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Montana Senior Living Options & Resources

Senior Living in Montana: What You Need to Know

Montana's senior population of 217,665 residents aged 65 and older represents 19.7% of the state's 1.1 million total population, slightly above the national average. This growing demographic reflects Montana's appeal to retirees seeking natural beauty, outdoor recreation, and a peaceful lifestyle. With a median age of 40.2 and median household income of $69,922, Montana offers a balanced community where seniors can find both affordable living options and quality care.

The state's senior living infrastructure includes 8 communities distributed across 3 major cities: Billings (3 communities), Bozeman (3 communities), and Missoula (2 communities). These population centers offer various care options including assisted living, memory care, independent living, and skilled nursing facilities. Montana's senior care landscape is characterized by smaller, community-focused facilities that provide personalized attention in settings that embrace the state's natural surroundings.

Cost-wise, Montana offers significant savings compared to national averages. Assisted living in Montana averages $5,605 per month, approximately 5% below the national average of $5,900. Nursing home care is even more affordable, with semi-private rooms averaging $8,813 monthly compared to the national figure of $9,277. These lower costs, combined with Montana's lack of sales tax and moderate property taxes, make the state financially attractive for seniors on fixed incomes.

Healthcare infrastructure in Montana includes major systems like Billings Clinic, Benefis Health System in Great Falls, and St. Patrick Hospital in Missoula, providing comprehensive medical services. The state's Medicaid program offers Home and Community-Based Services (HCBS) waivers that help eligible seniors receive care in assisted living settings rather than nursing homes. Montana's vast geography and rural character mean that while major cities offer concentrated services, seniors in smaller communities may need to travel for specialized care. The state's emphasis on aging in place has led to robust home care services, with home health aide costs averaging $5,938 monthly.

Types of Senior Living Care in Montana

Average Cost of Senior Care in Montana

Montana offers notably affordable senior care compared to national benchmarks, with assisted living averaging $5,605 monthly—approximately 5% below the national average of $5,900. Nursing home care is similarly economical at $8,813 for semi-private rooms versus the national average of $9,277. Private nursing home rooms average $10,114 monthly, while home health aide services cost approximately $5,938 per month. Regional variation exists across the state, with Bozeman's rapidly growing market sometimes commanding premium prices, while smaller communities like Billings and Missoula offer more moderate rates. Montana's lack of sales tax provides additional savings for seniors. Financial assistance is available through Montana Medicaid's HCBS waivers, Veterans Aid and Attendance benefits, and various state programs designed to help seniors afford quality care while remaining in their communities.

Assisted Living

Community-based residential care

$6,134

per month

$73,605/yr

3% below national avg

Nursing Home (Private Room)

24/7 skilled nursing care

$9,429

per month

$113,150/yr

21% below national avg

Nursing Home (Semi-Private)

Shared room nursing care

$9,064

per month

$108,770/yr

15% below national avg

Home Health Aide

In-home personal care

$7,627

per month

$91,520/yr

14% above national avg

Homemaker Services

In-home housekeeping & meals

$7,627

per month

$91,520/yr

18% above national avg

Adult Day Health Care

Daytime supervision & activities

$5,027

per month

$60,320/yr

82% above national avg

5% below national average

Frequently Asked Questions About Senior Living in Montana

How much does senior living cost in Montana?
Senior living in Montana is notably affordable compared to national averages. Assisted living costs average $5,605 per month, approximately 5% below the national average of $5,900. Nursing home care averages $8,813 for a semi-private room and $10,114 for a private room, both below national benchmarks. Home health aide services average $5,938 monthly. Costs may vary slightly by region, with Bozeman sometimes commanding higher prices due to its rapid growth and popularity.
How many senior living communities are in Montana?
Montana currently has 8 senior living communities distributed across 3 major cities. Billings leads with 3 communities, Bozeman also has 3 communities, and Missoula has 2 communities. These facilities offer various levels of care including assisted living, memory care, independent living, and skilled nursing services.
Does Montana Medicaid cover assisted living?
Yes, Montana Medicaid covers assisted living through its Home and Community-Based Services (HCBS) waivers, including the Big Sky Waiver and Elderly and Physically Disabled (EPD) Waiver. These programs pay for both room and board and care services in assisted living facilities for eligible seniors who meet financial criteria and require nursing home level of care. Montana is considered relatively senior-friendly in its Medicaid coverage of community-based care alternatives to nursing homes.
What are the best cities for senior living in Montana?
Billings offers the most senior living options with 3 communities and the state's most comprehensive healthcare infrastructure. Bozeman provides 3 communities in a vibrant university town setting with exceptional outdoor recreation and a growing healthcare system. Missoula features 2 communities with a progressive culture, strong arts scene, and university-driven lifelong learning opportunities. Great Falls serves as a healthcare hub for north-central Montana with Benefis Health System. Kalispell provides access to Flathead Valley's stunning natural beauty near Glacier National Park. Helena, the state capital, offers government services and a compact, manageable community size ideal for seniors.
What healthcare resources are available for seniors in Montana?
Montana's major healthcare systems include Billings Clinic, Benefis Health System in Great Falls, Bozeman Health, and Providence St. Patrick Hospital in Missoula. These facilities offer comprehensive geriatric services, specialized memory care programs, and rehabilitation services. The state also has a strong network of critical access hospitals serving rural areas, though seniors in remote locations may need to travel to larger cities for specialized care.
How does Montana's climate affect senior living choices?
Montana's four-season climate with cold, snowy winters significantly influences senior living decisions. Many seniors choose communities in lower-elevation areas like Billings or the western valleys around Missoula, which experience milder winters. Indoor amenities, covered walkways, and transportation services become essential features. However, the state's spectacular summers, low humidity, and outdoor recreation opportunities attract active seniors who appreciate seasonal variety and natural beauty.

Major Cities with Senior Living Options in Montana

Cities ranked by number of communities.

Billings

Population 117,093
Seniors (65+) 18.0 %
Communities 3
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Bozeman

Population 53,500
Seniors (65+) 10.7 %
Communities 3
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Missoula

Population 74,627
Seniors (65+) 14.3 %
Communities 2
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Butte

Communities 1
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Helena

Population 32,529
Seniors (65+) 20.8 %
Communities 1
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Whitefish

Population 8,098
Seniors (65+) 22.1 %
Communities 1
Explore Whitefish Senior Living
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Cities in Montana

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