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Is Massachusetts a good state for seniors? Weighing the pros and cons

4 min read

According to a 2025 report by America's Health Rankings, Massachusetts ranks exceptionally well for senior health access and quality, but it is also one of the most expensive states in the country. This creates a complex picture when considering, is Massachusetts a good state for seniors?**

Quick Summary

Massachusetts is a mixed bag for older adults, boasting top-tier healthcare and rich cultural offerings, but offset by a very high cost of living. Tax breaks exist for Social Security and public pensions, though private retirement income is taxed.

Key Points

  • High Cost of Living: Massachusetts has a cost of living significantly above the national average, largely driven by expensive housing.

  • Exceptional Healthcare: The state boasts some of the country's best healthcare access and quality, with renowned hospitals and robust senior-focused programs.

  • Favorable Social Security Tax Policy: Social Security benefits are not taxed by the state, providing a financial benefit for many retirees.

  • Mixed Tax Situation for Private Income: Private pensions and 401(k) withdrawals are taxed, and the estate tax threshold is low compared to other states.

  • Diverse Lifestyle and Culture: From historical sites and museums to coastal and mountain recreation, there are abundant opportunities for active seniors.

  • Excellent Public Transportation: The robust public transit system, especially in urban centers, offers convenient, affordable mobility for seniors.

In This Article

High Cost of Living and Housing

One of the most significant factors to consider when asking "Is Massachusetts a good state for seniors?" is the high cost of living. With a cost of living approximately 44% higher than the national average, Massachusetts can be a budget challenge for seniors on a fixed income. Housing costs are a major contributor, with the average home price significantly higher than the national median. For example, the median home value in Massachusetts is well over $650,000, and rent is also significantly high. Assisted living and home care services also reflect this trend, with costs ranking among the highest in the country. However, prices vary greatly by region, with more affordable pockets found in cities like Pittsfield and Springfield compared to Boston and its expensive suburbs.

Potential Affordability in Certain Regions

  • Springfield: The median home value in Hampden County is more modest than the state average, offering more accessible housing costs.
  • Pittsfield: This western Massachusetts city provides a lower cost of living and offers affordable housing, alongside access to culture and nearby natural beauty.
  • Cape Cod: While some areas are expensive, towns like Yarmouth offer a coastal lifestyle with more reasonably priced options.

Exceptional Healthcare and Senior Support Systems

On the positive side, Massachusetts is nationally recognized for its world-class healthcare system, a major draw for seniors.

Leading medical facilities

  • Massachusetts General Hospital (MGH): A top-ranked hospital offering comprehensive geriatric services.
  • Brigham and Women's Hospital (BWH): Known for specialized clinics addressing conditions like osteoporosis and geriatric oncology.
  • Tufts Medical Center: Another highly regarded institution in the state.

Beyond hospital care, the state provides robust support systems. The Executive Office of Elder Affairs offers programs for home care and nutrition. The state's Senior Care Options (SCO) program provides comprehensive coverage for Medicaid-eligible seniors, and the Prescription Advantage program helps with drug costs.

Taxes and Financial Considerations

The tax environment for seniors in Massachusetts presents a mixed bag of benefits and drawbacks. Understanding these details is crucial for retirement planning.

Tax benefits for seniors

  • Social Security Exemption: Massachusetts does not tax Social Security benefits.
  • Public Pension Exemption: Income from public pensions is also exempt.
  • Senior Circuit Breaker Credit: This refundable tax credit is available for qualifying seniors aged 65 and older who own or rent their primary residence, offering a substantial credit amount.

Potential tax burdens

  • Tax on Private Retirement Income: Income from private pensions, 401(k)s, and IRAs is subject to the state's flat 5% income tax rate.
  • Property Taxes: While the average effective property tax rate is around 1.15%, the high home values mean median annual payments are relatively high.
  • Estate Tax: Massachusetts has a low estate tax exemption of just $2 million, one of the lowest thresholds in the U.S..

Diverse Lifestyle, Culture, and Recreation

For seniors who enjoy an active lifestyle, Massachusetts offers a wide array of activities throughout its four distinct seasons. The state's rich history and diverse culture provide endless opportunities for engagement and learning.

  • Cultural Attractions: Cities like Boston, Cambridge, and Worcester boast world-class museums, theaters, and historical sites, including the Freedom Trail and Fenway Park.
  • Outdoor Activities: From the beaches of Cape Cod to the mountains of the Berkshires, seniors can enjoy hiking, fishing, biking, and skiing. There are also numerous state parks and gardens to explore.
  • Lifelong Learning: Access to higher education institutions, like the Five College Learning in Retirement program, offers intellectual engagement.

Safety and Transportation

Massachusetts is generally a safe state, with a low violent crime rate, and ranks highly for public safety. For those preferring not to drive, public transportation is a major asset, especially in urban areas.

  • Public Safety: Recent studies have ranked Massachusetts as one of the safest states in the country, though urban crime rates can vary.
  • Public Transportation: The Massachusetts Bay Transportation Authority (MBTA) provides extensive subway, bus, and commuter rail service in the greater Boston area, with discounted fares for seniors.

Is Massachusetts a Good State for Seniors? A Comparison with New Hampshire

To help prospective retirees decide, here is a comparison of Massachusetts with a popular, more affordable regional alternative, New Hampshire.

Feature Massachusetts New Hampshire Source
Cost of Living Significantly higher than the national average. Can be more affordable, especially in rural areas.
Income Tax 5% flat income tax on private retirement income. No tax on earned income or retirement income. ,
Social Security Tax Not taxed. Not taxed. ,
Estate Tax Exemption starts at $2 million, one of the lowest nationally. No estate or inheritance tax.
Healthcare World-class, top-tier access and quality, though costly. Strong healthcare, often more affordable than MA. ,
Climate Cold, snowy winters and humid summers. Also has four seasons, though may be less humid.

Conclusion

Ultimately, whether Massachusetts is a good state for seniors depends on individual priorities and financial situations. The state offers compelling advantages, including an outstanding healthcare system, a rich cultural scene, and numerous tax benefits for those on Social Security or public pensions. However, the extremely high cost of living and specific tax burdens on private retirement income are major considerations that cannot be ignored. For affluent seniors prioritizing top-tier medical care and an active cultural life near family, the Bay State could be an excellent fit. For those on a more modest budget, careful financial planning and considering more affordable regions within the state or neighboring states like New Hampshire will be essential.

Learn more about senior services in the state by exploring the official Mass.gov website.

Frequently Asked Questions

Massachusetts is moderately tax-friendly for retirees. It does not tax Social Security income or public pensions. However, income from private pensions and retirement accounts is taxed at the state's 5% income tax rate, and the estate tax has a low $2 million exemption.

The cost of assisted living in Massachusetts is high and varies by location and services needed. In 2025, the median monthly cost was estimated at $6,939, but can be significantly higher in certain areas like Pittsfield.

Yes, especially in the greater Boston area, where the MBTA offers an extensive network of subway, bus, and commuter rail services. Seniors can also receive discounted fares and senior passes.

Yes, some seniors may be eligible for the 'Senior Circuit Breaker Tax Credit.' This refundable personal income tax credit applies to property taxes or rent for qualifying individuals aged 65 and older.

Massachusetts is known for its high-quality healthcare, with numerous world-class hospitals and a high density of physicians. The state consistently ranks highly for senior healthcare access and quality.

Massachusetts experiences cold, snowy winters, which can be challenging for some seniors, particularly those with mobility issues. The climate can be a significant factor for those not accustomed to seasonal changes.

While the statewide cost of living is high, more affordable communities exist outside of major metro areas. Cities like Springfield, Pittsfield, and some towns on Cape Cod offer a lower cost of living compared to Boston and its suburbs.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.