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Medical Forum / Diseases and Disorders / Alzheimer's / December 2007

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Lady in need

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l canoe - 12 Dec 2007 02:45 GMT
A friend's Mom has Alzeheimers and needs 24/7 assistance.
She has Social Security and Medicare of course.
She is entiteld to some amount, undetermined, from her deceased
husband's Military Service in WWII he was 30% service related disabled.
She is comfortable in content, in the familiar surroundings of her very
modest home.
If she gets assistance from Medicade, they put her in a nursing home and
take her home. Her husband literally worked himself to death to provide
it for her. Her daughter is disabled and unable to take on the task of
her care. It would be good if the daughter could keep the little place
as an inheritance.
It would be inhumane to force her into an unfamiliiar, anxiety ridden
existence for the last part of her life.
Long Term Care Insurance was not even a concept, in her and her
husband's productive years.
He paid a fortune over 60 years that he worked, in taxes.
Anyone have any suggestions?
William Stacy, O.D. - 12 Dec 2007 03:14 GMT
> A friend's Mom has Alzeheimers and needs 24/7 assistance.
> She has Social Security and Medicare of course.
[quoted text clipped - 13 lines]
> He paid a fortune over 60 years that he worked, in taxes.
> Anyone have any suggestions?

Others on this group will probably have better info for you than do I,
but it sounds like you need to go the medicaid route unless you or
someone in the family is willing to take on the 24/7 bit.  I think that
she would be less "anxiety ridden" if she has that 24/7 help than if she
doesn't.  Forget the inheritance.  Medicaid will win that one, as they
probably should...

bill
Baird Stafford - 12 Dec 2007 08:59 GMT
> A friend's Mom has Alzeheimers and needs 24/7 assistance.
> She has Social Security and Medicare of course.
[quoted text clipped - 13 lines]
> He paid a fortune over 60 years that he worked, in taxes.
> Anyone have any suggestions?

It's obvious you aren't in Florida:  the State can't touch a "homestead"
(meaning lived-in year 'round by the owner and eligible for the
homestead exemption on property taxes).  Have you checked with a lawyer
who specializes in "elder law?"  I'd suggest spending the money to do
so, in case there *are* other options.

Blessed be,
Baird
whose mother has stopped eating....
Alan Holbrook - 12 Dec 2007 10:23 GMT
> In article <vXH7j.412$aG.211@newsfe07.lga>, l canoe <@lake.edge>
> wrote:
[quoted text clipped - 26 lines]
> Baird
> whose mother has stopped eating....

The others who said basically (a) Medicade and a home are probably
something to consider given the options, and (b) consult a good elder
care attorney, are both absolutely correct.  Another bit of confusion
here is that Medicaid is a federal program but it's administered by the
individual states, each of which have individual laws regarding it.

My wife has EOAD, she hasn't turned 60 yet, and I'm just over.  We still
have kids in school, so the "protect the inheritance" thing is important
to us as well.  One thing we're looking into is a SPIA (Single Payment
Immediate Annuity, or something close to that...).  The basic concept is
that, at least in Massachusetts, Medicaid won't touch income, just
assets.  So when the time comes, if you (the caregiver) put everything
you have into a SPIA and reduce your assets below Medicaid's mandated
level, they start paying immediately and you still have an income.

Also, it appears, again at least in Massachusetts and at least so far,
that Medicaid will NOT take the house and it can be passed on to heirs.

Again, check with that elder care attorney in your state and also with a
good financial planner.  As with everything else in life, "your mileage
may vary".
Dennis P. Harris - 12 Dec 2007 11:37 GMT
> If she gets assistance from Medicade, they put her in a nursing home and
> take her home. Her husband literally worked himself to death to provide
[quoted text clipped - 7 lines]
> He paid a fortune over 60 years that he worked, in taxes.
> Anyone have any suggestions?

welcome to the real world!

seriously, the suggestion offered by others is correct:  her
daugher needs to check with an attorney skilled in elder law *in
her state*, since state laws about medicaid vary so wildly.  in
some states the home may be protected until a healthy spouse or
dependent child no longer lives there, and in some states part or
all of the home's value may be protected.

a reverse mortgage might be an answer, but of course the financer
takes the home when the owner dies.  one reason an attorney needs
to be consulted is that there are "lookback" provisions in both
state and federal medicaid laws.

and seriously, very few folks can afford paid 24/7 home care.  if
the family can provide some of the home care, some states do have
medicaid waiver programs that allow a certain amount of home care
or respite care, though.
Evelyn Ruut - 12 Dec 2007 14:17 GMT
>A friend's Mom has Alzeheimers and needs 24/7 assistance.
> She has Social Security and Medicare of course.
[quoted text clipped - 13 lines]
> He paid a fortune over 60 years that he worked, in taxes.
> Anyone have any suggestions?

Absolutely.   Get your friend to an elder law specialist attorney as soon as
she or he can get an appointment.   If there are any loopholes available,
the attorney can advise you of them.    There may not be, but it can't hurt
to try and protect the family assets in the best way possible.

Signature

Best Regards,

Evelyn

 
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