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Consumers Guide to Medicaid Planning

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Individuals reside longer than ever before. On the turn of the twentieth century, the average life expectancy was about forty seven years. As we enter the 21st century, life expectancy has increased significantly. Consequently, we face more challenges and transitions in our lives than those who got here earlier than us.

One of the vital troublesome transitions people face is the change from independent residing of their own residence or condominium to living in a long run care facility or “nursing home.” There are numerous reasons why this transition is so difficult. One is the lack of home… a home where the person lived for many years with a lifetime of memories. Another is the lack of independence. Still another is the loss of the extent of privacy we enjoy at house, since nursing residence dwelling is often shared with a roommate.

Most people who make the choice to move to a nursing dwelling do so throughout a time of nice stress. Some have been hospitalized after a stroke, some have fallen and damaged a hip, still others have a progressive disease, like Alzheimer’s, and may now not be cared for of their own homes.

Regardless of the reason, the partner or relative who helps an individual transition into a nursing dwelling during a time of stress faces the quick dilemma of the way to find the suitable nursing home. The task is not any small one, and a huge sigh of reduction might be heard when the appropriate home is found and the liked one is moved into the nursing home. For a lot of however, essentially the most difficult job is just beginning: How to cope with nursing dwelling payments that average more than $7000.00 per month.

Easy methods to Pay for Nursing Home Care:

One of the things that concerns people most about nursing home care is the way to pay for that care. There are basically four ways you could pay the price of a nursing dwelling:

1. Lengthy Time period Care Insurance – If you are lucky sufficient to have this type of coverage, it may go an extended way toward paying the cost of the nursing home. Unfortunately, long-time period care insurance has only started to develop into in style in the previous couple of years and most people dealing with a nursing dwelling keep would not have this coverage.

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

3. Medicare – This is the national health insurance program primarily for folks sixty five years and older, sure youthful disabled people, and folks with kidney failure. Medicare provides brief term help with nursing house prices, but only should you 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 price of the nursing house if certain asset and revenue tests are met.

Because the first two methods of private pay (i.e. using your own funds) and long run care insurance are self-explanatory, our discussion will concentrate on Medicare and Medicaid.

What About Medicare?

There is quite a lot of confusion about Medicare and Medicaid.

Medicare is the federally funded and state administered health insurance program primarily designed for older individuals (i.e. these over age 65). There are some limited long term care benefits that can be available under Medicare. Generally, in case you are enrolled within the traditional Medicare plan, and you have had a hospital stay of at least three days, and then you are admitted into a skilled nursing facility (often for rehabilitation or expert nursing care), Medicare can pay for as much as one hundred days.

When you qualify, traditional Medicare could pay the full value of the nursing residence stay for the primary 20 days and may continue to pay the cost of the nursing home keep for the subsequent 80 days, however with a deductible that is approximately $one hundred per day. Some Medicare complement insurance policies pays the cost of that deductible. In order to qualify for this a hundred days of coverage, however, the nursing house resident have to be receiving every day “expert care” and customarily should continue to “improve”

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