Most people are surprised to learn that Medicare pays for only a limited amount of the daily care you are likely to need in your lifetime (about 14%).

Medicare covers only services delivered by medically trained professionals. That means you need to have savings or insurance and rely on a collection of local programs. Or family and friends who may be able to pitch in with labor or funds.

Assisted living and memory care $$$–$$$$
As nonmedical services, these settings are usually paid for out of your own savings. If you are a qualifying veteran or you have long-term care insurance, your costs may be covered. Contact the Veterans Administration or state Veterans Council. Check your long-term care insurance policy for eligibility requirements. Also ask about waiting periods. Is there a lifetime cap on the total amount they will pay?

Skilled nursing/rehab or nursing home $–$$$$$
Provided your stay follows a qualifying hospitalization, original Medicare—the government's health insurance for seniors—will typically cover some portion of the costs for the first 100 days. You use your supplemental insurance for your copay. Or pay out of pocket if you do not have supplemental insurance. Starting day 101, you pay 100% of the cost. Medicare Advantage plans vary, so review the coverage with your insurance provider. If you have private long-term care insurance, check your policy for skilled nursing coverage. The Veterans Administration offers special facilities for qualifying vets.

The very poor may qualify for Medicaid. This program will pay 100% of costs. However, there are only a limited number of Medicaid openings available in any given facility. Those living long term in a nursing home usually exhaust all personal savings and assets. Then they switch to Medicaid. If you think you may need Medicaid, consult an elder law attorney early. Also, your financial planner for advice about liquidating your assets.

Continuing care retirement communities $$$$$
This is a very different model of care that merges housing and insurance. With a continuing care retirement community—also known as a "Life Plan Community"—you invest a substantial sum up front (often in the six figures). You also pay a monthly service fee. Start while you are healthy and live on campus to enjoy the deluxe amenities. Move to the most appropriate building as your care needs change. This is paid for almost entirely out of your own savings. If you have long-term care insurance, check your policy to see if it covers continuing care retirement communities.

Worried about paying for care? Give us a call at 203-826-9206.

Learn more about our aging life care planning services.

Frank knows they need help at home. His wife's dementia is getting worse, and he has his own health problems. She can't be left alone anymore.

Doing all the cooking and cleaning, and now helping with bathing ... it's just too much.

Frank needs to take breaks. But a Google search reveals a dizzying array of home care providers. How to choose?

Allowing a stranger into your home can leave you feeling quite vulnerable. It's important that you trust the individual and the company that does the background checks, verifies training, and puts together the schedule.

You also need to interview each company to find out pricing and minimum number of hours, and to see if they have independent quality ratings.

How do you know which one to trust?
This is where Aging Life Care™ Manager can help.

On the basis of past experience with other clients, he or she knows which companies put an emphasis on training. Which have difficulty filling a shift if a caregiver calls in sick. Which have high staff turnover resulting in the need for you to orient a new employee every few months. Which have a strong team, with employees who love their work.

Wise home care companies will let you and your Aging Life Care Manager interview several caregivers before making a choice. They know that an Aging Life Care Manager understands you as the client and understands what will result in an optimal match.

Both you and the provider and the caregiver want a good fit the first time so all of you can work together positively for the duration of your need. It makes the difficult transition to home care that much easier if a knowledgeable advocate can set expectations and provide an objective viewpoint.

Even with adult day care and medically trained services, such as home health and hospice, not all providers are alike. An Aging Life Care Manager knows the reputation and the management style of each company. He or she can look up Medicare reviews and complaints.

An Aging Life Care Manager can also coordinate care across multiple service providers and work with your physician to ensure that all the different players are aware of your changing needs.

Want to find the best fit the first time? Give us a call at 203-826-9206.

Learn more about our aging life care planning services.

Irritating but true: Aging brings changes that make safe driving more of a challenge. Slower reflexes. Reduced vision and hearing. Difficulty concentrating. Less flexibility in the neck and shoulders.

Fortunately, these changes do not come on suddenly. And adjustments in driving habits can offset them such that older drivers can be much safer than their younger counterparts.

Safe driving starts with a willingness to be honest with yourself about modifications.

A few signs that adjustments may be in order:

• Thoughts wander when you drive
• Frequently startled or uncertain in high-traffic conditions
• Taking medicines that list drowsiness as a side effect
• One or two tickets or verbal warnings from police in the past two years
• Dents in the car, or even a collision in the past two years
• Comments or concerns expressed by family or friends
  
  

Take a self-assessment. The American Automobile Association (AAA) offers a free, confidential test at seniordriving.aaa.com.

Consider a Mature Driver Course. AAA and AARP (American Association of Retired Persons) offer courses filled with tips. Your car insurance may even discount your premiums.

Easy things you can do right now:

• Flexibility exercises. Increase mobility in your neck and shoulders so you can readily turn your head to check for blind spots when changing lanes or backing up.
• Reduce distractions. Turn off the radio. No eating or drinking while driving. Definitely no phone calls. Consider halting conversation with passengers when driving conditions are complicated (e.g., at intersections).
• Drive mid-day. Avoid rush hour and freeways. And if you have trouble with night vision, plan your trips so you are home before twilight.
• Make a left turn only at a left-turn light. If there is no stoplight, drive a block farther and make three right turns. (Three rights make a left.)
  
  

Wondering about your driving?
Give us a call at 203-826-9206

Learn more about our services.

Judy had an emergency hip replacement after a fall. She needs to be discharged tomorrow to a skilled nursing facility. She needs several weeks of intensive physical therapy to be able to walk again. Then she may need to live in assisted living.
The discharge planner has a list of options. Judy and her daughter, who lives an hour away, don't know how to make a wise choice.  

For short-term, urgent needs, you may be at the mercy of which facility has an opening at the time.

It pays to consult an Aging Life Care™ Manager who knows the reputation and personality of the local institutions. It's best to have a relationship with the [cm] before you have an urgent need. He or she can combine extensive knowledge of local resources with a thorough understanding of your medical history, your insurance and financial resources, your personality and preferences, and your social support system. As a result, you are more likely to get a match that will help you maintain good spirits and enjoy a speedy recovery.

Review all your options
Unlike "free" referral agents, an Aging Life Care Manager will present all the choices that make the most sense for your needs and personality. Not just the communities that are willing to pay a kickback referral fee.

Such independence is even more important for long-term living situations
Choosing an assisted living community, a CCRC, or a memory care facility is a big decision. You want to get a good match from the start.

Touring these communities can be daunting
A Google search delivers a dizzying array of choices. They all put their best foot forward. But architectural features and social amenities are only superficial measures of quality. An Aging Life Care Manager has had other clients who live in these facilities. He or she has a firm grasp on deeper metrics, such as the tone of the administrative leadership, the training and stability of the staff, the solvency of the company, and the overall personality of the community.

An Aging Life Care Manager also knows current conditions in the market that can save you money. For instance, if a community happens to have a lot of openings, a lower monthly rate or entry fee could be negotiated. A "senior housing advisor" paid a commission by the community would not be able to serve as your advocate in this regard.

Looking for unbiased recommendations based on all your options? Give us a call at 203-826-9206.

Learn more about our aging life care planning services.