SPRINGHILL GROUP: Cost and Coverage of Home Care

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Nursing home is a home combined with skilled nursing care, rehabilitative care, medical services, personal care, and recreation in a supervised and environment.  Letting your love ones stay in the nursing home may be hardest decision but choosing the right home will be next hardest.  Entering the nursing home doesn’t mean that the family involvement ends, instead it is their responsibility to make sure that the home care provides good care.

Remember the following when choosing the best home care:

·         Have a discussion with the loved one who will be living there. This will aid in adjusting to the major life change about to occur.

·         Work together with other family members and inquire for help in finding the best nursing home.

·         Be in touch with doctors, nurses, or any other health professionals or social workers who care for your loved one.

·         Chat with some nursing home employees, especially assistants since they give most of the care.

·         Solicit a pastor or rabbi for guidance.

·         Contact the long-term care ombudsman.

People often think that home care is expensive and yes nursing home care can be expensive.  It can differ widely depending on where you live but often the average cost is more than $50,000 a year and rising. Sadly, employee health insurance does not pay for nursing home care. A great number of nursing home residents, about a third of its population, pay all of their nursing home expenses from their own funds.  Long stay in a home care can consume all your or your loved one’s savings fast.  There are many who exhaust their finances after just six months.  And about a five percent of them buys long-term care insurance, which covers the cost of a nursing home or other extended care.

Medicare, the federal health insurance program for older persons and some younger ones with disabilities, pays for short-term nursing home stays but the rest, about two-thirds, are from the Medicaid.  The greatest share of the residents to pay for the care is money from Medicaid.  It is a federal and state health insurance program for people with low incomes.  They pick up the cost of nursing home care once people have used almost all of their savings—spouses are allowed to keep some assets including income, savings, and their home.

But the thing is Medicaid will only pay for nursing home care that is provided at a facility certified by the government.

Like many else, it is hard to apply for Medicaid so if you think a loved one may need care years from now, you should gather information as soon as possible.  And also, bear in mind that eligibility for Medicaid varies by state.  Knowing the requirements early ensures the care comes quickly when you or your loved one need it.

Age expectancy is getting higher and home care is getting more costly, so better deal with issues early to avoid further complications.

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