Medicare Definition of Assisted Living

Medicare does have a broad definition of assisted living. The exact definition of assisted living according to Medicare standards is set by each state. First you need to know what the general meaning of assisted living is, and what Medicare is. You will also need to know the general guidelines for eligibility.

Identification

• Assisted living covers a range of residential care options for people who cannot live independently. This range can include senior complexes, boarding houses and nursing facilities.

Significance

• Medicare is a federal program administered by individual states. This program is based upon income and the ability to pay for assisted care. Medicare does not pay the total cost of assisted living or most of the individual needs beyond nursing care.

Function

• Medicare defines assisted living as a group living arrangement which provides help with activities of daily living. This can include eating, bathing, help with medication and getting to appointments.

Types

• Residents of an assisted living facility usually have their own room or apartment within a building or complex and may eat some or all of their meals together with other residents. Social and recreational events are often provided. Some facilities have health care at the facility.

Considerations

• Medicare eligibility is based upon certain guidelines. You must have worked for an employer who paid into the Medicare system. You must be 65 or older. You must be eligible or receiving Social Security or Railroad Pension Benefits. You income requirements must fall below a base income limit.