Medicaid's Benefits for Assisted Living Facility Residents
Almost all state Medicaid programs will cover some assisted living costs, although there may be a waiting list.
Read moreHousing options and the associated costs are among the top priorities for many seniors. Today, the housing market is unpredictable, while many seniors currently living independently may also have concerns about continuing their lifestyles. Moving to an independent living facility may be the best choice to accomplish your financial goals and maintain your way of life.
An independent living facility is a housing arrangement that caters to older people, usually aged 55 and older. These facilities offer a community. Residents can live with people who share common interests while having fun and staying active. Some people may refer to these facilities as 55-and-over communities, active adult communities, or retirement communities.
These environments are different from other long-term care facilities. For example, in nursing homes patients are not likely to live in a private apartment or arrangement. They are usually dependent on medical caregivers. Residents of assisted living facilities, meanwhile, may not require medical care 24-7, but do need assistance with activities of daily living.
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In contrast, older adults who live in independent living facilities continue to maintain their independent lifestyles but gain the support of trained staff.
Independent living facilities best serve seniors who do not require constant medical care. If you or your spouse require round-the-clock medical attention, you should consider another living arrangement. However, there are usually 24-hour staff in these types of facilities to respond in case of an emergency.
While independent living facilities are best for more active seniors, they are also beneficial for older adults who do not have the ability or resources to maintain their homes anymore. Independent living facilities remove the need for older people to do household chores and yardwork, which can make their lives that much easier.
Living arrangements in these facilities can vary. Here are some of the types of housing options an older adult can expect from an independent living facility:
A senior can choose to live in an apartment complex that is age-restricted, where most residents are at least 55 years old. Some facilities include recreational programs, community meals, transportation services, and community services in the rent.
If you are a low-income senior, you may be able to find housing complexes that are subsidized by the United States Department of Housing and Urban Development (HUD). Learn more about HUD’s Supportive Housing Program.
At a Continuing Care Retirement Community (CCRC), seniors who can care for themselves but have declining health may be a good fit. CCRCs allow a spectrum of arrangements, so when a resident’s health starts to wane, they can easily move from one part of the facility to another that offers more extensive care while remaining in the same complex.
You should take some time to consider what you want in your living arrangements before making a final decision about where you will spend your time in your older years.
You may want to consider location as a major factor in your decision. Will you be close enough to stay in contact with your network of family and friends, if that is your preference? Or would you like to make a move to a different state or a warmer climate to connect with new people?
What services are you set on having? For example, will you have your own vehicle and, if not, does the facility offer transportation options?
You may want to live in a facility that offers certain amenities. Perhaps you would like to use a gym, take part in classes or workshops, or enjoy other hobbies. Some facilities offer access to more than one on-site dining option. Others may have a movie theater, nail salon, walking trails, or organized trips to nearby museums, concert halls, or casinos.
Of course, cost is more often than not also part of the equation. Compare the costs of several different independent living communities if possible. Confirm whether the cost of the facility includes the services and amenities in which you are interested.
Pricing will also vary greatly across states and cities. For instance, in Connecticut, the average monthly cost for an independent living facility is nearly $3,500. In Mississippi, the average may be less than $2,000 a month.
Also, think about the following before choosing a community:
The level of care you and your spouse require is one of the biggest questions that you must answer before choosing the best living arrangements. Independent living facilities are not the best option for people who need a great deal of medical care.
It may be time to make new living arrangements if your mobility has decreased as you have gotten older.
Moving to an independent living facility can be a good decision for seniors who are looking to downsize from their home.
Almost all state Medicaid programs will cover some assisted living costs, although there may be a waiting list.
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Read moreChecklist of questions for assisted living and continuing care communities.
Read moreIn addition to nursing home care, Medicaid may cover home care and some care in an assisted living facility. Coverage in your state may depend on waivers of federal rules.
READ MORETo be eligible for Medicaid long-term care, recipients must have limited incomes and no more than $2,000 (in most states). Special rules apply for the home and other assets.
READ MORESpouses of Medicaid nursing home residents have special protections to keep them from becoming impoverished.
READ MOREIn addition to nursing home care, Medicaid may cover home care and some care in an assisted living facility. Coverage in your state may depend on waivers of federal rules.
READ MORETo be eligible for Medicaid long-term care, recipients must have limited incomes and no more than $2,000 (in most states). Special rules apply for the home and other assets.
READ MORESpouses of Medicaid nursing home residents have special protections to keep them from becoming impoverished.
READ MORECareful planning for potentially devastating long-term care costs can help protect your estate, whether for your spouse or for your children.
READ MOREIf steps aren't taken to protect the Medicaid recipient's house from the state’s attempts to recover benefits paid, the house may need to be sold.
READ MOREThere are ways to handle excess income or assets and still qualify for Medicaid long-term care, and programs that deliver care at home rather than in a nursing home.
READ MORECareful planning for potentially devastating long-term care costs can help protect your estate, whether for your spouse or for your children.
READ MOREIf steps aren't taken to protect the Medicaid recipient's house from the state’s attempts to recover benefits paid, the house may need to be sold.
READ MOREThere are ways to handle excess income or assets and still qualify for Medicaid long-term care, and programs that deliver care at home rather than in a nursing home.
READ MOREMost states have laws on the books making adult children responsible if their parents can't afford to take care of themselves.
READ MOREApplying for Medicaid is a highly technical and complex process, and bad advice can actually make it more difficult to qualify for benefits.
READ MOREMedicare's coverage of nursing home care is quite limited. For those who can afford it and who can qualify for coverage, long-term care insurance is the best alternative to Medicaid.
READ MOREMost states have laws on the books making adult children responsible if their parents can't afford to take care of themselves.
READ MOREApplying for Medicaid is a highly technical and complex process, and bad advice can actually make it more difficult to qualify for benefits.
READ MOREMedicare's coverage of nursing home care is quite limited. For those who can afford it and who can qualify for coverage, long-term care insurance is the best alternative to Medicaid.
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READ MOREWe need to plan for the possibility that we will become unable to make our own medical decisions. This may take the form of a health care proxy, a medical directive, a living will, or a combination of these.
READ MOREDistinguish the key concepts in estate planning, including the will, the trust, probate, the power of attorney, and how to avoid estate taxes.
READ MORELearn about grandparents’ visitation rights and how to avoid tax and public benefit issues when making gifts to grandchildren.
READ MOREUnderstand when and how a court appoints a guardian or conservator for an adult who becomes incapacitated, and how to avoid guardianship.
READ MOREWe need to plan for the possibility that we will become unable to make our own medical decisions. This may take the form of a health care proxy, a medical directive, a living will, or a combination of these.
READ MOREUnderstand the ins and outs of insurance to cover the high cost of nursing home care, including when to buy it, how much to buy, and which spouse should get the coverage.
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READ MOREUnderstand the ins and outs of insurance to cover the high cost of nursing home care, including when to buy it, how much to buy, and which spouse should get the coverage.
READ MOREWe explain the five phases of retirement planning, the difference between a 401(k) and an IRA, types of investments, asset diversification, the required minimum distribution rules, and more.
READ MOREFind out how to choose a nursing home or assisted living facility, when to fight a discharge, the rights of nursing home residents, all about reverse mortgages, and more.
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READ MORELearn how a special needs trust can preserve assets for a person with disabilities without jeopardizing Medicaid and SSI, and how to plan for when caregivers are gone.
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READ MORELearn how a special needs trust can preserve assets for a person with disabilities without jeopardizing Medicaid and SSI, and how to plan for when caregivers are gone.
READ MOREExplore benefits for older veterans, including the VA’s disability pension benefit, aid and attendance, and long-term care coverage for veterans and surviving spouses.
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