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Medical Forum / Diseases and Disorders / Alzheimer's / February 2006Assisted Living & Money?
How much money my grandmother has. Why do they need to know that. As long as I pay the bills a month a head of time why do they care? > How much money my grandmother has. Why do they need to know that. As long > as I pay the bills a month a head of time why do they care? Because believe it or not there are unscrupulous people in the world who will put their elderly relative in a nursing home or assisted living, then go and use the persons money for their own personal use, and when the old person is broke, who will pay the bill then? Actually it is a bit more complicated. You REALLY need to see an elder law attorney. This is a specialist who can tell you how to preserve your grandmother's estate in the best possible way. I cannot stress this enough to you. Long term care can exhaust a persons estate very quickly, and in order to get Medicaid to pick up the tab after that, the records must be very clear that there has been no misuse of the persons money in the last few years, or transfers of their funds etc. The government is very smart about this, and believe me, every nickel needs to be accounted for in a legally acceptable way. THAT is why you need to see an elder law specialist attorney to help you handle it correctly.  SignatureBest Regards, Evelyn (to reply to me personally, remove 'sox') As it stands now she's going in Arden Courts care for a month & if my Mother decides to leave her there they will get all her money until it runs out then they will move her out to a cheaper place. >> How much money my grandmother has. Why do they need to know that. As long >> as I pay the bills a month a head of time why do they care? [quoted text clipped - 16 lines] > acceptable way. THAT is why you need to see an elder law specialist > attorney to help you handle it correctly. > As it stands now she's going in Arden Courts care for a month & if my > Mother decides to leave her there they will get all her money until it > runs out then they will move her out to a cheaper place. That's the reality of how it works. Anyone who wants to try and preserve any part of a persons estate has to set up various things in advance to do so. Someone has to pay for the persons care if they are in need of it, and if their own money doesn't do it, the government has to do it. Unless a person has long term care insurance or other systems in place in advance. I am sorry your grandmother is ill. Almost everyone who posts here has been through this. SignatureBest Regards, Evelyn (to reply to me personally, remove 'sox') I just don't want Arden Courts to control her money. I have power of attorney. My Mother has power over her health. Thats the way it was set up in her Trust. I'm just worried that when they suck her dry they will ship her to who knows where. >> As it stands now she's going in Arden Courts care for a month & if my >> Mother decides to leave her there they will get all her money until it [quoted text clipped - 7 lines] > advance. I am sorry your grandmother is ill. Almost everyone who posts > here has been through this. >I just don't want Arden Courts to control her money. I have power of >attorney. My Mother has power over her health. Thats the way it was set up >in her Trust. I'm just worried that when they suck her dry they will ship >her to who knows where. If she has alzheimers, there may come a time when she is so far into her illness that she won't much care about aspects of the surroundings that may seem very important to you and I, like decor and activities and all those trimmings......but in reality the only thing that will be important will be the quality of care. I would suggest you get together with the people at Arden Courts and find out now, before her money is exhausted, exactly where she will go, and try to make a plan now. We felt much as you did about my mother in laws care, and we were extremely fortunate in that she went into a really nice place. We were nearby and were able to visit her often, even in bad weather. Do all the homework you can on this, Norm.... That is important. Also, please make sure you meet with the Arden Court people and find out for sure what the expectations are. Look into whether they have a deal with some facility or an affiliation with one, that takes their people who need more intensive and continued care. Tour the place or places, and work from there. Nursing homes may appear depressing to you and I, but the quality of care is what is important. Like I said, we were very fortunate in our choice. SignatureBest Regards, Evelyn (to reply to me personally, remove 'sox') >>I just don't want Arden Courts to control her money. I have power of >>attorney. My Mother has power over her health. Thats the way it was set up [quoted text clipped - 21 lines] >of care is what is important. Like I said, we were very fortunate in our >choice. Hi Norm, Sorry if I seem to be butting in, but Evelyn knows what she is talking about. Any transfers of a persons property that are made gratitously, that is, without value, count against an elderly or disabled persons eligibility for medicaid. Essentially, except in a very minor way, Medicare does not cover nursing home care... Medicaid generally does cover nursing home care and assisted living, when it is required. Thus, we frequently see the sad sight of elderly and disabled people needing care, having no money, and not being eligible for medicaid, because they have disqualified themselves from receiving benefits by setting up a trust, or by giving property away prior to their needing care. It is heartbreaking to see a person with alzheimers with no place to go. Will I've done some research on this one, related to answering Alzheimer's questions for allexperts. Since I'm in Canada, we face nothing similar - the most costly full time care here is a fraction of what you'd pay for comparable care in the US. Apparently, the AVERAGE American family who consults an attorney early enough in the game to do appropriate estate planning will save 60K in total, so its WORTH it. In your situation, it is likely too late already for the bulk of the savings, since it needs to be taken care of long before a person needs to go into expense institutional care due to the look back periods etc. American health care puzzles me no end - how do you stand for it? A handful with a Cadillac, a few driving a basic Ford, and the rest in a rust heap with no wheels. Just to give you an example, my mother in law was in assisted living, then a locked AD ward, and then a heavy nursing care nursing ward. She was in institutional care for close to 5 years - and the monthly bills were never more than $1300, and the place was extremely nice, clean, well ru nmhnt. Provincial health insurance paid for the portions of her care that were considered medical in nature, and the rest was on a sliding scale based on INCOME not total assets. I've been looking into local facilities for a well to do neighbour recently, and the very fanciest of the private places I've looked into was about 4K a month (and it can only be described as being like a brand new and very luxurious private hotel). Anyway, get your skates on, go see a lawyer, find out your/her legal rights AND responsibilities, and find out what you can and cannot do under your state rules. M. Thanx, Everyone. > I've done some research on this one, related to answering Alzheimer's > questions for allexperts. Since I'm in Canada, we face nothing similar [quoted text clipped - 28 lines] > > M. > American health care puzzles me no end - how do you stand for it? we don't. i haven't voted for a congressional incumbent since 1972. unfortunately, the insurance and pharma industries have bought far too many congresscritters, including mine. i wish more americans would wake up and vote the bastards out. maybe this next election they will finally be pissed off enough. Mary_Gordon@tvo.org is alleged to have said: > I've done some research on this one, related to answering Alzheimer's > questions for allexperts. Since I'm in Canada, we face nothing similar [quoted text clipped - 28 lines] > > M. Rules on asset transfer and recovery under Federal Medicaid are about to undergo major changes. It will be much harder to transfer an elder's assets to keep the government from taking them to pay back Medicaid payments for nursing home care. They will look at the last 5 years rather than the last 3, as it has been. There's a lawyer here in Northern California who works in these areas and will answer email questions on elder law. He also has a call-in show on KGO radio on the weekends, most useful to those in the broadcast area but also able to be heard on the web: http://www.kgoam810.com You can see some of Len's writings at http://www.lentillem.com/archives.html SignatureJo Ann Malina, make spamthis best to find my address From birth to 18 a girl needs good parents. From 18 to 35, she needs good looks. From 35 to 55, good personality. From 55 on, she needs good cash. I'm saving my money. -- Sophie Tucker > Mary_Gordon@tvo.org is alleged to have said: >> I've done some research on this one, related to answering Alzheimer's [quoted text clipped - 43 lines] > You can see some of Len's writings at > http://www.lentillem.com/archives.html Another nice little gift from GW Bush to the good citizens of America. SignatureBest Regards, Evelyn (to reply to me personally, remove 'sox') |
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