Three minutes, nothing saved
How long will the money last?
Type in what comes in each month and what is set aside. See how many months it covers for help at home, assisted living, and memory care, side by side, and the month the money runs out. Nothing you type is saved.
CarePair, trycarepair.com/guide/runway. Free for families.
Help at home, 20 hours a week
$2,600 a month
The care only; nothing else added.
Add income and savings to see how long it lasts.
Assisted living
$5,200 a month
The care only; nothing else added.
Add income and savings to see how long it lasts.
Memory care
$8,000 a month
The care only; nothing else added.
Add income and savings to see how long it lasts.
What this does not include
Read the number on each card as a floor. These are the things that move it, and the questions to ask about each one.
- Care level increases
- The rate on a community's page is a starting point. Help with medications, bathing, or incontinence is often billed on top, and the bill grows as needs grow. Ask what is included and what is extra, in writing.
- Community fees
- Many communities charge a one-time fee at move-in, sometimes a month's rent or more. Ask whether any of it comes back if the stay is short.
- Rate increases
- Most communities raise rates once a year. Ask what last year's increase was and when the next one lands.
- The 30-day notice rule
- In New York an adult home or assisted living residence can end a residency agreement with written notice, usually 30 days, when it can no longer meet someone's needs. Ask what would trigger it, and what happens to the money if it does.
- Medicare
- It pays for short-term rehab after a qualifying hospital stay and for home health when a doctor orders it. It does not pay for assisted living, memory care, long-term nursing home care, or home care aides.
- Selling the house takes time
- Counting the house is fine for the arithmetic, but a sale takes months and the money may not be there when the shortfall starts. Interest, inflation, and taxes are left out on purpose.
If the runway is short
The Medicaid conversation, without the panic
Under two years is the moment to start the Medicaid conversation, not the moment to apply. New York Medicaid pays for long-term nursing home care, for the Assisted Living Program, and for home care hours, for people whose income and assets fall under the limits. There are rules about money moved in the years before applying, and the timing matters.
- ALP is a waitlist, not an entitlement
- Assisted Living Program beds are limited and each community keeps its own list, ranked by need. Ask every community how long its list is, and get on more than one.
- Never pay from your own pocket while Medicaid is pending
- Wait for the award letter. Send everything by certified mail or fax and keep the receipts. Families who paid a pending bill from their own money rarely saw it come back.
- Free legal help exists
- The Center for Elder Law and Justice in Buffalo gives free legal help to older adults in Western New York on Medicaid, admission agreements, and powers of attorney. Ask them, or an elder law attorney, before anything is signed. Elder law attorneys in Erie, Niagara, and Orleans.
- What Cardinal does and does not do
- Cardinal does not complete Medicaid applications, but we know who does, and we will tell you when it is time to start. Cardinal never charges a family, and never charges a fee tied to a resident whose care is paid by Medicaid.
A free account keeps these numbers with the rest of the plan, so the family and an advisor see the same picture. Until then, nothing is kept.
Questions people search for
- How long will savings last in assisted living?
- Take the community's monthly rate plus anything else that keeps going, subtract the monthly income, and divide the savings by what is left. Assisted living in Western New York usually runs from about four to eight thousand dollars a month (September 2026), so a person with $3,000 of income and $60,000 saved covers a $6,000 room for about 20 months. This page does that arithmetic for help at home, assisted living, and memory care side by side.
- Does Medicare pay for assisted living or memory care?
- No. Medicare pays for short-term rehab in a skilled nursing home after a qualifying hospital stay, for a limited number of days, and for home health when a doctor orders it. It does not pay for assisted living, memory care, long-term nursing home care, or home care aides. This surprises almost everyone.
- When should we talk about Medicaid?
- When the money covers less than about two years, start the conversation; under six months, see an elder law attorney this month. New York Medicaid pays for long-term nursing home care, the Assisted Living Program, and home care hours for people under the income and asset limits, and there are rules about money moved in the years before applying. ALP beds are a waitlist, not an entitlement, and never pay from your own pocket while an application is pending.
Arithmetic on numbers you typed, with starting figures from the CarePair directory and dated New York facts. General information for families in Western New York, written by Cardinal Care Advisors. Not financial, legal, or medical advice; an elder law attorney, a financial planner, or the county decides the things that need deciding. Tell us if something is wrong: hello@thecardinalgroup.org.