Social Security is an important source of income for many seniors during their retirement years. It can provide an added sense of stability, especially if they have other resources and savings. Plus, this income source can become valuable for older adults if they need to enter an assisted living community. Because this type of care can be expensive, Social Security is among several possible sources of income seniors can use to help cover the cost.
Seniors can use Social Security to pay for assisted living, but their monthly benefits usually aren’t enough to cover the full cost. The median cost of assisted living in 2021 was $4,500 per month, [01] while the maximum Social Security benefit in 2022 ranged between $2,364 and $4,194, depending on the age someone retired.[02] The average monthly benefit was approximately $1,548 in 2022.[03]
Typically, Social Security benefits are deposited directly into a senior’s bank account.[04] They can then pay the assisted living community. To cover the remaining costs, residents rely on other forms of income such as savings.
People who qualify for Social Security Disability Insurance (SSDI) can use the benefit to help pay for assisted living. Similar to Social Security, this benefit alone likely won’t pay for the entire cost. In 2019, the average monthly disability benefit was $1,234, and for many beneficiaries, this was their only source of income.[05]
SSDI is an insurance program that offers coverage to workers who pay Social Security taxes on their income. To get benefits, a person must have a severe medical condition that’s expected to last longer than a year or result in death, and that medical condition must prevent them from doing work they’ve done in the past and adjusting to other types of work. Once someone receiving SSDI benefits reaches full retirement age, their monthly payment is converted to a retirement benefit.
Supplemental Security Income (SSI) can also help seniors pay for assisted living. SSI provides monthly payments to people age 65 and older and people who are blind or disabled if they have limited income or resources.[05] In 2023, the maximum SSI benefit for an individual is $914 and $1,371 for a couple. Oftentimes, people who qualify for SSI can also qualify for Medicaid, which can help pay for assisted living in many states.
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Many states provide additional assistance on top of the SSI benefit, commonly referred to as an optional state supplement or state supplementary payment. Sometimes, optional state supplementation can be used by seniors to help pay for assisted living, but not all states provide a payment for this purpose. The benefit amount typically depends on the senior’s income, living arrangement, and other factors. Typically, residents must go through an application process to determine whether they’re eligible and the payment amount they’ll receive.
A Place for Mom’s Senior Living Advisors can help seniors and their families understand how to pay for assisted living in their state and find care options in their area.
Here’s a state-by-state guide, including Washington, D.C., to state supplements to SSI benefits.
Alabama doesn’t provide a state supplement to SSI recipients who reside in an assisted living community.[07]
In Alaska, the Adult Public Assistance program offers a $100 monthly state supplementary payment to an individual living in an assisted living community.[08]
Arizona does not offer an optional state supplement to people who receive SSI, regardless of whether they live in assisted living.[09]
Arkansas does not provide an optional state supplement to SSI beneficiaries in any living situation, including seniors in assisted living.[09]
In 2022, California provided an SSI state supplement of about $525 to residents of assisted living communities. Because the Social Security Administration oversees the supplement for California, beneficiaries get a single payment that combines the federal and state aid.[10]
The Aid to the Needy Disabled-Colorado Supplement program provides a supplement to residents age 59 and younger who are receiving SSI benefits due to a disability or blindness and aren’t receiving the full SSI benefit.[11]
Additionally, the Old Age Pension program in Colorado provides up to $821 monthly for eligible seniors over age 60 with limited resources. Their income from Social Security, SSI, and other sources may reduce their payment. The program is funded entirely by the state.
The State Supplement to the Aged, Blind, or Disabled program provides cash assistance to help pay the cost of assisted living in Connecticut. If a senior meets certain eligibility requirements, the state will further examine their financial situation to determine their cash benefit. The state allows a higher income limit for residents in assisted living communities because it factors in their monthly costs for residing there when determining financial eligibility.[12]
Delaware provides a state supplement to certain seniors receiving SSI benefits and who reside in assisted living communities. Generally, the payment amount depends the level of assistance they’re receiving.[13]
Florida provides an optional state supplement paid directly to assisted living communities to help eligible seniors cover the cost of room and board. The state also provides a $54 personal needs allowance that’s kept by the resident.[14]
Georgia doesn’t offer an optional state supplement to help seniors pay for assisted living.[09]
Hawaii provides an optional state supplement to residents of assisted living communities, which the state also refers to as adult residential care homes.[15] For communities with five or fewer residents, the combined state and federal SSI and state supplement is $1,492.90. The combined SSI and state supplement for residents in communities with more than five residents is $1,600.90. Because the Social Security Administration oversees the program, residents receive a single payment for the federal and state assistance.
Idaho provides a small state supplement to SSI for seniors in assisted living through the Aid to the Aged, Blind, and Disabled cash assistance program. The amount depends on the type of living arrangement and the cost of the community.[16]
Illinois’ Aid to the Aged, Blind, or Disabled cash assistance program can help seniors pay for assisted living if they’re receiving SSI benefits or if they’ve been denied SSI due to their income. The state factors in income, resources, and expenses when determining the payment amount.[17]
The Residential Care Assistance Program can help Indiana seniors pay for assisted living if they’re receiving Medicaid or SSI benefits. The state pays the supplement directly to approved communities on behalf of the resident.[18]
Iowa’s State Supplementary Assistance program may provide assistance to seniors who receive SSI benefits or would receive SSI if not for excess income. The program offers cash assistance in six different categories, one of which is intended for people in residential care communities. In 2022, residential care residents could receive $111 for a personal needs allowance and up to a $33.53 per diem for cost-related expenses.[19]
In Kansas, the State Supplement Payment Program provides cash assistance to residents whose SSI benefit is reduced because Medicaid is paying for at least half of the cost of the assisted living community.[20]
Kentucky provides a state supplement to help residents pay for an assisted living community, which is referred to as a personal care home in the state. In 2022, the state supplement for a personal care home resident equaled $1,457 per month minus their countable income.[21] As an example, $1,457 minus the SSI benefit of $841 equaled a payment of $616.
Louisiana provides an $8 optional state supplement to some residents of long-term care communities, which may include assisted living. The benefit is intended to help them pay for personal needs.[22]
Seniors in Maine can get a state supplement to pay for assisted living if they’re receiving SSI benefits or would receive SSI if not for their income. The benefit can range from $10 to $234 monthly for an individual, depending on the type of assisted living.[23]
Maryland’s Senior Assisted Living Subsidy can help eligible seniors pay for services in an assisted living community.[24] The senior must live in an assisted living community that’s entered into an agreement with the area agency on aging, and subsidies are sent directly to the community. The maximum payment is $1,000. Financial eligibility isn’t based on SSI benefits but rather is available to seniors whose income is 60% or less than the state median income.
The State Supplement Program in Massachusetts provides cash assistance on top of SSI benefits, which can be used to help pay for assisted living. If a senior resides in assisted living, the state supplement is $340.50 in 2023.[25]
Michigan provides a state supplement to the SSI benefit for seniors in several types of assisted living, including domiciliary care, personal care, and home for the aged communities.[26] The supplement ranges from $87 to $179, depending on the living arrangement. Because Social Security administers the program for Michigan, residents receive a single payment with the combined federal and state assistance.
Minnesota Supplement Aid can provide additional cash assistance to seniors who are receiving SSI benefits and those who didn’t get SSI because their income was too high.[27] While the payments vary depending on where a senior lives, they can be used to help pay for assisted living.
Mississippi does not provide an optional state supplement to seniors receiving SSI benefits, regardless of whether they reside in assisted living or not.[09]
In Missouri, the Supplemental Nursing Care program can help seniors pay for care in an assisted living community and other types of long-term care facilities.[28] The maximum payment for the resident of an assisted living community is $292.
Montana provides a state supplement to help seniors who are receiving SSI benefits pay for care in assisted living communities, which are referred to as personal care facilities by the state. The maximum state supplement for the resident of a personal care facility is $94.[29] Because Social Security administers the payments, residents will receive a single payment with the combined federal and state assistance.
Our advisors help 300,000 families each year find the right senior care for their loved ones.
Nebraska’s Aid to the Aged, Blind, or Disabled program provides cash assistance that can help seniors pay for assisted living.[30] The program is intended for people who’ve been denied SSI benefits because their disability is expected to last less than a year and who are ineligible for Medicaid.
In Nevada, a senior residing in an assisted living community with 16 or fewer people can get a state supplement to their SSI benefit.[31] In 2022, the state supplement for someone in this type of assisted living arrangement was $391 on top of the federal benefit. Social Security administers the benefit for the state, so residents receiving a single payment that combines both the federal and state aid.[32]
New Hampshire’s State Supplement Program offers can help seniors pay for assisted living. It may provide cash assistance to people who are blind, disabled, or age 65 or older.[33] The payment amount depends on the applicant’s income and living arrangement.
New Jersey provides a state supplement to SSI benefits that can help seniors pay for assisted living. In 2022, the state supplement for an individual in assisted living was $150. Because the Social Security Administration oversees the program for New Jersey, residents receive a single payment that combines the federal and state aid.[31]
In New Mexico, the state provides a supplement to SSI recipients who reside in assisted living communities, which are referred to as adult residential care homes.[34] According to the most recently available data, the supplement was $100.[35]
New York provides a state supplement to most SSI recipients. The supplement ranges from $405 to $694 for individuals in assisted living, depending on the level of care and where they live.[36]
The State and County Special Assistance program in North Carolina provides a supplement to help seniors pay for room and board in adult care homes, family care homes, and group homes.[37] The amount of assistance depends on an applicant’s income.
North Dakota doesn’t offer a state supplement to the SSI benefit, regardless of whether a resident lives in assisted living or not.[09]
Ohio’s Residential State Supplement can help eligible seniors pay for rent in certain assisted living communities with up to 16 residents, which are referred to by the state as class two residential facilities. Assisted living communities with more than 16 residents are not eligible to accept the supplement unless approved by Ohio on an individual basis.[38] The benefit added to the senior’s income should equal the allowable rent fee that can be charged by the community, which was $1,100 in 2022.
Oklahoma provides cash assistance to eligible seniors through the State Supplemental Payment plan. The amount depends on the applicant’s other sources of income.[39]
Oregon does not appear to provide a state supplement to SSI benefits for seniors who are residing in an assisted living community. The state does offer cash assistance to seniors through the Oregon Supplemental Income Program, which is intended to help them pay for special needs like transportation or one-time payments to help them remain independent.[40]
Pennsylvania offers a state supplement to SSI benefits, which can be used to help pay for assisted living. Seniors can be residing in domiciliary care, which are smaller homes owned by the provider, or larger personal care homes.[31] In 2022, the supplemental payment for residents in domiciliary care was $434, while the payment for someone at a personal care home was $439. Social Security administers the program for Pennsylvania, so residents will receive a single payment with the combined federal and state benefit.
In Rhode Island, eligible seniors receiving SSI benefits can get a $332 state supplement to help them pay for assisted living. Social Security administers the program for Rhode Island, meaning residents get a single payment with the combined federal and state aid.[31]
The Optional State Supplementation Program in South Carolina can help eligible seniors pay for their stays in assisted living communities, which the state refers to as community residential care facilities. The amount of payment depends on the applicant’s income.[41]
South Dakota does provide a state supplement to seniors who reside in assisted living. As recently as 2016, the maximum amount was $791.[42]
Tennessee doesn’t offer a state supplement to SSI benefits, regardless of whether a senior resides in assisted living or not.[09]
Texas provides a small supplement to SSI recipients who reside in assisted living and other long-term care facilities.[43]
Utah doesn’t offer a state supplement to the SSI benefit for seniors who are residing in an assisted living community.[44]
In Vermont, seniors can get a state supplement to their SSI benefit to help pay for assisted living. The state provides a supplement up to $224, depending on the type of community or home.[31] Because the Social Security Administration oversees the program for Vermont, residents will receive a single payment with the combined federal and state aid.
Virginia seniors who receive SSI benefits can get a state supplement to help them pay for assisted living through the Auxiliary Grant Program.[45] The payment amount depends on the type of assisted living community and whether the resident lives in Northern Virginia, where the rate is higher, or the rest of the state.
The state of Washington doesn’t provide a supplement to help SSI recipients pay for assisted living.[46]
The Optional State Supplement Payment Program in Washington, D.C., provides an extra payment to SSI recipients who reside in assisted living, which is referred to as adult foster care. In 2021, the maximum benefit in an adult foster care with 50 or fewer beds was $640. It was $750 in an adult foster care home with more than 50 beds.[47]
West Virginia doesn’t provide a state supplement to SSI recipients, regardless of whether they reside in assisted living or not.[09]
A program called the Exceptional Expense Supplement for Members of Supplemental Security Income in Wisconsin (SSI-E) can help seniors receiving SSI benefits get help paying for assisted living. It pays a monthly cash benefit up to $95.99.[48]
Wyoming doesn’t offer a state supplement to SSI recipients who reside in an assisted living community.[49]
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