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Taking care of the aging

Posted on 2/20/16 at 9:33 am
Posted by 75503Tiger
Member since Sep 2015
4821 posts
Posted on 2/20/16 at 9:33 am
I'm involved with trying to situate a man who made no plans for retirement and now seems to be needing extended care. He is physically sound but not doing well mentally.
I don't want to put too much of his business out there but I'd like to know how others paid for quality assisted living when the patient had minimal income and savings.
This post was edited on 2/20/16 at 9:34 am
Posted by N2cars
Member since Feb 2008
40354 posts
Posted on 2/20/16 at 9:33 am to
quote:

the patient had minimal income and savings.


Medicaid.

He gets SSI, right?
Posted by GetBackToWork
Member since Dec 2007
6607 posts
Posted on 2/20/16 at 9:35 am to
What the guy above said. Google Louisiana Medicaid for long term care.
Posted by 75503Tiger
Member since Sep 2015
4821 posts
Posted on 2/20/16 at 9:36 am to
Yes. I've been advocating Medicaid but others are saying he can't get it
Posted by PrivatePublic
Member since Nov 2012
17848 posts
Posted on 2/20/16 at 9:37 am to
Let Obamacare take care of him.
Posted by Walt OReilly
Poplarville, MS
Member since Oct 2005
124694 posts
Posted on 2/20/16 at 9:37 am to
Take him in and you be his caretaker
Posted by Hoops
LA
Member since Jan 2013
8392 posts
Posted on 2/20/16 at 9:37 am to
Next time he goes into the hospital talk to the social worker and say he can't return home due to cognitive decline.
Posted by N2cars
Member since Feb 2008
40354 posts
Posted on 2/20/16 at 9:40 am to
Well there really isn't another option unless all the relatives want to chip in for private party care. (my brother and I did this for my Mom).

Private care is very expensive.

Not sure of his assets, but Medicaid will take pretty much all of his savings (you can prepay for a funeral), but they won't demand sale of his residence.

My knowledge on this topic is about 10 years old so things may have changed a bit.
Posted by N2cars
Member since Feb 2008
40354 posts
Posted on 2/20/16 at 9:41 am to
This is not a thread for your foolishness. Go away.
Posted by Peazey
Metry
Member since Apr 2012
25427 posts
Posted on 2/20/16 at 9:44 am to
It might be a difficult and lengthy process to get, but medicaid should be possible. If he has any assets worth any significant amount of money he might need to sell them and burn down his worth. (I could be off base, but I think he might need to have a net worth less than $10k) I only vaguely know some of the ideas behind it. There should be a social worker or other experts out there that can advise you. Use one.
This post was edited on 2/20/16 at 9:46 am
Posted by N2cars
Member since Feb 2008
40354 posts
Posted on 2/20/16 at 9:48 am to
quote:

If he has any assets worth any significant amount of money he might need to sell them and burn down his worth.


Have to be careful doing this...

They'll do a "look back" to see where the money went.
Posted by Peazey
Metry
Member since Apr 2012
25427 posts
Posted on 2/20/16 at 9:50 am to
quote:

Not sure of his assets, but Medicaid will take pretty much all of his savings (you can prepay for a funeral), but they won't demand sale of his residence.



From about 5 or so years ago, this was my understanding as well.
Posted by Spankum
The Sip
Member since Jan 2007
63296 posts
Posted on 2/20/16 at 9:50 am to
as the others say, you have to be pretty much broke, but Medicaid is the safety net for that kind of thing. it sounds unappealing, but pretty much everyone ends up on it at some point unless you die at a fairly early age...
Posted by N2cars
Member since Feb 2008
40354 posts
Posted on 2/20/16 at 9:54 am to
They track that stuff pretty close.

After my Mom went into a Medicaid-paid nursing home, she got some check from some insurance policy. About a month later, Medicaid was calling about it.

Posted by White Roach
Member since Apr 2009
9666 posts
Posted on 2/20/16 at 9:55 am to
At one time, the lookback was only like 6 or 12 months. Now it's much longer. The penalties are not worth trying to pull a fast one.

I've been telling my mother for years that if she wants her grandchildren to receive an inheritance from her, she needs to start distributing it now. Instead, what's going to happen is that a SNIF is going to get the majority of it (unless she drops dead before going the assisted living route).
Posted by N2cars
Member since Feb 2008
40354 posts
Posted on 2/20/16 at 10:00 am to
Yeah, you're right.

They looked back at my Mom's stuff, but we had used all the money for when she was in assisted living. When that ran out my brother and I split the bill. Once her condition deteriorated and she needed24/7 care, we had to go Medicaid.

10-12 years ago, 24/7 care was like $8-9K per month, private pay. IDK what it is now.
Posted by Hammertime
Will trade dowsing rod for titties
Member since Jan 2012
43031 posts
Posted on 2/20/16 at 10:10 am to
quote:

Take him in and you be his caretaker
I had a family member do this with my grandma. It is VERY expensive. They even built a wing onto their house specifically for her with special bathroom accommodations. For private care, it is around $100-150k/yr. She still has to spend time in the hospital for random emergencies and accidents also.

Not sure how the money thing works. My dad controls all of her stuff
This post was edited on 2/20/16 at 10:14 am
Posted by Peazey
Metry
Member since Apr 2012
25427 posts
Posted on 2/20/16 at 10:16 am to
I think with my father most of the money from the assets was used to pay down a big hospital bill that insurance wouldn't cover. I was in school at the time in another city, and I wasn't able to help out as much as I like, so the details are kind of fuzzy for me.
Posted by Spankum
The Sip
Member since Jan 2007
63296 posts
Posted on 2/20/16 at 10:20 am to
quote:

I've been telling my mother for years that if she wants her grandchildren to receive an inheritance from her, she needs to start distributing it now. Instead, what's going to happen is that a SNIF is going to get the majority of it (unless she drops dead before going the assisted living route).


I am told that there are some trusts that can be set up to protect against this...not sure how effective they are, though.
Posted by Kujo
225-911-5736
Member since Dec 2015
6044 posts
Posted on 2/20/16 at 10:20 am to
yeah, relative in a similar situation, but can't qualify for medicaid because she gets a pension of $3,500/month til she dies.

too much for medcaid, not enough for private pay.
I said we should try to find her some overseas ex-pat retirement home that's on budget(Asia/South Pacific/South America)...but everyone looked at me like I said we should kill her.

I don't get why people think that anywhere but America is a death sentence, "and her healthcare?".... ummmm, other countries have similar or longer life expectancy than the US......but I guess that's none of my business and I should shut up.
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