Mexico Long Term Care Market Overview, 2031

Key Insights

• Mexico's long-term care market is emerging as a critical component of the national healthcare system, driven by rapid population aging. In 2025, Mexico had 17.1 million adults aged 60 years and older, representing 12.8% of the national population. By 2050, this group will reach one in every four Mexicans.
• The country does not yet finance long-term care through a single dedicated system. The financing architecture remains fragmented across health services, social assistance, income support programs, and substantial unpaid family care. Unpaid domestic and care work represents 26.3% of Mexico's Gross Domestic Product.
• Long-term care infrastructure in Mexico remains severely limited. The National Institute for Older Adults (INAPAM) maintains a Registry of 1,284 public and private institutions providing services to older adults across 31 states. However, the public sector operates only a limited number of official shelters.
• The Mexican government has taken a significant step toward care system development with the creation of Anexo Transversal 31, "Consolidación de una Sociedad de Cuidados," within the federal expenditure budget for 2026. This identifies approximately 466.7 billion pesos (1.21% of GDP) across federal expenditure associated with care society development.
• The caregiver workforce in Mexico is overwhelmingly female. The National Institute of Statistics and Geography (INEGI) reports that 75.1% of caregivers in the country are women.

Market Outlook

• According to the Bonafide research report, "Mexico Long Term Care Market Outlook, 2031," published by Bonafide Research, the Mexico Long Term Care Market is anticipated to grow at more than 7.34% CAGR from 2026 to 2031. This growth is supported by accelerating demographic change, limited public infrastructure, and the rapid expansion of private sector senior living and care services.
• Mexico is experiencing one of the fastest demographic transitions in the world. The country will reach a proportion of older adults similar to that of Europe in 30 years, compared to the century it took European countries. By 2030, there will be more older adults than children under 14 years of age. By 2050, one in every four Mexicans will be over 60 years old.
• The demand for formal long-term care services is expected to significantly outpace available supply. The National Population Council (CONAPO) estimates that Mexico will need to substantially expand its residential care capacity to meet the needs of its rapidly aging population.
• The "Salud Casa por Casa" program represents a major government initiative to expand home healthcare services. With 19,300 healthcare workers deployed to conduct monthly or bimonthly visits to 8.2 million older adults and people with disabilities, the program is establishing a foundational home healthcare infrastructure. The program includes clinical record creation, vital sign monitoring, medication management, and coordination with IMSS, ISSSTE, and IMSS-Bienestar health services.
• Private long-term care insurance is emerging as a growth segment in Mexico. Currently, there are more than 14 million active major medical expense insurance policies in the country, of which approximately 1 million belong to people over 60 years of age. The government and insurers are working on more accessible health insurance products for older adults.

Market Dynamics

Driver: Accelerated Demographic Aging Mexico is undergoing one of the fastest demographic transitions in the world. According to INEGI data, Mexico had 17.1 million adults aged 60 and older in 2025, equivalent to 12.8% of the national population. By 2040, this figure is projected to reach approximately 28 million, and by 2050, 33.4 million older adults. The population aged 80 years and above is also growing, with this age group representing 8.1% of women and 7.6% of men among the 50+ population. This oldest-old cohort has the highest per capita utilization of long-term care services. The prevalence of chronic conditions among older adults is substantial among those aged 60 and older, hypertension affects 56.2% of women and 40.6% of men, while diabetes affects 29.7% of women and 25.2% of men. These chronic conditions create sustained demand for long-term care services across home healthcare, nursing facilities, and assisted living settings. Life expectancy in Mexico is currently 75.5 years overall, with women at 78.6 years and men at 72.4 years.



Challenge: Severe Infrastructure Deficit and Limited Public Capacity Mexico's long-term care infrastructure is critically insufficient to meet current, let alone future, demand. INAPAM maintains a Registry of 1,284 public and private institutions providing services to older adults across 31 states. However, the public sector operates only a limited number of official shelters. INAPAM administers 26 official shelters nationwide providing comprehensive medical care, physical rehabilitation, care, nutrition, occupational therapy, and cognitive stimulation. The healthcare system faces a severe shortage of geriatric specialists, with only two out of every 100 physicians holding a specialty in geriatrics. The lack of a comprehensive national care system means that care falls primarily on families without institutional support. While direct government transfers exist, these do not constitute an integrated care system. This infrastructure gap represents both a significant challenge for families and a substantial market opportunity for private sector providers.

Trend: Emergence of Formal Care Markets and Government Home Healthcare Expansion Mexico is witnessing the emergence of formal long-term care markets driven by demographic pressure and changing family structures. The federal government's "Salud Casa por Casa" program, launched in April 2025, represents a major expansion of home healthcare infrastructure. With 19,300 healthcare workers conducting regular home visits to 8.2 million older adults and people with disabilities, the program is establishing a foundation for aging in place. Private long-term care insurance is emerging as a growth segment. BBVA projected that Koltin would reach 7,000 families by 2030, but this target was achieved in 2025 with more than 200 million pesos in sales. Insurance products are evolving from traditional coverage toward hybrid policies that combine protection, investment, and long-term care benefits. The convergence of government home healthcare expansion, private sector senior living development, and emerging insurance products is creating the foundation for a more comprehensive long-term care ecosystem in Mexico.

Policies

• The Mexican government launched the "Salud Casa por Casa" program in April 2025, deploying 19,300 healthcare workers to provide periodic at-home medical visits to 8.2 million older adults and people with disabilities. The program includes clinical record creation, vital sign monitoring, medication management, and coordination with IMSS, ISSSTE, and IMSS-Bienestar health services. A long-term Telehealth Call Center is planned to provide ongoing guidance.
• The federal government has created Anexo Transversal 31, "Consolidación de una Sociedad de Cuidados," within the federal expenditure budget for 2026, identifying approximately 466.7 billion pesos (1.21% of GDP) across federal expenditure associated with care society development. The Anexo includes 49 budgetary programs from 19 federal entities that provide accessible and quality care services.
• The Mexico City government has committed 12 billion pesos over six years to develop a Public Care System, including 300 childcare centers, 200 day care homes for older adults, 200 rehabilitation centers, 16 long-term stay homes, and 200 community kitchens.
• The Senate is considering an initiative to reform the Law on the Rights of Older Adults to create a National Caregiver Training and Support Networks Program. The initiative recognizes that Mexico is aging and that families, traditionally the primary support network, have changed.
• The National Institute for Older Adults (INAPAM) administers official shelters providing comprehensive medical care, physical rehabilitation, care, nutrition, occupational therapy, and cognitive stimulation in permanent stay modality. INAPAM also operates day residences providing gerontological care in temporary stay modality.
• Mexico has requested assistance from the Inter-American Development Bank for projects to train caregivers and generate a long-term care strategy for older adults.

Segment Analysis

Mexico Long-Term Care Market By Service Type • Home Healthcare: Home healthcare represents the fastest-growing service segment in Mexico's LTC market, driven by the preference of older adults to age in place and government initiatives expanding home-based care. The federal government's "Salud Casa por Casa" program has deployed 19,300 healthcare workers to provide preventive care, clinical follow-up, and health guidance in the homes of older adults and people with disabilities. The program has visited 8.2 million older adults and people with disabilities. Home healthcare includes skilled nursing services, medication management, wound care, personal support services, and follow-up care delivered in the patient's home.
• Nursing Care / Skilled Nursing Facilities: The nursing facility sector in Mexico includes long-term stay homes and shelters providing 24-hour gerontological care. INAPAM administers 26 official shelters nationwide providing comprehensive medical care, physical rehabilitation, care, nutrition, occupational therapy, and cognitive stimulation in permanent stay modality. The sector faces significant capacity constraints, with demand far exceeding supply. Nursing facilities provide 24-hour nursing, medical and personal support services for older adults with complex health conditions or physical needs.
• Assisted Living Facilities: Assisted living is an emerging segment in Mexico's LTC market. INAPAM operates day residences providing gerontological care in a temporary stay modality. The majority of facilities are in the private sector. The assisted living sector is expanding, particularly in popular retirement destinations. The segment is predominantly private-pay, serving those with sufficient financial resources.
• Hospice and Palliative Care: Hospice and palliative care services in Mexico are delivered across multiple settings, including homes, hospitals, and specialized facilities. The growing prevalence of chronic conditions among older adults with hypertension affecting 56.2% of women and 40.6% of men aged 60+, and diabetes affecting 29.7% of women and 25.2% of men creates sustained demand for end-of-life care services. The ISSSTE has strengthened its palliative care services through the Programa de Envejecimiento Saludable.
• Other Services: This segment includes memory care facilities, adult day care, long-term rehabilitation services, and continuing care retirement communities. INAPAM operates day residences providing gerontological care in a temporary stay modality. Memory care services represent a growing subsector within this segment, driven by the increasing prevalence of Alzheimer's disease and other dementias among the aging population. The need for long-term care services is growing especially among adults aged 80 and older, who represented 8.1% of women and 7.6% of men among the 50+ population in 2024.

Mexico Long-Term Care Market By Payer Type • Public: Public sources account for a significant but insufficient portion of long-term care spending in Mexico. The federal government's "Salud Casa por Casa" program represents a major public investment in home healthcare infrastructure, with 19,300 healthcare workers deployed to serve 8.2 million older adults and people with disabilities. INAPAM administers 26 official shelters providing comprehensive care. Anexo Transversal 31 identifies approximately 466.7 billion pesos across federal expenditure associated with care society development. However, public long-term care infrastructure remains severely limited, with 3.2 million older adults lacking access to social security.
• Private: Private sources account for a substantial portion of long-term care spending in Mexico. INAPAM's Registry includes 1,284 public and private institutions providing services to older adults across 31 states. The majority of residential facilities are in the private sector. Private long-term care insurance is an emerging segment, with more than 14 million active major medical expense insurance policies in the country, of which approximately 1 million belong to people over 60 years of age.
• Out-of-Pocket: Out-of-pocket payments represent the dominant source of long-term care financing in Mexico. 3.2 million older adults lack access to social security, forcing families to bear the full cost of care or rely on informal caregiving. The economic value of unpaid domestic and care work performed by the population aged 12 and older was 8 trillion pesos in 2024. The absence of a care system undermines productivity and competitiveness.

Mexico Long-Term Care Market By Gender • Female residents account for the largest share of Mexico's long-term care spending and caregiving, driven by higher life expectancy and the gendered nature of care work. Women's life expectancy in Mexico is approximately 78.6 years, compared to 72.4 years for men. Among the population aged 50 and older, women represent 52.8% compared to 47.2% men. Women are more likely to live alone in old age, increasing their reliance on formal paid care services. The caregiving workforce is overwhelmingly female 75.1% of caregivers in Mexico are women. Women of childbearing age dedicate approximately 30.1 hours per week to unpaid care work, compared to 16.3 hours for men.
• Male residents account for a smaller but growing share of Mexico's long-term care spending. The need for long-term care affects persons of all ages and is generally measured by limitations in an individual's ability to perform daily personal care activities. Among those aged 50 and older, 9.3% reported at least one difficulty with instrumental activities of daily living 12.4% among women and 5.8% among men. As male life expectancy increases, the representation of men in the older adult cohort is slowly growing.

Mexico Long-Term Care Market Economics

• The cost of long-term care services varies significantly by service type, geographic location, and facility ownership. Private assisted living costs in Mexico are inaccessible to many families. The average monthly cost of care services for older adults is approximately 22,500 pesos, while the average household income is 25,955 pesos per month. This means that care costs consume nearly 87% of average household income, making formal care unaffordable for most families.
• The public sector operates only a limited number of facilities, with costs subsidized but facilities operating under saturated conditions. The private sector operates the majority of facilities with costs that are prohibitive for the majority of families. 3.2 million older adults lack access to social security.
• The economic value of unpaid care work is substantial. In 2024, the economic value of domestic and care work performed by the population aged 12 and older was 8 trillion pesos. The absence of a care system undermines productivity and competitiveness, with estimates suggesting that greater female participation in the labor market could significantly add to GDP.
• Staffing costs represent a significant operating expense for LTC providers. The number of paid caregivers in Mexico is estimated at 431,664. The lack of specialized geriatricians only two out of every 100 physicians hold a specialty in geriatrics creates a significant workforce constraint.
• Private long-term care insurance is an emerging market segment. Currently, there are more than 14 million active major medical expense insurance policies in the country, of which approximately 1 million belong to people over 60 years of age. The government and insurers are working on more accessible health insurance products for older adults.


Considered in this report
• Historic Year: 2020
• Base year: 2025
• Estimated year: 2026
• Forecast year: 2031

Aspects covered in this report
• Long-term care Market with its value and forecast along with its segments
• Various drivers and challenges
• On-going trends and developments
• Top profiled companies
• Strategic recommendation

By Service Type
• Home Healthcare
• Nursing Care / Skilled Nursing Facilities: 
• Assisted Living Facilities
• Hospice & Palliative Care:
• Other Services

By Payer Type
• Public
• Private
• Out-of-Pocket

By Gender
• Male
• Female