Posts Tagged ‘paying for care’

Paying for Assisted Living

Wednesday, January 5th, 2011

Author:

Angela Stringfellow

As more Baby Boomers – 77 million strong – begin to slide into retirement, the term ‘assisted living’ is going to be on the lips of everyone from financial planners to family physicians.

Assisted living gives older adults a safe, sanitary and supervised living space to spend their sunset years. The number of Americans with an assisted living facility in their future is on the rise – the U.S. Census Bureau estimates that the population of Americans 85-years-and-older will grow by 33by 2010.

In addition, the U.S. Census Bureau estimates that approximately 6.5 million older people currently need assistance with daily living activities. The Bureau reports that number is expected to double by 2020.

With great numbers, however, comes great financial responsibility. How, after all, are people going to pay for assisted living services? Let\’s take a look:

What does assisted living cost?

The Census Bureau estimates that, on average, the per-diem rate for assisted living in a private room is about 60to-70of the cost of a similar-sized room in a nursing home. That could mean a bill of between $50 and $120 per day- and a good-sized case of sticker shock for potentially millions of Americans.

How can you pay for assisted living?

There are several sources of funds commonly used for paying for assisted living: Private funds, long-term care insurance, or sometimes veterans benefits. Private funds can come from personal investment portfolios, like 401k plans or Individual Retirement Accounts. Many people sell their homes, using equity that has built up over their lifetime, to pay for assisted living.

Seniors who do not want to sell their home may consider paying for services through a reverse mortgage, where long-time homeowners essentially borrow against the value of their home. The U.S. Department of Housing and Urban Development has a good analysis of reverse mortgages.

Long-term care insurance – an umbrella term for insurance that covers nursing home care, home-based health care, assisted living health care (in addition to other medical services) – can help shoulder the cost of assisted living for those who have a policy with a few restrictions:

  • For example, most long-term care insurance policies won\’t cover the costs unless you are unable to perform two or more ‘activities of daily living’ (ADLs). Some examples of ADLs include bathing, dressing, eating, getting from a bed to a chair, using a toilet, and walking. Some insurers may evaluate with a physician of their choice – not yours – to see if your condition qualifies for coverage.
  • The type of long-term care policy is critical, too. For instance, a ‘facility-only’ policy covers care received in a licensed Assisted Living Facility or Skilled Nursing Facility, but not care in an unlicensed facility or in your home. Better to get an Integrated Home Care policy with 100protection for care received either in a licensed Assisted Living Facility or Skilled Nursing Facility, or in an unlicensed setting, like your home.

In some cases, veteran\’s benefits can cover the costs of assisted living programs. To qualify, you\’ll need your military discharge papers (copies are fine); a valid medical condition (like blindness – but the condition need not be life threatening) that comes with a doctor\’s letter of validation, certain minimum financial asset conditions, and the filing of a formal application, called the Veteran\’s Application for Compensation and/or Pension, VA FORM 21-526, Parts A, B, C, and D.

Does Medicaid cover assisted living?

While Medicare won\’t pay for assisted living care, in some cases, Medicaid will. Specifically, Medicaid may pay for an assisted living stay of limited duration (mostly 90 days or less). But there are factors that could reduce or stop Medicaid from paying during that time period (for example, your physical condition hasn\’t improved during your assisted care facility stay). Payment statutes vary from state to state, and with Medicaid, financial help with assisted living costs is highly needs-based, i.e. the less money you have, the better chance you have.

Article Source: http://www.articlesbase.com/elderly-care-articles/paying-for-assisted-living-2740629.html

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Not Your Grandmas Reverse Mortgage Anymore

Monday, July 20th, 2009

Many people don’t realize that Reverse Mortgages have been around since 1961. While I have heard several companies take credit for doing the first reverse mortgage, I believe the first one was done in New Jersey. The lady not only outlived her reverse mortgage loan but she also outlived her loan officer. The original reverse mortgages did not have much protection for the senior.

Over the years, several safeguards have been put into place. One of those safeguards is the requirement that all reverse mortgage applicants go through counseling. The reverse mortgage (called a HECM Home Equity Conversion Mortgage) is an FHA or government insured loan. FHA wants the counseling to be done through a third party agent who has no financial ties to that loan. While this may seem a bit paternalistic, it’s a really good idea. This gives the senior another opportunity to ask questions and to hear about how the loan works. In many cases, the senior can bring their adult children or other financial adviser to their counseling appointment. It’s important that seniors also look at any options they may have and counselors assist in that process. The counseling takes about 45 min to an hour and in most cases it is be done over the phone. Some counseling can be done in person as well. As of August 2008, Counseling Agencies may now charge for their services. There are, however, some agencies who can waive their fee ($125) for seniors who are financially unable to pay. Always ask your counselor about this option. Once the counseling is done, the senior will receive a certificate of completion and this certificate is required before the lender can order an appraisal on the property.

Another safeguard, is the mortgage insurance premium (MIP). While this insurance is added to the costs of the loan, it’s invaluable in protecting seniors and their families. This insurance means that the senior can never owe more than the property is worth. If that were to happen, the lender would simply make a claim against that insurance for any loss and the lender would never go after the senior or their heirs for that difference. This means that the senior will not ever leave a debt for their family. This is very important to the majority of reverse mortgage customers.

A third safeguard is the maximum age. The original reverse mortgages stopped at age 100 but today, the reverse mortgage is good until age 125 or until the senior permanently vacates the property (after one year), whichever comes first. We haven’t had any seniors reach 125 yet!

A more recent addition to the reverse mortgage program is the addition of fixed rate reverse mortgage products. In the past, all reverse mortgages were adjustable rate loans. Fixed rate loans today, provide the customer with the maximum amount of loan when compared to the adjustable loan. This can change as interest rates go up and down but currently, the fixed rate does afford the maximum proceeds from the loan amount. While adjustable rate loans may still be viable for some seniors, it’s nice to have the option to choose from. If you still have questions about the safeguards available with the reverse mortgages today, talk to your reverse mortgage specialist. He or she will be happy to fill you in on all the details of this wonderful product.
Brenda Wheeler, Reverse Mortgage Specialist, M & I Bank Indianapolis
To learn more about this and other senior care funding options go to www.agingavenues.com or call 317-731-3315.