Senior Care Insurance & Assisted Living Cost Coverage Calculator (2025)
Estimate how much assisted living or long-term care might cost, and how much senior care insurance could help cover, based on your state, care type, and benefit period.
This calculator estimates the cost of assisted living or senior care and projects how much insurance coverage can offset those expenses. It's designed for families planning elder care costs, retirees comparing insurance policies, or caregivers evaluating financial protection for aging parents.
Senior care expenses are among the fastest-growing health costs in the U.S.:
Annual Growth
4.5%
Average annual growth in assisted living costs
2025 Monthly Costs
$4,800 AL / $8,200 NH
Assisted Living vs Nursing Home
Demographic Shift
By 2030, 20% of Americans will be 65+ (U.S. Census Bureau). Insurance coverage can significantly reduce the financial burden, but benefits, caps, and waiting periods vary widely by plan.
| State | Assisted Living (Monthly) | Nursing Home (Private Room) | In-Home Care (40 hrs/week) |
|---|---|---|---|
| California | $6,000 | $10,500 | $6,200 |
| Texas | $4,300 | $7,800 | $4,900 |
| Florida | $4,800 | $8,700 | $5,000 |
| New York | $6,500 | $12,000 | $6,400 |
| Ohio | $4,500 | $8,000 | $4,700 |
Source: Genworth Cost of Care Survey 2025
| Policy Type | Covers | Typical Benefit |
|---|---|---|
| Traditional Long-Term Care (LTC) | Nursing home, assisted living, home care | $100–$300/day |
| Hybrid Life + LTC | Life insurance + long-term care rider | $250/day + death benefit |
| Short-Term Care | 12–24 months | $100–$150/day |
| Critical Illness Coverage | Lump sum on diagnosis | $25K–$100K |
| Medicare Supplement / Medigap | Limited medical coverage | Not for custodial care |
Case: 68-year-old woman, Florida
• Needs assisted living at $4,800/month
• Buys LTC policy covering 70% up to $250,000 benefit cap
• Inflation rider: +3%/year
Insurance covers
$175,000
over 5 years
Out-of-pocket
$113,000
your cost
Savings vs uninsured
$175,000
total saved
Start early (50s–60s)
Premiums rise sharply after 65.
Add inflation protection
3–5% annual riders keep benefits realistic.
Understand elimination periods
Typically 90–180 days before coverage begins.
Combine family support with insurance
Hybrid approaches save money.
Review benefit caps
Ensure enough to cover average regional costs.
Q1: Does Medicare pay for assisted living?
A: No, Medicare covers medical care, not custodial or daily living assistance.
Q2: What's the average cost of long-term care insurance?
A: Around $1,700–$3,500/year for a 55-year-old couple (AALTCI 2025).
Q3: What if I only need care for one year?
A: Some short-term policies or health savings can fill smaller gaps.
Q4: Can I get coverage if I already have health issues?
A: Some hybrid policies accept mild pre-existing conditions but cost more.
Q5: Is self-insuring (saving) better than buying LTC insurance?
A: Depends on assets and risk tolerance, this calculator helps visualize your breakeven.
• Genworth Cost of Care Survey 2025
• U.S. Department of Health & Human Services – Long-Term Care Data
• AALTCI Market Data 2025
• Forbes Health – Average Assisted Living Costs
• CDC National Health Statistics 2025
• U.S. Census Bureau Demographic Projections