Medicaid Crisis Planning versus Long-Term Care Insurance?

Medicaid Crisis Planning … versus Long-Term Care Insurance?

Are you or a loved one faced with long-term care expenses? Is the cost of long-term care, nursing homes, assisted living, and home care getting to be too much?

If you are thinking about Medicaid, you should speak to an attorney who specializes in that area of law as soon as possible. There is really no time to waste—all you are wasting is money and adding stress. The sooner you get going on this, the sooner you may be eligible for Medicaid.

When we hear the word “crisis,” we think of disasters or calamities of epic proportions. Well, that is where many Americans find themselves when they (or a family member) try to stay above water financially when dealing with the outrageous costs involved with senior care—especially when care facilities are involved.

Accordingly, “crisis planning” in this context is planning for those who have an imminent need for Medicaid eligibility.

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What if your husband or wife has been diagnosed with amyotrophic lateral sclerosis (ALS or "Lou Gehrig's Disease") … or Parkinson's, Huntington's, or some form of dementia like Alzheimer's?

Medicaid-Crisis-Planning

Along with the devastating news, you may start thinking about your future as a caregiver and the cost of the required care. You have no idea what this will cost, let alone how you will pay for it. In short order, you learn that Medicare will not pay, especially for the long-term. You are worried about your loved one, but you are also worried about running out of money and being broke.

Your first step after a significant diagnosis is to reach out to an experienced elder law attorney. You need to discuss planning for your loved one’s future care needs and financial requirements to pay for that care. An elder law attorney will have the necessary skills and contacts required to help you address the important issues, create a strategy, engage and direct the required healthcare staff, and work with you to qualify for benefits.

Does Medicare cover all of the nursing home bills?

Unfortunately, no.

Medicare still remains somewhat of a mystery to most Americans. Many people are under the impression that Medicare will cover all of the expenses for nursing home care.

That is not the case. The most Medicare will cover is the first 100 days and this will not be the full amount, even if you are eligible at all.

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So Where Does Medicaid Come In?

For most people, Medicaid only becomes an option after Medicare benefits are exhausted. But what many people don’t realize is that Medicaid benefits are not automatic. In fact, to receive Medicaid, a patient and the patient’s spouse (if married) must first “spend down” their “countable” assets. In most states that limit is down to about $2,000, but gets more complex for married couples. There also are categories of assets that will be automatically exempt for purposes of qualification. Medicare and Medicaid become quite complex and if you don’t know the details of qualification, you can lose tens of thousands, up to hundreds of thousands of dollars very quickly. You will want to get an experienced elder law attorney to guide you through this maze.

It Sounds Pretty Easy, Right? Wrong!

Actually, things can get complicated quite quickly. What do I do to protect assets? What do I do to convert assets without getting in trouble? Do I apply before or after we start getting care (and bills)? Can I protect my assets in advance, before I get sick?

These are all valid questions, and rather than attempting to answer them on your own with everything else that is swirling around you, you should seek professional advice from a qualified attorney who practices in Medicaid planning, understands the Medicaid system and can help you get organized for the future. If you qualify, Medicaid benefits can help pay for certain medical expenses such as:

  • Doctor and Hospital Bills;
  • Prescriptions;
  • Vision and Dental Care;
  • Medicare Premiums;
  • Nursing Home Care;
  • Personal Care Services (PCS), Medical Equipment, and Other Home Health Services;
  • In-Home Care under the Community Alternatives Program (CAP);
  • Mental Health Care; and
  • The majority of medically necessary services for children under age 21.

We are all most vulnerable in circumstances when we “don’t know what we don’t know.” Know your legal rights … before it is too late.

Benefits of Choosing

Nelson Elder Care Law

Local Award-Winning Service

The solutions that we provide are more comprehensive than pure legal solutions. We also have years of experience helping hundreds of families through situations very similar to yours. We also close connections with all types of resources in the senior industry. If you need a resource, call us for help.

  • “2018 Excellence in Customer Service”
    by Cherokee County Chamber of Commerce
  • “2017 & 2018 10 BEST Client Satisfaction Attorneys”
    By American Institute of Legal Council
  • “2019 Super Lawyer Rising Star”
    Only 2.5% of attorneys receive this recognition in Georgia

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