About 13 million Americans need the help of another person with basic tasks of daily living. For these individuals and their families, the need for long-term care often causes substantial financial difficulties and other burdens. In contrast to acute medical care, most nursing home and home-based long-term care services are not covered by Medicare or private health insurance. As a result, people needing long-term care often face high out-of-pocket expenses for this care, as well as for prescription drugs and coinsurance payments for acute medical services. While Medicaid provides safety net coverage for nursing home services and, to a lesser degree, home care services, people must first exhaust their financial resources to become eligible for the program.