Without question, using outside assistance to care for a loved one with dementia or Alzheimer’s can be very expensive. Of course, costs vary depending on the type of care used. Home care, adult day care, assisted living and nursing home care all provide vastly different services and have dramatically varying costs. However, there are many subtle factors that influence that cost of care, such as:
Home care is almost always charged on an hourly basis. Fortunately, most home care providers do not charge higher hourly rates for persons suffering from dementia or with Alzheimer’s Disease. It should be noted that there is Home Health Care and Non-Medical Home Care. Most persons with dementia do not require home health care.
Like all types of care, there is considerable geographic variation in the cost.
Like all types of care, there is considerable geographic variation in the cost. Nationwide, as of October 2019, the average costs is $22.50 / hour. Regional information can be useful for families. In the southern and mid-western United States, state averages for home care are between $16.00 – $21.50 / hour. In New England, the mid-Atlantic states and on the West Coast, state averages are in the range of $21.00 – $27.00 per hour.
Adult day care is usually billed on a daily basis in half-day increments. There are different types of adult day care; adult day social care, adult day health care and even Alzheimer’s day treatment. Surprisingly there is not a lot of cost variance between these different types of program. The national average rate is $75. The greater variance is the state in which one resides.
In the deep south and the plains states, adult day care usually costs $58 – $75 per day. In the Northeast and on the West Coast, one should expect to pay $85 – $125 per day. Regardless of where one lives, adult day care is the most cost-effective form of care for persons with dementia. Many adult day care centers provide transportation, some for free and other charge a fee.
Assisted living for persons with dementia is often called Memory Care. Memory care typically provides higher levels of care as well as greater security to prevent wandering. Memory care costs vary greatly by community with some residences even in the same geographic area charging almost twice as much as others.
Nationally, of as October 2019, the average cost of assisted living is $4,050 / month. However, memory care (for persons with Alzheimer’s or other related dementia) costs, on average, $1,250 more per month or $4,300. In the southern states and through the plains, the monthly cost can be as low as $3,300 / month. In the Northeast and on the West Coast, costs are much higher. Families can expect monthly costs upwards of $5,500, even $7,000.
For persons with later stage dementia, nursing home care may be necessary. Like adult day care, nursing homes charge by the day. The nationally average for a shared room in a nursing home as of October 2019 is $247 per day. States average range from $130 – $340 daily with the exception of Alaska where care costs are significantly higher. Unlike assisted living communities, nursing homes do not charge additionally for individuals with dementia.