Consumers Guide to Medicaid Planning

People are living longer than ever before. At the flip of the 20th century, the common life expectancy was about 47 years. As we enter the twenty first century, life expectancy has increased significantly. In consequence, we face more challenges and transitions in our lives than those who came earlier than us.

One of the vital tough transitions folks face is the change from impartial residing in their own dwelling or condominium to dwelling in a long term care facility or “nursing home.” There are various reasons why this transition is so difficult. One is the lack of home… a house the place the individual lived for a few years with a lifetime of memories. Another is the lack of independence. Nonetheless another is the lack of the extent of privateness we get pleasure from at dwelling, since nursing home dwelling is commonly shared with a roommate.

Most individuals who make the choice to move to a nursing house achieve this during a time of nice stress. Some have been hospitalized after a stroke, some have fallen and broken a hip, still others have a progressive disease, like Alzheimer’s, and might not be cared for in their own homes.

Regardless of the reason, the partner or relative who helps a person transition into a nursing dwelling throughout a time of stress faces the fast dilemma of the right way to discover the suitable nursing home. The duty is not any small one, and an enormous sigh of relief will be heard when the correct house is discovered and the cherished one is moved into the nursing home. For many however, probably the most difficult process is just beginning: How to deal with nursing home bills that average more than $7000.00 per month.

The right way to Pay for Nursing Home Care:

One of many things that concerns individuals most about nursing dwelling care is methods to pay for that care. There are basically 4 ways that you may pay the cost of a nursing house:

1. Lengthy Term Care Insurance – In case you are fortunate enough to have this type of coverage, it could go an extended way toward paying the price of the nursing home. Sadly, lengthy-term care insurance has only began to turn out to be fashionable in the last few years and most of the people dealing with a nursing residence keep would not have this coverage.

2. Pay With Your Own Funds – This is the strategy many individuals use at first, although with proper planning, they’d not have to. Fairly simply, it means paying for the cost of a nursing home out of your own pocket. Sadly, with nursing dwelling payments averaging over $7000.00 per 30 days, few individuals can afford a long term keep in a nursing home.

3. Medicare – This is the national health insurance program primarily for individuals sixty five years and older, certain youthful disabled individuals, and folks with kidney failure. Medicare provides brief time period help with nursing residence costs, however only for those who meet the strict qualification rules.

4. Medicaid – This is a federal and state funded and state administered medical benefit program which can pay for the cost of the nursing dwelling if sure asset and revenue tests are met.

For the reason that first two methods of private pay (i.e. utilizing your own funds) and long term care insurance are self-explanatory, our dialogue will concentrate on Medicare and Medicaid.

What About Medicare?

There is an excessive amount of confusion about Medicare and Medicaid.

Medicare is the federally funded and state administered health insurance program primarily designed for older people (i.e. those over age sixty five). There are some restricted long term care benefits that can be available under Medicare. Generally, in case you are enrolled in the traditional Medicare plan, and you’ve had a hospital keep of no less than three days, and then you are admitted into a talented nursing facility (typically for rehabilitation or expert nursing care), Medicare will pay for up to one hundred days.

When you qualify, traditional Medicare may pay the total value of the nursing dwelling stay for the primary 20 days and might continue to pay the cost of the nursing home keep for the subsequent 80 days, however with a deductible that’s approximately $100 per day. Some Medicare supplement insurance policies will pay the cost of that deductible. In an effort to qualify for this a hundred days of coverage, however, the nursing house resident should be receiving daily “expert care” and generally must continue to “improve”

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