by Bill Miller | Jan 23, 2020 | Blog, Elder Care Planning, Medicaid, Medicaid Qualification, Nursing Home
Hearing a doctor say that your loved one needs skilled nursing care, 24/7, can be a real shock. Chances are, you have not given much thought to planning for long-term care. If you have just learned that your dad or mom needs 24/7 care – or think this may happen in the future – continue reading to learn more about what you can do to help.
The Realities of 24/7 Care
If your mom needs 24/7 care, you are not alone. In fact, the following statistics tell an interesting story about long-term care:
- 52% of people age 65 right now will need long-term care at some point.
- 47% of men and 58% of women age 65 or older face long-term care.
Some people will need skilled nursing care for years. The cost of 24/7 care can be staggering. In Alabama, the monthly costs for long-term care in 2018 were:
- $3,241 for homemaker services or a home health aide
- $3,271 for an assisted living facility
- $6,279 for a semi-private room in a nursing facility
- $6,661 for a private room in a nursing facility
What can you do to help someone who needs 24/7 care?
Applying for Medicaid
Once you find a good nursing home, you need to figure out how to pay for it. This can be tricky. There are basically three ways to pay for long-term care: self-pay, long-term care insurance, and Medicaid.
You may need the Medicaid money now but don’t know how to get it or even if you will be eligible.
Medicaid offers a number of programs to provide medical care for people with limited assets and resources. To qualify, the application will need to meet certain asset and resource tests. For example, someone who needs 24/7 care must not earn more than $2,250 per month or have more than $2,000 in resources.
Applying for Medicaid can be frustrating and time consuming, in part because of the amount of supporting documentation. In addition, Medicaid case workers will review the applicant’s finances for a 60-month period prior to the application date. Certain transactions made during that time may disqualify the applicant from or delay benefits.
Medicaid Is Complicated. We Can Help.
It’s possible – and highly recommended – to plan ahead for incapacity and long-term care. Estate
planning can help, especially if Medicaid planning is included.
For a free consultation with an experienced Alabama estate planning attorney, contact Bill Miller
at 256-472-1900. Miller Estate and Elder Law is now located at 818 Leighton Avenue in
Anniston, but we serve clients in Gadsden, Hoover, Talladega, Vestavia Hills, and surrounding
areas.
by Bill Miller | Aug 13, 2018 | Elder Care Planning, Elder Law, Estate Planning, Medicaid Planning, Medicaid Qualification, Nursing Home
Jackie wanted her mother to have the best care possible. At age 82, Mom needed more assistance than she could get at home, even considering the great in-home nursing options available. As Jackie looked for a nursing home for her mom, she wondered how much her mom’s long-term care would cost? She came face to face with reality: long-term care is expensive!
What are the chances someone will need long-term care?
According to federal government statistics, 20% of people age 65 will need long-term care for more than five years. And if you are 65 right now, you have an almost 70% chance of needing some form of long-term care.
The families of people needing long-term care are affected also. In addition to the stress of caring for another person, they must also find the right type of care. Family members also usually have to struggle to find a way to pay for that care.
What type of care is considered long-term care?
It’s not just residential care at your local nursing home. There are other options.
- In-Home Care. Most older people want to stay in their homes as long as possible. When they need extra nursing assistance, they can often hire skilled in-home care providers.
- Assisted Living Facilities. While this is residential care, as is a nursing home, the resident has greater flexibility and privacy. Assistance, often from a trained nurse, is available if needed.
- Residential Care. Sometimes this type of care if unavoidable. Residents of nursing homes may lose some privacy but make up for it with greater skilled nursing care.
So, how much does long-term care cost?
It depends on where you live and what type of long-term care is needed.
The following figures reflect the 2017 cost for long-term care in Alabama:
- $42,900 – In-home care
- $41,688 – Assisted Living Facility
- $73,000 – Nursing Home (semi-private room)
- $76,650 – Nursing Home (private room)
These costs, of course, are averages and the actual cost may vary. Costs are expected to increase over time.
Start Planning Now.
At Adams & Miller, P.C., we make it our business to put our client’s needs first. We assist our clients in making thoughtful decisions regarding incapacity planning. For a free consultation, contact us at 256-251-2137 or use our convenient Contact Form. We have offices in Anniston and Birmingham and we assist clients in the Leeds, Gadsden, Hoover, Talladega, Vestavia Hills, and surrounding areas.
by Bill Miller | Jun 8, 2018 | Elder Care Planning, Medicaid
Phil M. lived in a rehabilitation center after suffering a stroke last year. Fortunately, he qualified for Medicaid benefits that covered the high cost of treatment. However, after six months, he and his family felt he was ready to move back to the community and live the independent life he desired. A wise friend pointed them in the direction of Gateway to Community Living.
What is Gateway to Community Living?
It’s a program administered by the Alabama Medicaid Agency. Through this program, elderly people or those with disabilities may be able to live at home with community assistance.
Phil seemed like an excellent candidate for this program. His rehabilitation left him able to care for his daily needs. More importantly, he had a strong desire to live independently for as long as possible.
What services are provided?
Home and community-based programs offer a spectrum of services to meet the population’s diverse needs.
Transition coordinators work with applicants to work out eligibility. In addition, they help applicants work out a custom transition plan.
Specific benefits include:
- Financial assistance with moving costs, and deposits for rent and utilities.
- Help people find affordable, accessible housing.
- Job search assistants for applicants who are returning to the work force.
Phil was able to work with his transition coordinator to find a comfortable apartment in an independent living facility. Gateway also helped him apply for part-time jobs that fit his physical abilities.
Who can receive Gateway to Community Living assistance?
Applicants must meet the following requirements:
- Has lived in a nursing home or qualified facility for at least 90 consecutive days.
- Received Medicaid for at least one day before transitioning to community living.
- Expect to complete their transition within 180 days.
- Be physically and mentally capable of living in the community with assistance.
People who feel they might benefit from Gateway to Community Living can ask the staff at their residential facility to refer them. Patients or their legal guardians and family members may also “self-refer” either online, by email, fax, or regular mail.
The social worker at Phil’s rehab facility referred him for Gateway benefits and helped him complete the required paperwork.
Learn More About Incapacity Planning.
Maybe you have an older parent facing elder law issues. Maybe you are looking ahead to your own future. Either way, it’s important to know what rights and protections are available for senior citizens. Schedule a consultation with one of our attorneys and find out where you stand. Our phone number is 256-251-2137, or you may want to use the Contact Form on our website. We have office in in Anniston and Birmingham and assist clients in communities like Hoover, Vestavia Hills, Irondale, and Calera.
