Long-term care is one of the biggest financial challenges facing aging Americans—and for boomers in New England, the cost differences between states can be dramatic. Whether you’re planning for assisted living, in-home care, or nursing facilities, where you live matters. These six cost disparities could impact your retirement budget, Medicaid eligibility, and overall financial security. Here’s what boomers in the Northeast need to know.
1. Massachusetts vs. Maine: A $20,000+ Annual Gap
In Massachusetts, the average monthly cost of a private nursing home room is $16,009, while the same level of care in Maine is around $14,302 per month. That’s a significant difference for retirees relying on fixed incomes or savings. Even semi-private rooms show a similar gap. If you’re considering relocating for retirement, Maine offers more affordable care without sacrificing quality. Of course, prices can vary significantly based on the level of care needed and even within different towns and cities in each state.
2. Connecticut’s Varying Assisted Living Costs
Connecticut has a median monthly cost of care ranging from approximately $4,776 to $8,955. However, care costs can vary dramatically throughout the state. In the cities of Connecticut with the highest cost of assisted living, Bridgeport and Norwich, the monthly average is $10,213-$15,750. The least expensive assisted living can be found in Hartford. In New Haven, the average daily cost is approximately $5,475 a month. Boomers who anticipate needing assisted living should factor this into their long-term financial planning—and explore alternative housing options or state-specific subsidies.
3. Vermont’s Increasing Cost of Care
Vermont’s long-term care costs have surged past national averages, placing the state among the most expensive in the country for aging services. According to Genworth’s 2024 Cost of Care Survey, assisted living communities in the state now average $94,470 per year, while a private room in a nursing home tops out at $182,500 annually. These increases are largely driven by inflation and rising labor costs, which continue to outpace national trends. For families planning for elder care in Vermont, these figures underscore the urgency of proactive financial and care planning.
4. New Hampshire’s Medicaid Eligibility Thresholds
New Hampshire has stricter income and asset limits for Medicaid long-term care coverage than some neighboring states. In 2025, a single Nursing Home Medicaid applicant in New Hampshire must meet the following criteria: an income under $2,901 a month, assets under $2,500, and require a nursing home level of care. This means boomers may need to spend down more of their assets before qualifying. Understanding these thresholds early can help you plan strategically and avoid financial surprises.
5. Rhode Island’s Community Care Advantage
Rhode Island invests heavily in community-based care, which can reduce the need for expensive institutional services. Programs like home health aides and adult day care are more accessible here than in other states. Boomers who prefer aging in place may find Rhode Island’s approach both cost-effective and comforting.
6. Inflation and Future Costs
Long-term care costs are expected to rise across New England, but the rate of increase varies. In general, long-term care costs increase at a rate of 3% to 6% annually. However, Genworth found that across the country in 2024, the annual median cost of a semi-private room in a skilled nursing facility increased 7 percent, and the cost of a private room rose 9 percent. So, it’s important to expect increases no matter where you plan to retire. Boomers should use cost calculators to estimate future expenses and adjust their retirement plans accordingly.
Location Matters More Than You Think
For boomers in New England, long-term care costs aren’t just about services—they’re about geography. Understanding the differences between states can help you make smarter decisions about where to live, how to plan, and what kind of care to expect. Don’t wait until you need care to start comparing costs. The earlier you plan, the more options you’ll have.
Are you planning for long-term care in New England—or already navigating it? Share your experience in the comments.
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