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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.

The state's senior living infrastructure includes 79 communities distributed across 3 major cities: Billings (11 communities), Bozeman (6 communities), and Missoula (6 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. 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.

Types of Senior Living Care in Montana

Top Rated Communities in Montana

Highest rated senior living communities based on reviews.

Open Arms Elder Care - Senior Living in Montana

Open Arms Elder Care

Open Arms Elder Care

Belgrade, MT

Highgate Senior Living - Great Falls - Senior Living in Montana

Highgate Senior Living - Great Falls

Highgate Senior Living

Great Falls, MT

The Springs at Whitefish - Senior Living in Montana

The Springs at Whitefish

The Springs Living

Whitefish, MT

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Cost of Senior Care in Montana

The median cost of assisted living in Montana was $6,134 a month in the 2024 survey, 4% above the national median of $5,900.

Median monthly cost by care type, Montana and the United States
Care type Montana U.S. median
Assisted living $6,134 4% above U.S. $5,900
Nursing home, semi-private room $9,064 2% below U.S. $9,277
Nursing home, private room $9,429 11% below U.S. $10,646
Home health aide $7,627 18% above U.S. $6,483
Adult day health care $5,027 132% above U.S. $2,167

Source: Genworth/CareScout Cost of Care Survey, 2024 (state median). Monthly figures are the annual median divided by 12. The survey does not cover independent living or memory care. Actual costs vary by community, location and level of care.

Frequently Asked Questions About Senior Living in Montana

How much does senior living cost in Montana?
The median cost of assisted living in Montana was $6,134 a month in the 2024 survey, 4% above the national median of $5,900. Source: Genworth/CareScout Cost of Care Survey, 2024 (state median).
How many senior living communities are in Montana?
Montana has 79 senior living communities listed on Ultimate Senior Resource, across 44 cities. The most listings are in Billings (11), Bozeman (6) and Missoula (6).
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 11 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 11
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Missoula

Population 74,627
Seniors (65+) 14.3 %
Communities 6
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Bozeman

Population 53,500
Seniors (65+) 10.7 %
Communities 6
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Butte

Communities 5
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Great Falls

Population 60,373
Seniors (65+) 19.7 %
Communities 5
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Helena

Population 32,529
Seniors (65+) 20.8 %
Communities 3
Explore Helena Senior Living

Kalispell

Population 25,473
Seniors (65+) 17.7 %
Communities 3
Explore Kalispell Senior Living
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