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Elder CareTips:
Mastering The Eldercare Maze

November 15, 2005

 

Care Costs Are Rising (What a Surprise)

Not to anyone's surprise, the costs associated with eldercare keep going up. Most recently in the unhappy news was a new MetLife study reporting that assisted living costs across the country rose an average of 15% last year to an average of $2,524 per month, or $30,288 per year. The highest monthly average base cost was reported in Stamford, Connecticut at $4,327 while the lowest was Miami, Florida at $1,340. These are averages - many facilities charge much more.

This means that financial planning for eldercare is getting more complicated by the day. What was once affordable is growing out of reach for many, including those who are already living in a facility. As needs grow, so do costs - effectively pricing many residents out and into nursing homes. Or back into the homes of relatives.

The implication, of course, is that we're never done planning. What once looked like a great plan can go out of date in an instant if either needs or costs go up.

One often-overlooked resource for financial help with assisted living, available in some states, is a Medicaid-Waiver program. Each state that has a waiver program structures it differently, but many cover the costs of assisted living as an alternative to nursing home care if assisted living would be medically appropriate. Medicaid dollars are used to pay part or all of the cost of assisted living if this kind of residential alternative would cost the same as, or less than, nursing home care.

(The "Waiver" part of the program name alludes to the "waiving" of the requirement that the recipient be in a nursing home to receive financial assistance.)

If assisted living is, or might be, a good option for your elder place a call to your local Medicaid office (see the blue pages of your phone book). Ask whether your state has a Medicaid Waiver program, and if so, whether it covers assisted living in any way. If your state does have such a program, ask for any available written information about it and how to qualify.

In the states that have them, Medicaid waivers are popular and waiting lists are often long. If you think you might want to take advantage of this kind of program you would be most wise to get started as soon as possible.

In case you're interested, here is a partial list of average assisted living costs around the country according to the MetLife study:

Statewide, AK $3,757; Birmingham, AL $2,441; Little Rock,
AR $2,011; Tucson, AZ $2,057; San Diego, CA $2,103;
San Francisco, CA $2,630; Denver, CO $2,056; Stamford, CT $4,327; Washington, DC $3,920; Wilmington, DE $3,782; Orlando, FL $2,000; Atlanta, GA $2,535; Honolulu, HI $3,112; Des Moines, IA $2,139; Boise, ID $2,317; Peoria, IL $2,008; Fort Wayne, IN $2,638; Wichita, KS $2,347; Louisville, KY $2,438; New Orleans, LA $2,418; Boston, MA $3,424; Silver Spring, MD $3,718; Billings, MT $2,339; Dallas/Fort Worth, TX $2,361; Milwaukee, WI $2,798.

 


It's tough to win at roulette, but people having a good night are usually spreading their bets around. It's very difficult to win betting everything on a single number. Don't put all your hopes in a single bucket. Always multiply the options for success.

 ~Alan Weiss
 


Elder CareTip:
Letting Others Know

Instead of explaining to a waiter or waitress that your dinner partner might have trouble understanding the menu and ordering, how about this?

Hand a business-size card to the waiter or waitress that says:

Please be patient with our order. The person with me has memory problems.

Thanks for your understanding.

This way, the waiter or waitress understands, and probably will be more patient. At the same time, you don't embarrass your dinner companion by explaining the situation out loud.

This suggestion from ActivCare at Mesa and Point Loma, which
has these cards printed out for visiting caregivers.


From the temporary annoyance of a broken wrist to the long-term disability of a stroke, learning to do things with one hand is easier when you know the tricks.
One-Handed in a Two-Handed World isn't the prettiest book I've ever come across, but it's chock full of good tips and tricks that really work.


 

   
 


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