Living Options

At Silverbridge Placement, we help Dallas/Fort Worth families find the perfect senior living options with compassion and clarity.

Independent Living​

Communities for seniors with active lifestyles and little need for support.

Assisted Living​

Communities for those who may need occasional help with daily tasks.

Memory Care​​

Specialized facilities for the treatment of dementia and Alzheimer's disease.

Skilled Nursing

Around-the-clock monitoring for those who need regular care
​and support.

Continuing Care Retirement Community

Housing communities that provide different levels of assistance, from independent living to skilled care.

Residential Care Home

Small, like a house in a residential neighborhood, typically for 10 or fewer residents.

Payment Options for Senior Care

Financing long-term care typically involves a mix of private pay, insurance, and public programs, depending on the type of care and eligibility.
Most long-term “custodial” care is not covered by Medicare.

Care Types & How They Are Paid For

Independent Living

What it is:
A maintenance-free lifestyle for active seniors with little or no personal care.

How it’s paid:

• Private pay only

• LTC insurance rarely covers

• VA Aid & Attendance rarely covers

• Medicare/Medicaid do not cover

Residential Home Care / Home Health

What it is:
Caregivers provide help with ADLs (bathing, dressing, meals) in the home.

How it’s paid:

• Mostly private pay

• Medicaid waivers may help (varies by state)

• Some LTC insurance covers home care

• Medicare only covers short-term medically necessary home health after illness/injury—not ongoing custodial care

Assisted Living

What it is:
Housing with personal care, meals, medication support, and activities.

How it’s paid:

• Primarily private pay

• Some LTC insurance

• Some state Medicaid waivers (state-specific)

• VA Aid & Attendance may contribute

• Medicare does not cover room & board

Memory Care

What it is:
Specialized assisted living for dementia/Alzheimer’s with secure environments and trained staff.
Costs are typically 15–30% higher than standard assisted living.

How it’s paid:

• Mainly private pay

• LTC insurance may help

• VA Aid & Attendance

• Some Medicaid waivers

• Medicare does not cover custodial care

Payment Options Explained

Private Pay

• Most common method across all care types

• Includes personal savings, retirement income, home sale proceeds

• Many seniors “spend down” to eventually qualify for Medicaid

• Paid directly to the facility or provider

Community-Based Organizations (CBOs)

• Provide free or low-cost support (adult day care, transport, meals)

• Do not cover residential care costs

• Services vary widely by location

Long-Term Care Insurance (LTCI)

• May cover home care, assisted living, or nursing homes

• Coverage depends entirely on the policy

• Pays a daily/monthly benefit amount

• Starts after meeting eligibility + elimination period

VA Aid & Attendance (A&A)

• For eligible veterans or surviving spouses needing help with ADLs

• Can be used for home care, AL, or memory care

• Paid monthly directly to the veteran/spouse

Medicaid

• Largest public funder of long-term care

• For low-income individuals only (needs-based)

Covers:

• Nursing homes (all states)

• Some home and community-based services

• Some states cover assisted living through waivers

Does NOT cover:

• Independent living

Medicaid pays the provider directly once eligibility is met.

Medicare

• For seniors 65+

• Covers short-term skilled care only

Covers:

• Up to 100 days in skilled nursing after a qualifying hospital stay

• Medically necessary home health

Does NOT cover:

• Assisted living

• Memory care

• Independent living

• Long-term custodial care.