The Ninth Five-Year Plan included policies in an attempt to care for the elderly left without children as caretakers. A Senior Health Facilities Fund has been established in each district. The Senior Citizens Health Facilities Program Implementation Guideline, 2061BS provides medical facilities to the elderly, and to those that are poverty stricken, free medicine and health care in all districts. In its yearly budget, the government has planned to fund free health care to all heart and kidney patients older than 75. Unfortunately, many of these plans are overly ambitious, which has been recognized by the Nepali government. Nepal is a developing nation and may not be able to fund all of these programs after the development of an Old Age Allowance, or OAA. OAA provides a monthly stipend to all citizens over 70 and widows over 60.
A distinction is generally made between medical and non-medical care, the latter not being provided by medical professionals and much less likely to be covered by insurance or public funds. In the US, 67% of the one million or so residents in assisted living facilities pay for care out of their own funds. The rest get help from family and friends and from state agencies. Medicare does not pay unless skilled-nursing care is needed and given in certified skilled nursing facilities or by a skilled nursing agency in the home. Assisted living facilities usually do not meet Medicare's requirements. However, Medicare pays for some skilled care if the elderly person meets the requirements for the Medicare home health benefit. 
Our 24.7 Premium Home Health Care Service provides a safe alternative to institutional living. We provide the exact combination of in-home care you need, up to 24 hours a day, for needs such as medical monitoring, assistance with personal care and chores, care for people with dementia such as Alzheimer’s, and temporary care while recovering from illness, injury or surgery.