Posts Tagged ‘veterans benefits’

Caring for Senior Veterans – VA Long Term Care Benefits

Tuesday, February 9th, 2010

In the month of February we celebrate Presidents Day in honor of two great United States Presidents; George Washington and Abraham Lincoln. Both were heroes of wars fought on U.S soil for freedom and unity of our great country.

The United States has fought many wars throughout the world since that time to keep freedom here at home and continues to do so. From the beginning our country we established a program to care for the men and women of our military who fought in those wars.

The veterans aid and attendance program goes back to 1636 when Pilgrims of Plymouth Colony fought with the Pequot Indians. The Pilgrims enacted a law from English law that reads, “If any man shall be sent forth as a soldier and shall return maimed, he shall be maintained competently by the colony during his life.” In 1789 U. S. congress passed as law that pensions were to be provided to disabled veterans and their dependents and in 1811 the first domiciliary and medical facility for veterans was completed. 

There are Veteran’s hospitals, out-patient centers, nursing homes, residental care facilities and Veteran’s homes throughout the country.  When it comes to long term care priority is given to war disabled veterans who need nursing home care.  There is another benefit to help Veterans pay for long term care  called  the Aid and Attendance Improved Pension.  Veterans or their single surviving spouses can become eligible if they have a regular need for the aid and attendance of a caregiver or if they are housebound. Aid and Attendance care is defined as assistance with bathing, dressing, eating, medications, toileting, walking or a danger to oneself because of memory impairment.

The benefit is $1656 per month for the Veteran, $1949 for both the veteran and their spouse or $1056 for the surviving spouse, tax free for life.  To receive the Pension, a veteran must have served on active duty, at least 90 days, with at least one of those days during a period of war. Their must be a discharge under conditions other than dishonorable. Single surviving spouses of such veterans are also eligible. If younger than 65, the veteran must be totally disabled. If age 65 and older, there is no requirement for disability. There is no age or disability requirement for a single surviving spouse.

To be eligible these must be an expense for care either provided by an in-home care provider, family member or assisted living.  VA also looks are income vs expenses and the veteran’s assets.  Unlike Medicaid VA allows redistribution of assets in order to qualify.  It is very important the you seek the assistance of a trained professional who also knows Medicaid laws before giving any assets away. 

The secret for receiving a successful award for aid and attendance or housebound ratings is not in filling out the form but in knowing what documents and evidence must be submitted with the application. Knowing the secrets for a successful award — with the special case of long term care recipients — is 95% of the battle. Even though the form is challenging, filling out and filing a claim is a formality.  A knowledgeable consultant can provide information to shorten VA’s decision window of 6 to 12 months to possibly 3 or 4 months. A Veteran’s benefit consultant also understands how to maximize the benefit or avoid a denial. The consultant can also provide guidance for meeting the asset test. Finally, a consultant can provide the actual strategies for reallocating assets and he or she can arrange for trusts or income conversions to allow for the best possible accommodation of assets for beneficiaries thus avoiding or reducing taxes, family disputes and Medicaid penalties.

Contact us today to help you get the benefits you deserve.  Call 866-837-2659 or info@agingavenues.com

http://www.agingavenues.com/topics/aid-attendance-pension-for-veteran-s-and-spouses

How to Pay for Senior Care in Indianapolis

Tuesday, February 2nd, 2010

Seniors want to stay in their homes rather than go to a nursing home but it is often difficult because of the cost of in-home care.  It is essential to pre-plan so that you have the resources to make this happen.  Here are the common ways to pay for senior care in the Indianapolis area.

1.    Privately paying for care in means paying for care out of your own income, investments, savings and assets.  

2.    Long-term care insurance will help pay for in-home care, assisted living, and nursing home care. This is the most appropriate and needed form of insurance protection available to us today. Long-term care insurance should be termed “lifestyle” insurance (it’s NOT just nursing home insurance!). If your vision of your later years includes sitting at home in your own recliner, with your own remote control, watching your own TV….well, you should be planning for that future with long-term care insurance.

3.    Reverse mortgages (Home Equity Conversion Mortgages) have become one of the most popular and accepted way of paying for many different expenses, including the cost of long-term care. Reverse mortgages are designed to keep seniors at home longer. A reverse mortgage can pay for in-home care, home repair, home modification, and any other need a senior may have.  Reverse Mortgage Companies 

4.    VA Aid and Attendance Pension Benefit: The Veterans Administration has established a pension program whereby your purchase of personal care and attendant home services may be paid for through your acquired pension. If you are a Veteran or the surviving spouse of a Veteran who has served at least 90 days or more on active duty with one day beginning or ending during a period of war, and you are in need of assistance at home or in an assisted living due to your disabilities, you may be eligible for VA’s non-service connected disability pension.    The benefit pays from $1056-$1949 per month tax free for life.  See a Veterans Benefits Consultant.

5.  Life Insurance:  Some insurance companies offer long term care additional riders for life insurance policies. Other options may enable you to use your life insurance policy to help pay for long term care. Accelerated death benefits and viatical settlements (selling your policy to a third party) provide payments lower than the full value of the policy, but can make sense for those who are terminally ill or in poor health. A life settlement essentially sells your life insurance policy for its present value—often a wise choice for those who no longer need or want a policy.

6.  Long Term Care Annuity:   An annuity is a series of regular payments over a specified and defined period of time. The funds for the annuity come from a single premium payment that you make when establishing the account. There are two types of annuities: deferred and immediate.  A deferred annuity includes two funds. The interest-bearing long term care fund is used to pay for long term care services and insurance. The cash fund grows at a guaranteed rate of 3 percent. The monthly amount depends upon the annuity value and generally provides coverage for up to 3 years.  An immediate annuity  also provides long term care coverage. This generally requires completing a medical questionnaire the insurance company uses to determine the price and length of payouts. Once you pay a single premium payment, you are guaranteed a monthly income for the rest of your life.

7.    Government assistance is available but in very limited supply. The Central Indiana Council on Aging administers the state and federal available in-home assistance.  They offer meal delivery, transportation, homemaker services and attendant care.   The CHOICE program allows you to hire your adult child to be your caregiver and they get paid after completing their certification program.  Not all in-home services are based on your income.  Most seniors make above the allowable limit to qualify for Medicaid while in their home and need a little assistance.  Currently the Medicaid system only provides nursing home care when someone needs 24 hour care.   If you need nursing home care you can apply for Medicaid but first consult a Medicaid Planning Expert such as Aging Avenues.