Private Pay or Self-Pay

If insurance coverage is not available or doesn’t cover the care that you need, you and your family may have to pay for services yourself. Families often must tap into savings and assets to pay for long-term care, as many do not have long-term care insurance policies. Further, many do not qualify for Medicaid and Medicare and coverage is limited.  The cost of care will depend greatly on the frequency and level of care your loved one requires.

Commercial Health Insurance Companies

Many private insurance policies include coverage for some home care service for short-term needs, but benefits for long-term care vary from plan to plan. Be sure to ask your insurance provider about coverage for home care.

Long-Term Care Insurance

Having a long-term care insurance policy in place prior to any major changes in the health and mobility of your loved one guarantees that they will have complete home care coverage assistance available when they need it the most. Since individuals who require non-medical in-home care are not sick in the conventional sense, many standard health insurance policies do not provide coverage for these needs.

Reverse Mortgage

There are several types of reverse mortgages, but only one that is relevant to seniors looking to pay for care; the Home Equity Conversion Mortgage (HECM). This option for seniors is becoming increasingly popular and uses the equity from their home to pay for in-home caregiving costs.

Individual Retirement Accounts (IRAs)

Individuals and families have many options to pay for future expenses. Working with your bank, credit union or financial planner is a good way to put together a personal savings plan. If you or your loved one has an individual retirement account (IRA), some funds from that account may be used for home care needs.

Health Savings Accounts (HSAs)

Health savings accounts (HSAs) are used to save money for future medical expenses. You, not your employer or insurance company, own and control the money in your health savings account.

Employer-Paid Assistance

Another emerging trend and hopeful direction includes employers providing some sort of elder care to employees. When you consider how many hours of work are missed when an adult child must care for their aging or ill parent, offering assistance can be good for business.

Life Insurance / Accelerated Death Benefit (ADB)

A feature included in some life insurance policies, which allows you to receive a tax-free advance on your life insurance death benefit while you are still alive.


You may choose to enter into an annuity contract with an insurance provider to help pay for long-term care services.


One common use of a trust is to provide flexible control of assets for an older adult or a person with a disability, which could include yourself, your spouse or another loved one.

Veteran’s Benefits

The Veteran Aid & Attendance Pension program offers families and individuals an additional method of meeting home care costs. Whether or not you or a family member qualify for the A&A program, the VA allows households to deduct the annual cost of paying for in-home care when calculating their regular pension benefit.

Asset Conversion

There are a number of options available to families with non-liquid assets that allow them to convert those assets to help cover things like home care expenses. Reverse mortgages, home equity lines of credit, REX Agreements and EquityKey are real estate-based asset conversion programs that provide seniors with financial solutions to their long-term home care needs.

Tax Credits & Cost of Care Reductions

There are a variety of state and federal programs, initiatives and tax credits that can significantly lower your family’s tax burden effectively reducing the overall cost of care.