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LONG TERM CARE: WHO PAYS THE COST?
By: Jane M. McNamara, Esq.
Older adults are living longer today than in the past.
Today, a 60-year-old man has a remaining life
expectancy of 20 or more years. A woman of the same
age has a remaining life expectancy of 24 or more
years. Given the potential to live a long time, many
older adults and their families are concerned that
the older adult will need to receive long-term care.
Many older adults and their families are especially
concerned about long-term care in a Nursing Home. In
particular, they are concerned about the quality of
living arrangements and treatment, and about the
cost. According to the California Department of
Health Services, the average monthly private pay
cost of Nursing Home care in California is now
$4,477.00. This amount well exceeds $50,000 per
year. Most families are shocked to learn that
Medi-care does not pay for long term nursing home
costs. Medi-care pays up to 100 days (days
21-100 are with a co-pay) of skilled care.
Once Medi-care is no longer available, Nursing Home
care costs are paid by either Long Term Care
Insurance (which most elderly people do not have),
personal assets, or Medi-Cal.
Medi-Cal is California's version of the Federal
Medicaid program. Medi-Cal is designed to pay a very
significant portion of the cost of Nursing Home care
for an eligible person. To be eligible, a person
needing nursing home care must have limited
available resources. The rules in the area of
Medi-Cal eligibility are currently under review, and
are expected to change substantially within the next
year, or sooner. These new rules will
undoubtedly affect countless families whose loved
ones require long term care, and are in need of
Medi-Cal assistance, or wish to preserve assets
while obtaining long term care through Medi-Cal.
If faced with long term care needs, it is critical
that accurate eligibility information is obtained
before applying for Medi-Cal.
For an appointment, please cal the Law Office of Jane
McNamara at (661) 287-3260. |