Boomers are not happy campers when it comes to the cost of health care in retirement, and they have cause.
Genworth Financial's annual study on the cost of long-term care highlights the way that costs have continued to rise. The study's figures for the most expensive states in which to receive care certainly give weight to boomer fears.
An Insured Retirement Institute report has also found that boomers are the least confident they've been in five years about having enough money to get through retirement; one of the expenses causing the most worry is health care.
Fully 81% of boomers don't feel financially prepared to cope with LTC needs, according to IRI. In addition, 28% are looking to postpone retirement until age 70 or later, because they don't believe they have enough money to deal with the expenses, including health care, that retirement will bring.
Genworth's study points out that LTC costs in other ways, too. It reports that 46% of unpaid family caregivers for those who remain at home end up footing a bill of more than $5,000 annually for a myriad of expenses, from last-minute grocery purchases to putting in grab bars in the shower for a loved one. Then there are the hefty demands on a caregiver's time and attention, which can negatively affect everything from her job to her health.
LTC is expensive; no way around that. Since Genworth's study provides insights on how much the cost varies from state to state, perhaps some people might want to contemplate relaocating to a state where care is more affordable — and there is a tremendous difference among states.
According to the senior living referral service A Place for Mom, prices for all types of senior living, including independent living facilities, hit record highs in 2014 — not a reassuring trend. In addition, facilities providing "memory care" (care for those with Alzheimer's disease and other forms of dementia) and assisted living are increasing in cost in the West and Midwest faster than in other parts of the country.
For the 12th year, Genworth's Cost of Care Survey, conducted by CareScout, provides not just the data, but includes a mobile app on Genworth's website and an interactive map. The data, from more than 47,000 provider survey outreaches, comes from 440 regions across the country, covering all 50 states and Washington, D.C. Also included are potential cost growth rates, as well as a look at how expenses in each category have risen over the past 5 years.
Keep reading for the 15 most expensive states for long-term care:

15. Oregon
Average Annual Cost: $55,338
Adult day care: $23,010
Licensed home care: $49,764
Assisted living: $46,560
Nursing home (private room): $102,018

14. Maryland
Average Annual Cost: $55,547
Adult day care: $20,540
Licensed home care: $44,616
Assisted living: $46,800
Nursing home (private room): $110,230

13. North Dakota
Average Annual Cost: $55,805
Adult day care:$19,562
Licensed home care: $59,854
Assisted living: $38,865
Nursing home (private room): $104,938

12. Washington
Average Annual Cost: $58,196
Adult day care: $17,563
Licensed home care: $54,088
Assisted living: $55,500
Nursing home (private room): $105,631

11. Vermont
Average Annual Cost: $58,386
Adult day care: $32,136
Licensed home care: $48,048
Assisted living: $48,240
Nursing home (private room): $105,120

10. Rhode Island
Average Annual Cost: $59,518
Adult day care: $17,290
Licensed home care: $53,768
Assisted living: $63,900
Nursing home (private room): $103,113
9. Maine
Average Annual Cost: $60,923
Adult day care: $28,080
Licensed home care: $50,336
Assisted living: $57,600
Nursing home (private room): $107,675

8. Delaware
Average Annual Cost: $62,648
Adult day care: $17,995
Licensed home care: $45,760
Assisted living: $68,940
Nursing home (private room): $117,895

7. New Hampshire
Average Annual Cost: $63,326
Adult day care: $16,900
Licensed home care: $52,899
Assisted living: $61,230
Nursing home (private room): $122,275

6. Hawaii
Average Annual Cost: $63,797
Adult day care:$17,225
Licensed home care: $54,912
Assisted living: $48,000
Nursing home (private room): $135,050

5. New York
Average Annual Cost: $63,946
Adult day care: $22,100
Licensed home care: $48,048
Assisted living: $49,200
Nursing home (private room): $136,437

4. New Jersey
Average Annual Cost: $66,237
Adult day care:$22,165
Licensed home care: $46,332
Assisted living: $68,700
Nursing home (private room): $127,750

3. Massachusetts
Average Annual Cost: $68,605
Adult day care: $16,900
Licensed home care: $54,340
Assisted living: $63,600
Nursing home (private room): $139,580

2. Connecticut
Average Annual Cost: $72,896
Adult day care:$20,150
Licensed home care: $45,760
Assisted living: $66,900
Nursing home (private room): $158,775

1. Alaska
Average Annual Cost: $110,291
Adult day care: $31,829
Licensed home care: $59,488
Assisted living: $68,430
Nursing home (private room): $281,415
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