Frequently Asked Questions

    • Does Medicaid cover adult day care?
      • Those who qualify for Medicaid by itself due to lower incomes are eligible for adult day care in every state. Often referred to as Medicaid waiver programs, they cover adult day care expenses. This is a very desirable option especially if your loved one would otherwise require full-time skilled home care or nursing home care.
    • Does Medicare cover adult day care?
      • Unfortunately, no. Medicare by itself does not cover any form of adult day care. However, there are some Medicare/Medicaid combination programs that will pay for adult day care. PACE is such a program that is designed for lower income individuals who have both Medicare and Medicaid. PACE is set up to help eligible elderly get health care in their community, rather than becoming institutionalized and forced to move into a nursing home. Learn more about PACE here: https://www.seniorcare.com/adult-day-care/resources/does-medicaid-pay-for-adult-day-care-/
    • Am I eligible for Medicaid?
    • Do veterans get help with adult day care expenses?
      • Veterans benefits will cover a portion of adult day care expenses based on whether your loved one meets certain qualifications. The VA will pay for Adult Day Health Care that includes medical services, but not strictly the custodial type known as Adult Day Care. However, pension benefits such as “Aid and Attendance” provide coverage for both types of adult day care (medical and custodial) for veterans and their surviving spouses.
    • Do long-term care insurance policies cover adult day care?
      • Yes, most of them have a provision that pays for adult day care services. In fact, using adult day care instead of in-home care can maximize your policy benefits.
    • Is it worthwhile to use adult day care just for the socialization?
      • Yes! You may find the socialization that adult day care offers your parents even more valuable than the financial aspect. Isolation, caused by long periods of being left alone at home can cause your Mom or Dad to become lonely due to lack of social engagement. Recreational activities (such as arts and crafts, music, and exercise classes), social groups (such as gardening and book clubs), and organized outings (such as sporting events and volunteer activities) are often abundant in adult day care centers. Adult day care centers encourage interaction among peers and some even offer inter-generational participation. These mixed generation centers are growing in popularity, as they encourage your elderly parents to share in fun social activities with youth, thereby benefiting all ages.
    • How can I combine adult day care with home care?
      • It can be very easy and extremely beneficial to combine home care with adult day care! Tailoring your loved one’s plan of care using both in-home care and adult day care can maximize the benefits of both programs while conserving your financial resources. Focus your attention initially on the adult day care schedule in your community and then supplement it with in-home care hours as needed for elderly parents. Adult day care is usually provided during standard business hours, and in-home care can work around this schedule to cover evenings and weekends. Using less costly adult day care can help your family to offset more expensive in-home care and stretch your budget.