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Who are you caring for?
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How are they managing their medications?
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Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
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By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
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V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
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No, Medicare does not pay for Assisted Living nor does Medicaid. He will be self pay as he has adequate funds to pay for this.
My mother is in AL, she pays $4,800 a month, net out of her pocket is $2000 a month, she has about the same amount of money as your father, when she has to go into a nursing home, and runs out of money, we will apply for Medicaid.
Medicare never pays for ALF. Only Medicaid does. Your Dad doesn't qualify for medicaid until he spends down what the state requires. In California he can now keep just over 100,000 but that is in total assets. In most states the amount allowed in his accounts would be under 5,000 plus home and plus car. Then all his retirement money would go to his facility (most ALF don't accept Medicaid patients but some few do). As well he would spend down his 200,000 before application to medicaid.
Look up rules for Medicaid in your State. Go to ALF to check on their rules for admission, on their costs. I wish you the best in researching this. But short answer is that Medicare isn't involved in the question at all, only Medicaid,
An Elder Law attorney, if you buy one hour of time from him, can explain the basics of the system for you, or a Licensed Social Worker as well.
How long has your father lived with you? How/why did he come to live with you instead of using his funds for another living arrangement? Do you have his POA/HCPOA? Your father's funds should be used to pay for any in-home help or a facility. With his pension (is there SS, also?) plus his savings, he should be able to afford a facility for a while. Does he contribute anything toward his room and board at your house? Did you quit a job to take care of him? Or are you trying to do it all without any remuneration and are now looking for help to pay for AL in order to "save the inheritance"? Are there siblings involved?
Medicare is Dads health plan. Any help you would get would be temporary. They pay partially for Rehab. If "in home care" is recommended after a hospital stay they pay for that. Both are short term.
Medicaid is what you apply for when you need help with Longer term care. And your Dad has too much money for Medicaid help. I most States he can only have 2k in assets. In my State the income cap for Medicaid is just over $2300 a month. Your Dad already makes too much in Pension. There are ways around that with Medicaid Trusts but again, not all states allow that. Medicaid in for low income people.
Your Dad is going to need to pay for his care until his money is gone. If you could find a nice AL for about 5k a month he would be left about 1200 a month he would need to dip into his savings for. That 200k should last him over 10 yrs if I have calculated correctly. If he has a house, that could be sold to offset the cost of his care. His personal needs should not be that much.
He has a good financial footing to last a few years on self pay. Medicare covers when he is sick and AL is more for custodial care. Us taxpayers only will foot his bill when he reaches Medicaid status. Usually Medicaid does not pay for any AL. When tax time comes, a portion of his monthly rent is deductible for the medical part of his stay. It is best to use an accountant if you are not aware.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
My mother is in AL, she pays $4,800 a month, net out of her pocket is $2000 a month, she has about the same amount of money as your father, when she has to go into a nursing home, and runs out of money, we will apply for Medicaid.
https://www.helpadvisor.com/medicaid/medicaid-assisted-living-benefits-by-state
https://www.medicare.gov/Pubs/pdf/10153-Medicare-Skilled-Nursing-Facility-Care.pdf
Your Dad doesn't qualify for medicaid until he spends down what the state requires. In California he can now keep just over 100,000 but that is in total assets. In most states the amount allowed in his accounts would be under 5,000 plus home and plus car. Then all his retirement money would go to his facility (most ALF don't accept Medicaid patients but some few do). As well he would spend down his 200,000 before application to medicaid.
Look up rules for Medicaid in your State.
Go to ALF to check on their rules for admission, on their costs.
I wish you the best in researching this.
But short answer is that Medicare isn't involved in the question at all, only Medicaid,
An Elder Law attorney, if you buy one hour of time from him, can explain the basics of the system for you, or a Licensed Social Worker as well.
Medicaid is what you apply for when you need help with Longer term care. And your Dad has too much money for Medicaid help. I most States he can only have 2k in assets. In my State the income cap for Medicaid is just over $2300 a month. Your Dad already makes too much in Pension. There are ways around that with Medicaid Trusts but again, not all states allow that. Medicaid in for low income people.
Your Dad is going to need to pay for his care until his money is gone. If you could find a nice AL for about 5k a month he would be left about 1200 a month he would need to dip into his savings for. That 200k should last him over 10 yrs if I have calculated correctly. If he has a house, that could be sold to offset the cost of his care. His personal needs should not be that much.