A free publication brought to you by Caring Senior Service
FOCUS ON: Elder Law
Volume 3 Edition 1
Paying for Long-Term Health Care Did you know that by some estimates, almost 70 percent of Americans could one day require some type of long-term health care? And, of this seventy percent, you have to wonder how many of them will be prepared to take on the costs associated with their care. For instance, nursing home care can cost more than $6,500 per month; assisted living care more than $3,100 per month; and even private home care services can cost more than $20 per hour. While these prices may vary some from state to state, there is nowhere in the nation where long-term health care comes cheap. Medicare Does Not Cover Long-Term Health Care One of the biggest misconceptions people have about long-term health care is that Medicare will cover their expenses in the event that they require such care. The truth is, however, that Medicare will only pay for a maximum of 100 days in a skilled nursing facility, and it is highly unlikely that it will approve coverage for even this many days. Depending on your particular circumstances, you will probably have to pay for longterm health care in one of three ways: 1. Pay for your long-term health care out-of-pocket. 2. Purchase long-term health care insurance. 3. Apply for long-term care coverage through your state’s Medicaid program. Paying out-of-pocket for long-term health care may work for those with means, but many people simply cannot afford this option – particularly married couples with a well spouse to consider. Likewise, longterm health care insurance may work for those with the foresight to obtain coverage while they are young and healthy, but insurance policies of this type are hard to obtain if you already need health care. This leaves the option of obtaining coverage through your state’s Medicaid program.
Your State Medicaid Program May Provide a Solution Each state has its own Medicaid program, so the precise rules surrounding long-term health care coverage varies by state. Regardless of where you live, there are certain federal guidelines to which your state’s Medicaid program must adhere. Most importantly are the eligibility requirements, which, for 2010, require participating states to offer financial eligibility to single applicants with monthly income of less than $2,022 and resources totaling less than $2,000; and to married applicants with monthly income less than $4,044 and resources totaling less than $3,000. In other words, so long as you pass the medical requirements, you would qualify for long-term health care coverage through your state’s Medicaid program if you satisfy the above-mentioned financial requirements. Medicaid Covers a Continuum of Care Another common misconception about long-term health care coverage is that Medicaid only covers care in a skilled nursing facility. While it is true that Medicaid covers this type of care, Medicaid programs are set up in most states to cover a continuum of care. So depending on what state you live in, your Medicaid program may offer coverage for not only care in a skilled nursing facility, but also services ranging from full-time care in an assisted living facility to intermittent home health care. While no two states have precisely the same Medicaid policies and regulations, it is safe to say that applying for long-term health care coverage tends to be complicated. In fact, in some states, the denial rate is more than 70 percent for first-time Medicaid applicants. In this environment, it is important to make long-term health care considerations well before a medical emergency strikes. By preparing early, you may obtain peace of mind that care will be available when you need it.
The Elder law department at JacksonWhite provides a variety of elder legal services for the aging adult. For additional elder law information on these or other subjects visit www.jacksonwhitelaw.com Athens, AL (256) 206-7002
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Canton, OH (330) 754-0133
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The New Age of Caregiving
Advanced technologies allow for a simpler way to provide long-distance care
Bob
Woodard
Leaving a life trail 107 years long - Pg 6