Alabama has a population of slightly over 5 million, with 17.3% of that total seniors aged 65 and older. Alabama is an increasingly popular destination for seniors. Its year-round warm climate is attractive, and the state does not tax income received from Social Security or pensions, so seniors here have more money to pay for assisted living.

In our Senior Living Report 2022, Alabama ranked 38th overall but 8th in senior housing and 9th in community involvement. However, it ranked last in quality of life and 33rd in affordability. Several excellent hospitals operate in the state, including the University of Alabama at Birmingham Hospital, nationally ranked in eight specialties, and the Huntsville Hospital.

Alabama offers three kinds of assisted living communities, organized by the number of people who reside in each facility:

  • A facility with two to three residents is known as family assisted living
  • A facility with four to 16 residents is known as group assisted living
  • A facility with 17 or more residents is known as congregate assisted living

This guide will focus on the cost of congregate assisted living facilities, which is $3,503 per month, and show how it compares to costs in other states and cities within Alabama. It also explains how to get help paying for assisted living through Medicaid, Medicare and other options and highlights free resources available to seniors in the state. At the end of the guide, seniors can review the rules and regulations assisted living facilities must abide by in Alabama. 


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