true freedom - home health care

What is Assisted Living?

Assisted Living Chart

  • CHFC 
  • Key takeaways
    • The two most common licensed assisted living settings in California are residential care facilities for the elderly (7,492 facilities with 201,610 beds), which serve residents age 60 or older, and adult residential facilities (5,754 facilities with 38,618 beds), which serve residents age 18 to 59.
    • In addition to helping residents with daily activities like bathing and medication management, assisted living communities provide social engagement, nutritional support, physical fitness programs, and more.
    • The two primary mechanisms for Medi-Cal enrollees to access assisted living today are the Assisted Living Waiver and Nursing Facility Transition / Diversion to Assisted Living Facilities, one of CalAIM’s optional Community Supports.
  • Learn more  chcf.org what-is-assisted-living/ 

Medicare Coverage Comparison: Skilled Nursing vs Home Health vs Long-Term Care

Type of Care Skilled Nursing Facility (SNF) Home Health Care Long-Term Care (Custodial)
Where Care is Provided Nursing facility / rehab center Your home Home, assisted living, or nursing home
Main Purpose Short-term recovery after hospital stay Medical care at home (nurse or therapy) Help with daily living over time
Requires Hospital Stay? Yes (typically 3+ inpatient days) No (in many cases) No
Type of Care Skilled (therapy, IV meds, wound care) Skilled (nurse visits, therapy) Custodial (bathing, dressing, eating)
Medicare Coverage Days 1–20: 100%
Days 21–100: Copay
After 100: Not covered
Usually covered if medically necessary and homebound Not covered by Medicare
Length of Coverage Up to 100 days per benefit period Intermittent / part-time visits Ongoing / long-term
Key Limitation Stops when skilled care is no longer needed Must meet “homebound” and medical criteria Must be paid out-of-pocket or insured
Common Misunderstanding People think it covers long-term stays People think it includes full-time caregivers People think Medicare will pay — it won’t

Bottom line: Medicare is designed for short-term medical care, not long-term living assistance.

 

 


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Skilled Nursing vs Home Health vs Long Term Care

 

“Affordable short-term recovery coverage — not a substitute for long-term care insurance”

👉 And be VERY clear about:

Waiting periods
Benefit gaps (“every few months you must go without coverage” — that needs clean explanation or people will distrust it)

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