What Insurance Covers for Elder Care in Connecticut

A plain-English guide to help you understand what's covered β€” and what's not.

Medicare

Medicare is the federal health insurance program for people age 65+. It covers many medical expenses, but does not cover most long-term care needs.

What Medicare Covers

Short-term skilled nursing care (up to 100 days after a qualifying hospital stay)
Home health care (when medically necessary and prescribed)
Hospice (end-of-life care)
Durable medical equipment (wheelchairs, hospital beds, etc.)

What Medicare Does NOT Cover

Long-term custodial care (help with bathing, dressing, eating)
Most assisted living costs
Ongoing non-medical home care
Long-term nursing home stays

πŸ“Œ Important: Medicare is designed for short-term medical needsβ€”not ongoing care support.

Medicaid (Connecticut)

Medicaid in Connecticut (HUSKY Health) provides comprehensive coverage for long-term care for those who meet financial and care eligibility requirements.

What Medicaid Can Help Cover in CT

Connecticut Home Care Program for Elders (CHCPE) β€” helps eligible seniors receive care at home
Nursing home care for qualifying individuals
Personal care assistance (help with daily activities)
Adult day care services
Connecticut Community First Choice β€” allows individuals to direct their own care

Important Considerations

Medicaid has strict income and asset limits
Eligibility also depends on level of care needs
Medicaid may cover care services, but does not typically cover room & board in assisted living

πŸ“Œ Important: Many families must plan ahead or consider a Medicaid spend-down strategy, often with guidance from an elder law attorney.

Long-Term Care Insurance

If your parent has a long-term care insurance policy, it can be one of the most valuable ways to help cover care costs. Coverage varies significantly by policy.

What Policies Often Cover

Home care services
Assisted living (care services and sometimes room & board)
Nursing home care
Adult day care

πŸ“Œ Important: Coverage depends on the specific policy, including daily or monthly benefit limits, waiting (elimination) periods, and maximum benefit duration. Most policies require assistance with activities of daily living (ADLs) or a cognitive impairment to qualify for benefits.

VA Benefits (Veterans)

If your parent is a veteran (or surviving spouse), they may qualify for Aid & Attendance, a VA benefit that provides additional monthly income to help pay for care.

What It Can Help Cover

Home care
Assisted living
Nursing care
Other long-term care needs

πŸ“Œ Important: Benefit amounts can exceed $1,000–$2,000+ per month, depending on eligibility. Must meet service, medical, and financial criteria. This benefit is underutilized but highly valuable.

Confused about what applies to your parent?

Our assessment helps identify which insurance and programs your parent may qualify for.