This is a table that shows the minimum assets and income each state allows nursing-home residents and their spouses to keep.
Tag Archive: Cost of Care
Glen Campbell is now a permanent member of the ranks of Alzheimer’s victims. The first music artist to make #1 on the country and contemporary charts at the same time, he is Stage 6 now and sometimes requires two caregivers to be sure he is safe.
Buying long-term care insurance is like buying a car. You pay for the core components like an engine and four wheels with tires on them, then add the options that mean the most to you.
The idea of the Long-Term Care Partnership is to provide a way for the Medicaid program to work together with private long-term care insurance to help those people who are caught in the middle: they can’t afford to pay the cost of the care or even the cost of a long-term care insurance policy with unlimited benefits, yet their assets are too high to qualify for Medicaid to pay their long-term care expenses. Many middle-income workers and retirees find themselves in this position.
Participating insurance companies in the Partnership recognize the needs of these middle-income Americans by providing LTC insurance policies that have built-in consumer protection benefit standards, and participating states cooperate by allowing these policyholders to access Medicaid without spending down their assets almost to poverty level if the insurance benefits run out.
The new John Hancock Benefit Builder product has turned long-term care insurance into an investment instead of an insurance product.
The Supreme Court decision on June 28, 2012 makes it even more critical for people to own long-term care insurance as it is highly questionable as to how many Medicaid dollars will be there for LTC in the future. In 20-30 years, people who need long-term care will be sharply divided between haves and have-nots. Many people who elected to self-insure will be squarely in the middle of the have-not bucket as the cost of care soars to $1000 a day in 30 years. Money buys choices. Without long-term care insurance, most families simply won’t have the money to buy care and their worst nightmare will happen as the burden for their care falls on their children and grandchildren.
The Community Living Assistance Services and Supports (CLASS) Act is a provision in Section 8002 of the new health care reform bill (The Patient Protection and Affordable Care Act, Public Law 111‐148) enacted March 23, 2010. The CLASS Act is supposed to provide a small cash benefit of an average of $50 a day with a lifetime benefit period depending on the level of impairment. For example, needing help with four Activities of Daily Living vs. two would result in an increased benefit. This benefit is guaranteed issue and is designed to help people with limitations stay in the community instead of going to a nursing home. The program is supposed to be funded solely by premiums paid by employees who do not opt out via payroll deductions by the employers who choose to participate.
The premium she has paid over 11 years would only pay for a couple of months of daily home care or nursing home care at current costs or four months in an assisted living facility.