855) 459-6328.
Optional State Supplement
Madison County seniors who need care in certain types of facilities but are unable to afford it may be eligible to receive Kentucky’s Optional State Supplement. The OSS amount a senior receives varies depending on the type of facility they live in. Those who reside in a personal care facility may receive $520 per month, and those who live in a family care home may receive $172 per month. Seniors who live in their own home but have a caretaker receive the smallest amount at $62 per month.
To qualify for OSS, applicants must meet SSI income guidelines. To apply for benefits, seniors can call (800) 772-1213 to make an appointment. Some seniors may be eligible to apply for benefits through the online disability application.
Elderlife Bridge Loan
For seniors who are waiting for benefits to kick in or cash for assisted living expenses to be available, the Elderlife Bridge Loan can be used to bridge gaps in funding. Some expenses this loan may be used for include upfront entrance or move-in fees, care services and room and board. There are no application fees, and funds are available in as little as 24 hours. Borrowers can opt for low, interest-only payments. This loan may be taken out as a lump sum or opened as a line of credit, and funds can be sent directly to the assisted living facility.
Eligibility for the bridge loan may depend on the applicant’s credit history, and they may be required to show how they intend to pay back the loan. To apply, seniors can submit an online application or call (888) 228-4500.
Military veterans have access to a variety of resources in Madison County, including a VA clinic where they can receive primary and preventive care services. Veterans applying for benefits may do so by appointment at the local Health Department, and the American Legion post helps veterans connect with others who served in the military.
Madison County Health Department
1001 Ace Dr., Berea, KY 40403
VA Berea Clinic
209 Pauline Dr., Berea, KY 40403
American Legion Post 12
550 S. Keeneland Dr., Richmond, KY 40475
Madison County’s government agencies support local seniors by providing health screenings, nutritional counseling and other health-related services. Seniors may apply for SSI benefits at a local Department for Community Based Services office or Social Security at the local SSA office.
Madison County Health Department
216 Boggs Ln., Richmond, KY 40475
Department for Community Based Services Richmond Office
304 Anna Hume Blvd., Richmond, KY 40476
Department for Community Based Services Berea Office
204 Pauline Dr., Berea, KY 40403
U.S. Social Security Administration
1060 Gibson Bay Dr., Richmond, KY 40475
Madison County seniors may join one of two local senior centers, which promote socialization and independence through a variety of educational programs, field trips, health screenings and exercise programs.
Richmond Senior Citizens Center
1215 W. Main St., Richmond, KY 40475
Madison/Berea Senior Center
214 W. Jefferson St., Berea, KY 40403
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