Does Social Security Pay for Long-Term Care?

Discover if Social Security covers long-term care, examining its role alongside other financial sources for caregiving support.
Published on
February 1, 2024
Presented by Givers
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Key Takeaways

Are you taking care of an aging family member? Or do you anticipate you'll need to take on this vital role soon? You may be wondering about the financial resources available to help support you. What if your loved one needs long-term care? What must you know about social security benefits and long-term care services coverage?

Who pays for long-term care?

Long-term care, which includes services like nursing homes, assisted living, and home health care, is typically paid for through a combination of personal funds, insurance, and government programs.

Individuals often use their savings, retirement funds, or income from investments to cover some costs. Long-term care insurance, purchased separately from regular health insurance, can also help cover these expenses. However, not everyone has such insurance due to its high cost.

Government programs play a significant role as well. In the United States, Medicaid is the primary funding source for those with limited income and resources, covering a substantial portion of long-term care costs for eligible individuals. Medicare, a federal insurance program for people 65+, may provide limited coverage for short-term nursing home stays or home health care under specific conditions.

In other countries, the funding mechanisms can vary, with some having more comprehensive public health care systems that cover long-term care to a greater extent. The financial burden of long-term care can be significant, leading many to rely on a combination of these sources to meet their needs.

Does Social Security pay for long-term care?

Social Security, primarily known for retirement benefits, does not directly cover long-term care costs. However, it plays an indirect but crucial role in helping individuals finance their long-term care needs.

For many retirees and disabled individuals, Social Security benefits form a significant part of their income. This regular income can be used to pay for some of the expenses associated with long-term care, such as ongoing fees for assisted living or in-home care services.

While Social Security benefits alone are often insufficient to cover the total cost of long-term care, which can be quite high, they provide a base income level that can be supplemented with personal savings, long-term care insurance, or assistance from government programs like Medicaid.

Therefore, while Social Security is not a designated source of long-term care funding, it is a vital component of the overall financial picture for many individuals who need long-term care services.

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Who are you caring for?

What is Social Security?

Social Security refers to government programs that provide financial assistance and insurance for retirees, people with disabilities, and their family members. These programs aim to help cover basic costs like housing, food, and medical care. Social Security benefits come from taxes current workers pay into the system.

Eligibility for Social Security benefits

When you stop working, you must meet specific eligibility rules to receive Social Security retirement benefits. Generally, you must be 62 years old and have worked paying into the social security system for at least ten years. The more years you work and pay taxes, the higher your monthly benefits. 

The person needing care and their spouse may qualify for certain social security benefits that could indirectly help pay for long-term care. For example, Social Security Disability benefits, widow/widower, or spousal benefits. Age, work history, medical records, and relationship status depend on eligibility.

What documents will I need to submit to determine eligibility?

You must provide identifying documents like birth certificates, W-2 forms, and social security cards to apply for Social Security benefits. Proof of citizenship or lawful residency status is also required. When relevant to the specific benefits program, submit records for the caregiver and the person receiving care. 

Will my income or assets affect my eligibility for Social Security benefits?

As a family caregiver providing daily care and emotional support for your loved one, you take on a vital role that can be pretty demanding. Tracking the social security programs available to help support you and your loved one can add further challenges.

The good news is that certain Social Security benefits are designed explicitly with family caregivers in mind. Your income or assets may not bar you from eligibility. For example, suppose your loved one has a disability. In that case, you may qualify for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) to assist with their care, regardless of your financial situation.

Maybe caregiving requirements have necessitated reducing your work hours or leaving your job entirely. You may be eligible for Social Security spousal or survivor benefits in that case. These can provide caregivers with much-needed income stability. Qualification involves assessing multiple factors, but your income or assets may only sometimes interfere with approval.

Navigating Social Security benefits can be confusing, but help is available. Connecting with qualified professionals can guide programs you or your loved one may qualify for. They can also assist with complicated applications to ensure you receive all the support available as a devoted family caregiver.

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Can you get paid to care for your loved one?

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What types of long-term care does Social Security cover?? 

One disability program, Aid and Attendance, can help pay for assisted living, nursing homes, and in-home health aides if you meet the strict qualifying guidelines. Contact your local Veterans Affairs office to learn more if you or your spouse served in the military.

What is skilled care, and how does it differ from custodial care?

Skilled care includes wound dressing, injections, and monitoring severe health conditions. Custodial care involves non-medical essential assistance with daily activities like bathing, eating, and moving around. Veterans Aid and Attendance benefits only apply to skilled care in most cases.

How can I get financial assistance for long-term care services with Social Security benefits?

Other than the Veterans Aid and Attendance program, regular social security benefits realistically only help cover long-term care costs indirectly. The income from monthly retirement, spousal, or disability payments means you must pay less out-of-pocket for caregiving services. Every extra bit helps.

Are there any other sources of funding for long-term care services? 

Make sure to research state Medicaid waivers for in-home and community-based care, too. These programs provide specific individuals who meet income and disability requirements with funding for long-term care services. Also, look into state cash assistance programs for caregivers. These help pay family members who take on the vital job of caring for relatives. Every state has varying options.

Does Social Security offer any private insurance policies for long-term care services?

Private long-term care insurance differs from Social Security. You must purchase policies or plans for nursing home or home care coverage separately. This specialty coverage can get expensive the older you are when you first enroll. Still, it offers essential financial protection well worth considering.

Find the proper care for your care recipient

Social Security itself only funds long-term care in limited cases. Yet these benefits provide caretakers with an invaluable monthly income that offsets overall caregiving costs. Learn all you can about every program available, and don't hesitate to ask questions. Taking advantage of all potential assistance makes a challenging caregiver job more manageable. You deserve support, too.

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