Section 15: Assisted Living – Massachusetts Assisted Living Facilities Association (MASS-ALFA)

What is an Assisted Living Residence?

An Assisted Living residence is a combination of housing and personalized care designed to permit frail elderly individuals requiring help with activities of daily living (ADL’s) to “age in place” in a homelike setting. Care is provided 24-hours-a-day, seven-days-a-week, in a way that promotes maximum independence and dignity for each resident and often involves the resident’s family, neighbors, and friends.  Most Assisted Living residents are in their mid-80’s and need assistance with basic activities such as bathing and dressing, meal preparation, housekeeping, shopping and transportation. Many residents experience some cognitive impairment and require supervision and “cueing” or reminders about their daily routine. 

What is the cost of Assisted Living and how do residents pay for it?

The cost of Assisted Living involves several aspects: a rental component, food, basic services and optional services and amenities. Currently, the pricing for most private pay Assisted Living residences in Massachusetts range from approximately $4,500 to $8,000 per month, depending on the size of the apartment and the amount and type of services provided. The majority of Assisted Living residents in Massachusetts pay privately. Depending on the nature of an individual’s health insurance program or long-term care insurance policy, some costs may be reimbursed. Medicare does not pay for the cost of Assisted Living. In Massachusetts, Medicaid’s Group Adult Foster Care program (GAFC) will cover (at a set daily rate) some of the cost of Assisted Living services for financially and clinically eligible individuals.

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