Why are Long Term
Care Costs a Concern?
Pass on as much as possible to estate for: family, charitable organizations
|
Maintain standard of living for community spouse |
Fear
of outliving Savings. |
To
maintain dignity and independence. |
Long Term Care Costs Don't Just
Affect Those Over Age 65 ( Every Generation has It's
Chronic Illnesses ) |
Accidents at any age. |
Birth disabilities. |
Strokes,
multiple sclerosis, Pakinson's disease, heart and lung problems for the
middle aged. |
Arthritis,
circulatory and negative effects from past illness and injury. |
What Is Considered
Long Term Care?
|
A chronic illness usually
lasting a year or more.
|
| When a family member becomes dependant
or needs help with activities of daily living (ADL's): dressing, bathing,
walking, eating, taking medication. |
Depending on the Level
of care, One May Receive Help From:
A family member (usually female). |
Home health care agency. |
Adult
day care. |
Assisted
living. |
Adult foster care. |
Home for the aged. |
Nursing homes (last resort). |
How Much Does Long Term Care Cost?
One Year.......
|
In Nursing Home
|
-or-
|
Of Home Health care
|
|
From $36,000 to $75,000 and up
|
|
From $8,000/year to more than
a nursing home.
|
Who Pays For Long Term Health Care
Costs?
Private pay (our own responsibility). |
Private long term care insurance. |
Medicaid.......once qualified. |
|
Who Does Not Pay!
Group insurance, major medical, Medicare and
V.A. are designed to pay for an acute condition
(such as hospital stay, surgery, doctors, etc.)
|
Medicaid Pays Nearly Half of All Nursing
Home Bills
People end up on Medicaid because
of planning.......or lack of planning.
BUT......
To Receive Medicaid
You must meet your state's
poverty guidelines. These guidelines vary from state to state.
|
|
The Spousal Impoverishment Act was enacted in 1988.
Do you Qualify?
To qualify for Medicaid you must spend down your assets to $84,120, as of January 1, 2001. This is the dollar amount that you are allowed to keep.
|
Assets That Are At Risk
|
Cash, savings and checking. |
Credit union shares and draft accounts. |
Certificates of deposits (CD's). |
U.S.Savings Bonds. |
IRA's
and 401 (k)'s. |
Nursing
home trust funds. |
Prepaid
funeral costs. |
Trusts.
|
Real
Estate (other than your home). |
More than one car. |
Boats
and recreational vehicles. |
Stocks,
bonds, and mutual funds. |
Mortgages held on real estate sold.
More Information.
Income That is at
Risk
Income you would have to use to pay for Nursing Home.
If the confined clients' monthly income is over $1500.00 he/she does NOT qualify for Medicaid. If the client does qualify, the community spouse is only allowed to keep $1295.00 per month. All excess income goes towards paying for nursing home. |
Income sources that are considered and at risk.
|