This guide gives you the real 2026 numbers for cost of memory care bellevue in Bellevue, not generic national averages. Pricing comes from active local providers we work with; it's refreshed every 30 days.
You'll find: monthly ranges, what's included, how Medicaid / Medicare / VA benefits / long-term-care insurance reduce out-of-pocket cost, and a step-by-step on how families typically structure payment over 2–5 years.
What memory care means — and who it's for
Memory care is for someone with Alzheimer's or another dementia who wanders, gets disoriented, or needs a secured, structured environment with dementia-trained staff. Families usually move here when safety at home or in standard assisted living slips.
How Washington regulates it: Washington does not issue a separate "memory care" license. Secured dementia care is a Specialized Dementia Care specialty delivered inside DSHS-licensed assisted living facilities (RCW 18.20, WAC 388-78A) or adult family homes that meet additional staffing, security, and dementia-training rules. Confirm the secured-unit staffing ratio and staff dementia-training hours.
In Bellevue specifically, that means weighing the licensed options against Bellevue's cost range and your family's timeline. The right choice balances care level, budget, location near Overlake Medical Center, and how quickly you need a spot.
What memory care costs in Bellevue (2026)
Bellevue pricing runs $8,150–$10,700/month, above the metro average for the Greater Seattle metro — a reflection of local real-estate and the mix of small adult family homes versus larger communities.
- Assisted living (standard): $6,500–$9,100/month
- Memory care: $8,150–$10,700/month
- Adult family home: $5,400–$8,400/month
- In-home care: $43–$60/hour
In Bellevue, the levers on price are room type (shared saves the most), facility size (small adult family homes run cheaper), an honest care-level assessment, and benefit programs like VA Aid & Attendance and Washington Apple Health (COPES).
Bellevue memory care: by the numbers
11 DSHS-licensed assisted living facilities on file in Bellevue; about 970 total licensed beds; averaging 88 beds per community; the largest at 140 beds; 2 accepting Apple Health (Medicaid). Memory care in Washington is a Specialized Dementia Care specialty delivered inside DSHS-licensed assisted living facilities (and adult family homes) that meet additional staffing, training, and secured-unit rules — it is not a separate license. These numbers reflect actual DSHS-licensed providers on file, not modeled averages.
Licensed memory care providers in Bellevue
Providers flagged for Specialized Dementia Care (secured/dementia-trained units). Source: Washington DSHS / ALTSA Residential Care Services, current 2026. Always confirm a current license at fortress.wa.gov/dshs/adsaapps/lookup before signing.
Accepts Apple Health (Medicaid): 2
| Provider | City | Licensed beds | DSHS license # |
|---|---|---|---|
| The Watermark at Bellevue | Bellevue | 140 beds | 2626 |
| Aegis Living Bellevue Overlake | Bellevue | 122 beds | 2567 |
| Sunrise of Redmond | Bellevue | 120 beds | 2464 |
| The Park at Belle Harbour | Bellevue | 100 beds | 2703 |
| SUNRISE OF BELLEVUE | Bellevue | 90 beds | 2163 |
| PATRIOTS GLEN | Bellevue | 82 beds | 2121 |
| Aegis of Bellevue | Bellevue | 77 beds | 2491 |
| THE GARDENS AT TOWN SQUARE | Bellevue | 75 beds | 1604 |
| The Bellettini | Bellevue | 60 beds | 2782 |
| Silverado - Bellevue | Bellevue | 56 beds | 2573 |
| EVERGREEN COURT | Bellevue | 48 beds | 1502 |
What's included — and what costs extra
Usually included: a secured residence, all meals, 24/7 dementia-trained staff, structured daily activities, housekeeping, laundry, and behavioral support. Typically extra: higher acuity care, two-person transfers, hospice coordination, and private-duty aide time. Ask any Bellevue provider for an itemized rate sheet so you can compare apples to apples.
How fast you can move in Bellevue
Most Bellevue moves come together in 7–14 days once the health assessment, finances, and a physician's order are in hand; a hospital discharge can compress that to 24–72 hours when a bed is open. A free local advisor can tell you which Bellevue providers have current openings.
Senior care in Bellevue, King County
Bellevue is the Eastside's affluent center, a city of about 150,000 across Lake Washington from Seattle, with high household incomes, a large share of long-tenured homeowners over 65, and the headquarters of regional operator Aegis Living. Anchored by Overlake Medical Center, Bellevue is the metro's premium Eastside market — the highest-cost city in the region, with upscale assisted living, secured memory care, and a dense network of well-appointed adult family homes.
Nearby hospitals: Overlake Medical Center, Swedish Issaquah (nearby), EvergreenHealth Kirkland (nearby), Virginia Mason Bellevue (clinic). Being near a hospital helps with post-rehab follow-up, sudden memory-care needs, and routine specialist care, so Bellevue families weigh drive time to these closely.
Areas families ask about: Downtown Bellevue, Crossroads, Factoria, Somerset, Newport Hills, West Bellevue.
How Bellevue families actually pay for care
Very few families cover senior care from a single source. In Bellevue, the typical plan layers several of these, often shifting over a multi-year stay:
- Personal savings & Social Security. Most Puget Sound families self-fund the first 12–24 months from savings, pensions, and monthly Social Security before tapping other sources.
- Long-term-care insurance. If a policy is in force, it can cover a large share of assisted living or home care — check the elimination period and daily benefit cap. Washington's WA Cares Fund also provides a state long-term-care benefit for eligible workers.
- VA Aid & Attendance. Eligible wartime veterans and surviving spouses can receive roughly $1,800–$2,900/month toward care — a major lever in a metro served by VA Puget Sound (Seattle and the American Lake campus in Lakewood).
- Washington Apple Health (Medicaid) long-term care. Washington's Apple Health long-term care — delivered in the community through the COPES waiver, administered by DSHS Home and Community Services — covers personal care and many community-based services for those who qualify by income and assets. Adult family homes are a common low-cost, Medicaid-contracted setting.
- Home equity. Selling the family home or a reverse mortgage frequently funds sustained care once a parent has moved.
- Family cost-sharing. Siblings often split the monthly gap; a written agreement keeps it fair and durable.
Because Bellevue memory care can run into the thousands per month, mapping the funding plan early — before a crisis — often saves a family tens of thousands of dollars. A free local advisor can tell you which of these you qualify for and which Bellevue providers accept Apple Health (the COPES waiver).
Washington programs & protections to know
Washington senior care is licensed and inspected by the Department of Social and Health Services (DSHS) — through its Aging and Long-Term Support Administration (ALTSA) and Residential Care Services (RCS); you can verify any license, inspection, and complaint history free at fortress.wa.gov/dshs/adsaapps/lookup. Service funding and in-home support are coordinated through the local Area Agency on Aging — in the Seattle metro, Aging and Disability Services (ADS) for King County, Homage in Snohomish, and Aging & Disability Resources of Pierce County. Long-term-care help runs through Apple Health (Medicaid) and the COPES waiver, and residents are protected by the Long-Term Care Ombudsman and DSHS Adult Protective Services. These are the same programs our advisors help families navigate at no cost.
Worth knowing in Bellevue: the strongest memory care options aren't always the ones with the biggest marketing budgets. We weigh license standing, staffing, and family feedback over advertising, which is how families here avoid a polished tour that hides a thin overnight staff.