It is impossible to predict whether a family member will require long term nursing home care but one thing is certain. Medicare will not pay the cost of long term nursing home care.

Alternative methods of paying for nursing home care may involve long term care insurance, paying out of your pocket, or qualifying for Medicaid.

In the event you seek to purchase long term care insurance, it is important you get the following benefits:

1. Home care coverage.

2. An inflation rider.

3. Make sure to obtain at least 3 years of coverage.

If you seek to qualify for Medicaid, you should take the following into consideration:

1. You can only have about $2,000 in assets.

2. Your home doesn’t count in qualifying for Medicaid but Medicaid can place a lien on your home to cover its expenses.

3. If you have a spouse, he or she is entitled to retain up to about $95,000 in assets.

4. The individual in the nursing home has to give up all income except for $60 per month for a personal allowance, the cost of health insurance premiums and an allowance for minor children or his or her spouse. 

5. Under certain circumstances the stay at home spouse is entitled to a share of the nursing home spouse’s income.

6. The state can go after the Medicaid recipients estate upon his or her death.

7. The Medicaid application process is difficult, complicated and time consuming.

In the event that you need assistance with Medicaid planning to help preserve your assets in the event of a future Medicaid application or with an actual Medicaid application, you can e-mail us or call at 800-344-6431

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During the past quarter of a century there have been over 400 long term care hospitals built in the United States. These hospitals do not provide acute care for specific illnesses. They are, generally speaking, holding facilities for individuals who are too sick for nursing homes but not sick enough for regular hospitals.

Patients often stay for many weeks or months in these facilities. Many of these patients are senior citizens. Long term care hospitals have a much higher rate of bed sores and infections among their patients than regular hospitals. They are also more profitable than regular hospitals. They generally do not do surgery in the long term care facilities or handle medical emergencies. Patients needing these services are transferred to general hospitals. 

A large portion of the bills paid for the treatment at long term care hospitals are paid by Medicare. For profit, long term care hospitals often spend less money on patients and have higher profit margins than regular hospitals.

Inspections in the past 3 years in long term care hospitals have found increasing levels of violations of healthcare standards. Many long term care hospitals do not maintain staff physicians on a 24 hour basis. If you have a friend or loved one in along term care facility, you should monitor their treatment to see to it that they are provided with an appropriate level of medical care.

Should you have any problems regarding a hospital stay or a stay at a long term care facility, feel free to contact the Law Office of Elliot S. Schlissel at 1-800-344-6431 or email us at schlissel.law@att.net.

Elliot Schlissel, Esq.

Picture courtesy of life123.com.