Maybe you know someone like this: a retired librarian, 84, who has lived alone for 12 years and likes it. But her closest friend moved away, and she no longer drives at night. Some weeks, the only voice she hears is the radio, and her son worries.

Staying home works best when home is connected to people. Friends, neighbors, a place of worship, a club, and a regular phone call all help keep life full. They also help keep problems from going unnoticed.

This guide covers why connection matters for health and for staying home, and what it costs. It covers low-cost and free ways to stay in touch, and how another person can help. It does not assume anyone is lonely. Many people enjoy living alone.

What it is: isolation and loneliness

Social isolation means having few relationships or little contact with others. Loneliness is the feeling of being alone, or of having less connection than you want. They are different. Someone can live alone and feel well connected, or live with family and feel lonely.

Living alone is common. In 2023, 26% of Americans 65 and older lived alone, and 38% of those 85 and older1. If living alone suits you, our guide "I Like Living Alone." Could Home Sharing Still Fit? respects that choice.

Why connection matters for staying home

The U.S. Surgeon General's 2023 advisory reported that about half of U.S. adults say they experience loneliness2. According to the federal health department, social isolation raises the risk of early death by 29%. Poor social relationships can raise the risk of heart disease by 29% and of stroke by 32%. For older adults, long-lasting loneliness and isolation can raise the risk of dementia by about 50%3.

Isolation also has a price. An AARP and Stanford study estimated that Medicare spends about $1,608 more a year on each older adult with few social contacts. That adds up to about $6.7 billion a year. About 14% of people in Original Medicare, roughly 4 million, had few social ties4.

Connection also helps in practical ways. A friend who calls each day may notice when something is wrong. A neighbor may offer a ride. These small threads make it easier to stay in the home you choose.

How the cost is set

Most ways to stay connected cost little. A senior center, a place of worship, a library, or a phone call is often free. The costs that add up tend to be phone and internet bills, which providers set. Rides to get places add up too. Our guide Getting Around When You Stop Driving covers rides.

What you get in return

Connection gives you company, purpose, and routine. It also gives you people who know your habits and may notice a change. No single program does all of that. Most people do best with a mix. Try one or two regular activities, a few people who check in, and a way to reach others from home.

Ways to lower the cost

What is offered varies by state and community, so start with the Eldercare Locator. To keep other housing costs in check, see Help with housing costs, state by state.

What can change it

Connection often shifts after a big change. That might be losing a spouse, a friend moving away, retiring, or giving up driving. If you have recently lost a partner, After the Casseroles Stop speaks to that time.

Someone moving into your home can change your days, too. If they pay rent, read Will Sharing My Home Affect My Benefits? and Taxes on Rent From a Room, in Plain Words.

An extra set of hands

Another person in the home is one option among many. A family member, friend, or neighbor who calls or stops by can do much of the same.

Hired companionship has a price. In 2025, the national median for non-medical caregiver services was $35 an hour14.

Company is optional and agreed in advance. Some people share dinner every night. Others mostly keep to themselves. Being present is not caregiving. Skilled or risky work belongs to licensed professionals. That means roofs, trees, electrical, plumbing, gas, and anything on a ladder above the first floor. See Help Around the House Is Not Caregiving.

Watch for

Conversation starters

If you are an adult child or friend talking with an older adult:

If you are an older adult talking with family or caregivers:

Living alone is not the same as being lonely, and staying home works best when home is connected to people.

Where to get help

  • Eldercare Locator, 1-800-677-1116: finds your Area Agency on Aging, senior centers, meals, and visiting or phone programs.
  • Friendship Line, 888-670-1360: free, 24-hour emotional support and check-in calls.
  • AmeriCorps Seniors: volunteer roles for people 55 and older.
  • Lifeline, (800) 234-9473: discounts on phone or internet service.
  • Senior Planet from AARP: free technology classes for older adults.
  • Commit to Connect, from the federal aging agency: ideas and tools for staying connected, including a social isolation self-check.

Last reviewed October 14, 2026. This guide is general information, not medical, legal, or benefits advice. Programs, discounts, and who qualifies vary by state and change over time, so confirm details with each program or your Area Agency on Aging.

SourcesShow the sourcesHide the sources The numbers in this guide match the sources below.
  1. Pew Research Center
  2. Surgeon General's advisory, PDF
  3. U.S. health department, social connection
  4. AARP, 2017
  5. National Council on Aging, senior center facts
  6. federal aging agency, nutrition services
  7. Anne Arundel County
  8. AmeriCorps Seniors
  9. Lifeline, how to qualify
  10. Federal Communications Commission
  11. program administrator, Affordable Connectivity Program
  12. AARP
  13. HomeShare Vermont FY2024 report, PDF
  14. CareScout 2025 Cost of Care Survey
  15. Federal Trade Commission, romance scams

Last reviewed October 14, 2026