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States With the Best Affordable Healthcare for Retirees

John Csiszar

How much does retiree healthcare cost? The answer, to a large degree, depends on where you live. Healthcare costs have many components and are not universal. Costs also vary on an individual basis, which is something that no one can predict with accuracy. However, state average costs are a good place to start. At the very least, you can get an idea as to which states are typically more expensive if you end up needing healthcare services in retirement. For example, the cost of nursing home care in Alaska is more than double that found in any other state.

To help determine the most and least expensive states for retiree healthcare costs, GOBankingRates sourced data from the Genworth Cost of Care Survey 2018 regarding the average monthly cost of senior care. The study looked at the monthly costs for homemaker services, a home health aide, adult day healthcare, an assisted living facility, a semiprivate room in a nursing home and a private room in a nursing home. Additionally, GOBankingRates factored in each state’s average monthly Medicare premium, based on data sourced from the Centers for Medicare and Medicaid Services’ 2019 Medicare Advantage plan report.

Note that states aren’t necessarily cheap or expensive across the board. North Dakota, for example, has one of the lowest monthly costs for an assisted living facility, but other costs make it the 10th-most expensive state overall in terms of retiree healthcare costs. Similarly, Iowa is the 10th-most affordable state overall but has above-average home healthcare costs. And, of course, your actual retiree healthcare costs will vary from the state averages listed here, but you can use the results to gauge the best places to retire for your wallet.

Last updated: Dec. 2, 2019

1. Florida

  • Average monthly Medicare premium: $13.80
  • Homemaker services monthly cost: $3,804
  • Home health aide monthly cost: $3,909
  • Adult day healthcare monthly cost: $1,463
  • Assisted living facility monthly cost: $3,500
  • Nursing home semiprivate room monthly cost: $8,152
  • Nursing home private room monthly cost: $9,064

2. South Carolina

  • Average monthly Medicare premium: $22.21
  • Homemaker services monthly cost: $3,623
  • Home health aide monthly cost: $3,813
  • Adult day healthcare monthly cost: $1,300
  • Assisted living facility monthly cost: $3,500
  • Nursing home semiprivate room monthly cost: $6,418
  • Nursing home private room monthly cost: $7,209

3. Georgia

  • Average monthly Medicare premium: $26.10
  • Homemaker services monthly cost: $3,623
  • Home health aide monthly cost: $3,813
  • Adult day healthcare monthly cost: $1,300
  • Assisted living facility monthly cost: $3,100
  • Nursing home semiprivate room monthly cost: $6,342
  • Nursing home private room monthly cost: $6,768

4. Alabama

  • Average monthly Medicare premium: $40.68
  • Homemaker services monthly cost: $3,241
  • Home health aide monthly cost: $3,241
  • Adult day healthcare monthly cost: $758
  • Assisted living facility monthly cost: $3,271
  • Nursing home semiprivate room monthly cost: $6,279
  • Nursing home private room monthly cost: $6,661

5. Mississippi

  • Average monthly Medicare premium: $39.72
  • Homemaker services monthly cost: $3,241
  • Home health aide monthly cost: $3,241
  • Adult day healthcare monthly cost: $758
  • Assisted living facility monthly cost: $3,493
  • Nursing home semiprivate room monthly cost: $6,692
  • Nursing home private room monthly cost: $7,087

6. Arkansas

  • Average monthly Medicare premium: $33.63
  • Homemaker services monthly cost: $3,432
  • Home health aide monthly cost: $3,609
  • Adult day healthcare monthly cost: $1,733
  • Assisted living facility monthly cost: $3,037
  • Nursing home semiprivate room monthly cost: $5,353
  • Nursing home private room monthly cost: $5,986

7. Louisiana

  • Average monthly Medicare premium: $43.54
  • Homemaker services monthly cost: $3,051
  • Home health aide monthly cost: $3,051
  • Adult day healthcare monthly cost: $1,365
  • Assisted living facility monthly cost: $3,550
  • Nursing home semiprivate room monthly cost: $5,232
  • Nursing home private room monthly cost: $5,542

8. Oklahoma

  • Average monthly Medicare premium: $36.20
  • Homemaker services monthly cost: $3,813
  • Home health aide monthly cost: $4,143
  • Adult day healthcare monthly cost: $1,300
  • Assisted living facility monthly cost: $3,325
  • Nursing home semiprivate room monthly cost: $4,639
  • Nursing home private room monthly cost: $5,293

9. Utah

  • Average monthly Medicare premium: $31.71
  • Homemaker services monthly cost: $4,195
  • Home health aide monthly cost: $4,195
  • Adult day healthcare monthly cost: $1,008
  • Assisted living facility monthly cost: $3,350
  • Nursing home semiprivate room monthly cost: $6,083
  • Nursing home private room monthly cost: $7,604

10. Iowa

  • Average monthly Medicare premium: $18.92
  • Homemaker services monthly cost: $4,576
  • Home health aide monthly cost: $4,767
  • Adult day healthcare monthly cost: $1,353
  • Assisted living facility monthly cost: $3,847
  • Nursing home semiprivate room monthly cost: $6,083
  • Nursing home private room monthly cost: $6,479

11. Missouri

  • Average monthly Medicare premium: $36.29
  • Homemaker services monthly cost: $3,813
  • Home health aide monthly cost: $4,004
  • Adult day healthcare monthly cost: $1,820
  • Assisted living facility monthly cost: $2,844
  • Nursing home semiprivate room monthly cost: $5,019
  • Nursing home private room monthly cost: $5,543

12. Nebraska

  • Average monthly Medicare premium: $18.84
  • Homemaker services monthly cost: $4,481
  • Home health aide monthly cost: $4,576
  • Adult day healthcare monthly cost: $1,555
  • Assisted living facility monthly cost: $3,844
  • Nursing home semiprivate room monthly cost: $6,905
  • Nursing home private room monthly cost: $7,266

13. North Carolina

  • Average monthly Medicare premium: $39.74
  • Homemaker services monthly cost: $3,527
  • Home health aide monthly cost: $3,766
  • Adult day healthcare monthly cost: $1,192
  • Assisted living facility monthly cost: $3,693
  • Nursing home semiprivate room monthly cost: $6,950
  • Nursing home private room monthly cost: $7,711

14. Texas

  • Average monthly Medicare premium: $44.73
  • Homemaker services monthly cost: $3,813
  • Home health aide monthly cost: $3,813
  • Adult day healthcare monthly cost: $758
  • Assisted living facility monthly cost: $3,795
  • Nursing home semiprivate room monthly cost: $4,798
  • Nursing home private room monthly cost: $6,540

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15. Kentucky

  • Average monthly Medicare premium: $40.48
  • Homemaker services monthly cost: $3,813
  • Home health aide monthly cost: $3,909
  • Adult day healthcare monthly cost: $1,463
  • Assisted living facility monthly cost: $3,520
  • Nursing home semiprivate room monthly cost: $6,844
  • Nursing home private room monthly cost: $7,604

16. Tennessee

  • Average monthly Medicare premium: $46.76
  • Homemaker services monthly cost: $3,613
  • Home health aide monthly cost: $3,766
  • Adult day healthcare monthly cost: $1,452
  • Assisted living facility monthly cost: $3,920
  • Nursing home semiprivate room monthly cost: $6,388
  • Nursing home private room monthly cost: $6,844

17. West Virginia

  • Average monthly Medicare premium: $52.11
  • Homemaker services monthly cost: $3,146
  • Home health aide monthly cost: $3,241
  • Adult day healthcare monthly cost: $1,300
  • Assisted living facility monthly cost: $3,619
  • Nursing home semiprivate room monthly cost: $10,281
  • Nursing home private room monthly cost: $11,072

18. Virginia

  • Average monthly Medicare premium: $37.37
  • Homemaker services monthly cost: $3,813
  • Home health aide monthly cost: $4,004
  • Adult day healthcare monthly cost: $1,517
  • Assisted living facility monthly cost: $4,451
  • Nursing home semiprivate room monthly cost: $7,452
  • Nursing home private room monthly cost: $8,517

19. Indiana

  • Average monthly Medicare premium: $33.85
  • Homemaker services monthly cost: $4,004
  • Home health aide monthly cost: $4,195
  • Adult day healthcare monthly cost: $1,842
  • Assisted living facility monthly cost: $4,385
  • Nursing home semiprivate room monthly cost: $6,859
  • Nursing home private room monthly cost: $8,243

20. Nevada

  • Average monthly Medicare premium: $44.44
  • Homemaker services monthly cost: $4,195
  • Home health aide monthly cost: $4,195
  • Adult day healthcare monthly cost: $1,560
  • Assisted living facility monthly cost: $3,500
  • Nursing home semiprivate room monthly cost: $8,228
  • Nursing home private room monthly cost: $9,262

21. Kansas

  • Average monthly Medicare premium: $52.45
  • Homemaker services monthly cost: $3,813
  • Home health aide monthly cost: $4,004
  • Adult day healthcare monthly cost: $1,760
  • Assisted living facility monthly cost: $4,556
  • Nursing home semiprivate room monthly cost: $5,414
  • Nursing home private room monthly cost: $5,865

22. Colorado

  • Average monthly Medicare premium: $36.13
  • Homemaker services monthly cost: $4,767
  • Home health aide monthly cost: $4,910
  • Adult day healthcare monthly cost: $1,625
  • Assisted living facility monthly cost: $4,000
  • Nursing home semiprivate room monthly cost: $7,892
  • Nursing home private room monthly cost: $9,000

23. California

  • Average monthly Medicare premium: $29.70
  • Homemaker services monthly cost: $4,957
  • Home health aide monthly cost: $4,957
  • Adult day healthcare monthly cost: $1,679
  • Assisted living facility monthly cost: $4,500
  • Nursing home semiprivate room monthly cost: $8,365
  • Nursing home private room monthly cost: $9,817

24. Delaware

  • Average monthly Medicare premium: $33.63
  • Homemaker services monthly cost: $4,052
  • Home health aide monthly cost: $4,385
  • Adult day healthcare monthly cost: $1,797
  • Assisted living facility monthly cost: $5,350
  • Nursing home semiprivate room monthly cost: $10,494
  • Nursing home private room monthly cost: $10,950

25. South Dakota

  • Average monthly Medicare premium: $48.05
  • Homemaker services monthly cost: $4,576
  • Home health aide monthly cost: $4,767
  • Adult day healthcare monthly cost: $1,538
  • Assisted living facility monthly cost: $3,500
  • Nursing home semiprivate room monthly cost: $6,616
  • Nursing home private room monthly cost: $7,072

26. Arizona

  • Average monthly Medicare premium: $47.51
  • Homemaker services monthly cost: $4,338
  • Home health aide monthly cost: $4,433
  • Adult day healthcare monthly cost: $2,004
  • Assisted living facility monthly cost: $3,800
  • Nursing home semiprivate room monthly cost: $6,494
  • Nursing home private room monthly cost: $7,908

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27. New Mexico

  • Average monthly Medicare premium: $58.22
  • Homemaker services monthly cost: $3,432
  • Home health aide monthly cost: $3,813
  • Adult day healthcare monthly cost: $2,217
  • Assisted living facility monthly cost: $4,250
  • Nursing home semiprivate room monthly cost: $7,285
  • Nursing home private room monthly cost: $7,619

28. Illinois

  • Average monthly Medicare premium: $59.95
  • Homemaker services monthly cost: $4,195
  • Home health aide monthly cost: $4,290
  • Adult day healthcare monthly cost: $1,567
  • Assisted living facility monthly cost: $4,030
  • Nursing home semiprivate room monthly cost: $5,916
  • Nursing home private room monthly cost: $6,753

29. Wyoming

  • Average monthly Medicare premium: $45.50
  • Homemaker services monthly cost: $4,195
  • Home health aide monthly cost: $4,767
  • Adult day healthcare monthly cost: $2,416
  • Assisted living facility monthly cost: $4,235
  • Nursing home semiprivate room monthly cost: $7,178
  • Nursing home private room monthly cost: $7,543

30. Idaho

  • Average monthly Medicare premium: $60.26
  • Homemaker services monthly cost: $3,813
  • Home health aide monthly cost: $3,813
  • Adult day healthcare monthly cost: $2,600
  • Assisted living facility monthly cost: $3,475
  • Nursing home semiprivate room monthly cost: $7,574
  • Nursing home private room monthly cost: $8,045

31. Ohio

  • Average monthly Medicare premium: $64.36
  • Homemaker services monthly cost: $4,004
  • Home health aide monthly cost: $4,099
  • Adult day healthcare monthly cost: $1,322
  • Assisted living facility monthly cost: $4,278
  • Nursing home semiprivate room monthly cost: $7,118
  • Nursing home private room monthly cost: $7,908

32. Maine

  • Average monthly Medicare premium: $34.58
  • Homemaker services monthly cost: $4,767
  • Home health aide monthly cost: $4,957
  • Adult day healthcare monthly cost: $2,383
  • Assisted living facility monthly cost: $4,950
  • Nursing home semiprivate room monthly cost: $9,429
  • Nursing home private room monthly cost: $10,098

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33. Connecticut

  • Average monthly Medicare premium: $48.61
  • Homemaker services monthly cost: $4,099
  • Home health aide monthly cost: $4,385
  • Adult day healthcare monthly cost: $1,842
  • Assisted living facility monthly cost: $4,700
  • Nursing home semiprivate room monthly cost: $12,623
  • Nursing home private room monthly cost: $13,733

34. New Hampshire

  • Average monthly Medicare premium: $42.24
  • Homemaker services monthly cost: $4,767
  • Home health aide monthly cost: $5,148
  • Adult day healthcare monthly cost: $1,701
  • Assisted living facility monthly cost: $4,675
  • Nursing home semiprivate room monthly cost: $10,342
  • Nursing home private room monthly cost: $11,102

35. Montana

  • Average monthly Medicare premium: $54.59
  • Homemaker services monthly cost: $4,576
  • Home health aide monthly cost: $4,576
  • Adult day healthcare monthly cost: $2,468
  • Assisted living facility monthly cost: $3,919
  • Nursing home semiprivate room monthly cost: $7,006
  • Nursing home private room monthly cost: $7,310

36. Pennsylvania

  • Average monthly Medicare premium: $68.84
  • Homemaker services monthly cost: $4,195
  • Home health aide monthly cost: $4,315
  • Adult day healthcare monthly cost: $1,408
  • Assisted living facility monthly cost: $3,750
  • Nursing home semiprivate room monthly cost: $9,612
  • Nursing home private room monthly cost: $10,114

37. Wisconsin

  • Average monthly Medicare premium: $64.28
  • Homemaker services monthly cost: $4,481
  • Home health aide monthly cost: $4,576
  • Adult day healthcare monthly cost: $1,408
  • Assisted living facility monthly cost: $4,300
  • Nursing home semiprivate room monthly cost: $8,334
  • Nursing home private room monthly cost: $9,346

38. Maryland

  • Average monthly Medicare premium: $64.62
  • Homemaker services monthly cost: $4,097
  • Home health aide monthly cost: $4,242
  • Adult day healthcare monthly cost: $1,733
  • Assisted living facility monthly cost: $4,673
  • Nursing home semiprivate room monthly cost: $9,231
  • Nursing home private room monthly cost: $9,673

39. New Jersey

  • Average monthly Medicare premium: $42.98
  • Homemaker services monthly cost: $4,576
  • Home health aide monthly cost: $4,576
  • Adult day healthcare monthly cost: $1,950
  • Assisted living facility monthly cost: $6,065
  • Nursing home semiprivate room monthly cost: $10,646
  • Nursing home private room monthly cost: $11,863

40. New York

  • Average monthly Medicare premium: $56.21
  • Homemaker services monthly cost: $4,690
  • Home health aide monthly cost: $4,767
  • Adult day healthcare monthly cost: $1,625
  • Assisted living facility monthly cost: $4,185
  • Nursing home semiprivate room monthly cost: $11,756
  • Nursing home private room monthly cost: $12,189

41. North Dakota

  • Average monthly Medicare premium: $54
  • Homemaker services monthly cost: $5,148
  • Home health aide monthly cost: $5,148
  • Adult day healthcare monthly cost: $2,419
  • Assisted living facility monthly cost: $3,315
  • Nursing home semiprivate room monthly cost: $11,027
  • Nursing home private room monthly cost: $11,690

42. Rhode Island

  • Average monthly Medicare premium: $64.92
  • Homemaker services monthly cost: $4,862
  • Home health aide monthly cost: $5,148
  • Adult day healthcare monthly cost: $1,625
  • Assisted living facility monthly cost: $4,350
  • Nursing home semiprivate room monthly cost: $8,821
  • Nursing home private room monthly cost: $9,733

43. Vermont

  • Average monthly Medicare premium: $49.26
  • Homemaker services monthly cost: $5,148
  • Home health aide monthly cost: $5,148
  • Adult day healthcare monthly cost: $2,947
  • Assisted living facility monthly cost: $4,500
  • Nursing home semiprivate room monthly cost: $9,475
  • Nursing home private room monthly cost: $9,901

44. Michigan

  • Average monthly Medicare premium: $84.40
  • Homemaker services monthly cost: $4,195
  • Home health aide monthly cost: $4,385
  • Adult day healthcare monthly cost: $1,733
  • Assisted living facility monthly cost: $3,850
  • Nursing home semiprivate room monthly cost: $8,562
  • Nursing home private room monthly cost: $9,125

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45. Washington

  • Average monthly Medicare premium: $67.08
  • Homemaker services monthly cost: $5,339
  • Home health aide monthly cost: $5,339
  • Adult day healthcare monthly cost: $1,408
  • Assisted living facility monthly cost: $5,135
  • Nursing home semiprivate room monthly cost: $8,669
  • Nursing home private room monthly cost: $9,718

46. Massachusetts

  • Average monthly Medicare premium: $83.18
  • Homemaker services monthly cost: $4,910
  • Home health aide monthly cost: $5,167
  • Adult day healthcare monthly cost: $1,444
  • Assisted living facility monthly cost: $5,495
  • Nursing home semiprivate room monthly cost: $12,015
  • Nursing home private room monthly cost: $12,775

47. Hawaii

  • Average monthly Medicare premium: $80.17
  • Homemaker services monthly cost: $4,767
  • Home health aide monthly cost: $5,720
  • Adult day healthcare monthly cost: $1,647
  • Assisted living facility monthly cost: $5,500
  • Nursing home semiprivate room monthly cost: $12,167
  • Nursing home private room monthly cost: $13,657

48. Oregon

  • Average monthly Medicare premium: $97.88
  • Homemaker services monthly cost: $4,862
  • Home health aide monthly cost: $4,957
  • Adult day healthcare monthly cost: $1,983
  • Assisted living facility monthly cost: $4,593
  • Nursing home semiprivate room monthly cost: $9,277
  • Nursing home private room monthly cost: $9,977

49. Minnesota

  • Average monthly Medicare premium: $101.46
  • Homemaker services monthly cost: $5,148
  • Home health aide monthly cost: $5,529
  • Adult day healthcare monthly cost: $1,798
  • Assisted living facility monthly cost: $4,000
  • Nursing home semiprivate room monthly cost: $9,125
  • Nursing home private room monthly cost: $10,188

50. Alaska

  • Average monthly Medicare premium: The state doesn’t offer Medicare Advantage plans. Residents must use a prescription drug plan.
  • Homemaker services monthly cost: $4,957
  • Home health aide monthly cost: $5,148
  • Adult day healthcare monthly cost: $2,281
  • Assisted living facility monthly cost: $6,300
  • Nursing home semiprivate room monthly cost: $29,291
  • Nursing home private room monthly cost: $27,573

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Methodology: GOBankingRates determined the most and least expensive states for retiree healthcare costs by analyzing all 50 states based on the following criteria: (1) The average monthly Medicare premium, based on data sourced from the Centers for Medicare and Medicaid Services‘ 2019 Medicare Advantage plan report. To calculate the state average Medicare premium, GOBankingRates took the average of monthly consolidated premiums from each county in the state. In order for Medicare health plans to qualify for the study, only local HMO, local PPO and regional PPO health plans were considered (excluding, for example, private fee-for-service plan premiums); Medicare health plans included both “Basic” and “Enhanced Alternative” drug benefit types, and Medicare health plans had to offer Medicare Part D drug coverage. (2) The average monthly cost of senior care, broken down into costs for homemaker services, a home health aide, adult day healthcare, an assisted living facility, a semiprivate nursing home room and a private nursing home room, sourced from the Genworth Cost of Care Survey 2018. All data used to conduct this ranking was compiled and verified on Aug. 12, 2019.

This article originally appeared on GOBankingRates.com: States With the Best Affordable Healthcare for Retirees