I have heard there are much more affordable dementia care nursing homes in Costa Rica and Mexico. Has anyone heard of any?

I have read that the care outside the US is better than here. Also read that once I can no longer afford a private care facility in the US she will be moved to a facility that accepts Medicaid, but not the same as private nursing home.. I am exploring all options at this point and really just wanted to know if others had any experience with out of country facilities. My understanding is that most places set up for Americans in Costa Rica are English speaking and offer a higher level of care than I can afford in the US. I. Am shocked at the prejudices in the responses by some on this board.. And the worst is the assumption by someone that thinks she would only be visited once a year. This is suppose to be a place where questions can be asked not judgements given.

I would surmise lower cost of living overall causes it. I've heard of nice ones in Thailand as well. Same reason they make good retirement destinations.

Why would I have trouble checking on her. If I placed in in a facility in another country I would of course retire in that same area. It is shocking that you would automatically assume that she would be left alone thousands of miles away.
From what I have seen many of the nursing homes in the US are not great. After reading about amount of people that died in nursing homes with Covid I reached out looking for information. Not insulting comments and prejudices!

People are FLEEING Mexico and CR for the US. Doesn't that seem a little scary to you? To send mom to a foreign country b/c you want to avoid Medicaid? You have some issues with it?

IMHO, the care given to patients is not based on their ability to pay top dollar. MANY people wind up needing Medicaid.

If my mom goes into care, she will only have enough to private pay for a year, maybe 2. Then she'd be Medicaid dependent. I wouldn't want her thousands of miles from us...maybe it's cheaper, but the cost of care is NOT the only thing at play here.

Hi Charlie
We had a poster (Sue) who had her mom in a NH or MC in Mexico.

Here is a link to one of her posts

https://www.agingcare.com/discussions/change-of-plan-447135.htm

Be sure to read her bio as she explains how she went about moving back and forth from California to Mexico.

Her mom died in 2019.

Can you tell us more about your mom and why you anticipate she will need to be transitioned into a NH?

I'm sure you can find seemingly great places that are less expensive in other countries but there will be other factors to consider, like distance, language barrier, concept of care, borders closing due to covid, the value of the US dollar against their currency, political and criminal instability (both Mexico and CR have very active gang activity), unknown legal structures that would allow you to pursue solutions if there were issues with her care or payment, and the possibility that your mom may need care longer than six years. If your mom has dementia, adjusting to change will already be challenging...now think about adjusting to an entirely new culture, food, language...

IMHO you should not be planning to pay for your mom's ongoing care as this is unsustainable and robs from your own future. If your mom entered a good NH on private pay in the US, then Medicaid would cover her care if she qualified. It would be very important to know how and when she would qualify by consulting with a Medicaid Planner for her state or an elder law attorney.

I personally would be very hesitant to send a very vulnerable person thousands of miles away where I would have trouble checking on her in person more than once a year.

This question has been asked before. Besides putting someone in another Country for care there's getting a visa and residency.

People on Medicaid are not treated any differently than self-pay individuals. The staff have no idea who is on Medicaid and who isn't. My Mom paid privately and transitioned into Medicaid.

Charlie, I would do a Google search for geriatric case manager in the cities or towns you would be interested in.

International care homes search might help.

Maybe contacting the Mexican consulate in your town or the American one where you're interested.

That's where I would start.

You've gotten very good responses here, for the most part, considering you're asking a question on an internet forum! You've even been given a link to another question like yours with the answers, which is a great resource. We have no idea if you'd be able to visit your loved one once a year or monthly or weekly or daily, were you to place her in a foreign country for memory care. Considering costs are something that are of concern, one would have to assume the costs of visiting her continuously in a foreign country would also be too costly to be practical, no? We have to be physically present to advocate for our loved ones when they are in managed care, that much is certain. Not to mention, spending your own money to finance your mother's life in memory care is a questionable thing to do since she could live for a good number of years with dementia. My mother is 95 in January with advanced dementia and more issues than Newsweek, and at almost $7K a month for Memory Care here in Colorado, I'm looking at applying for Medicaid in the summer on her behalf. That's the only option I see as feasible for her, personally. I have not considered placing her in a MC home in another country, no, although I too have heard they are quite good, esp. in Thailand. I read an article on it recently that said the CGs will get in bed with the patient and lie with them if they are frightened and agitated, which is an awesome thing to do, when you think about it. The cost was about $1500 a week there (according to the article) compared to $7K a month here in the USA.

Wishing you the best of luck finding the situation you're looking for and the responses that suit you best.

We have had a couple of people from the forum who have done this but if I remember correctly they were very familiar with Mexico because they lived in border communities or had family there.
As for covid - I can't imagine nursing homes are any safer in either county you've mentioned (although some states do seem to be much more cautious than others).