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One Senior Place OneSeniorPlace.com Brevard/Space Coast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715 Douglas Ave, Altamonte Springs, FL 32714 PERSONAL PLANNING RESOURCE GUIDE

PERSONAL PLANNING RESOUR E GUIDE · One Senior Place OneSeniorPlace.com revard/Space oast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715

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Page 1: PERSONAL PLANNING RESOUR E GUIDE · One Senior Place OneSeniorPlace.com revard/Space oast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715

One Senior Place OneSeniorPlace.com

Brevard/Space Coast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940

Greater Orlando: 407-949-6733 715 Douglas Ave, Altamonte Springs, FL 32714

PERSONAL PLANNING RESOURCE GUIDE

Page 2: PERSONAL PLANNING RESOUR E GUIDE · One Senior Place OneSeniorPlace.com revard/Space oast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715

Opening the Lines of Communication Hope is not a plan when it comes to determining your long-term care needs. It is important to start the conversation early, BEFORE health changes force your hand. These are the topics for discussion:

Preferences/Concerns What is your biggest concern in planning for your future? How do you feel about moving to assisted living or a nursing home? If it was possible, would you like to stay in your home? Do you have legal provisions in place if you become ill or incapacitated? Have you made those wishes known to your designated person?

Home Safety Do you feel safe in your home? Are you willing to do the things necessary to stay safely at home? Would you be willing to accept help with your everyday activities? Does your hearing or eyesight affect your safety at home? Do you still feel safe driving? Have you had any recent car accidents? Are you worried about being a crime or fraud victim?

Health

Do you have any chronic health conditions? Do they affect your ability to do your everyday activities? Do you take medications and can you take them without assistance? When was your last physician’s appointment?

Health Care

Do you know what kind of medical coverage you have? Do you know the provisions of your medical insurance- co-pays, deductibles etc.? Do you feel your health care coverage meets your needs?

Nutrition

Are you able to shop and cook safely? Are there any physical problems affecting your appetite?

Finances How will you pay for your long-term care? Do you worry about outliving your money? Do you have any long-term care insurance? Are you able to pay your bills without assistance? Are all your bills paid up-to-date?

Legal

Do you have a DNR? Do you have a living will, a will, a power of attorney, a trust, a health care surrogate or proxy? Does your designated person have access to your financial and legal information?

Call Today for a Free Consultation 866 -751-6771

8085 Spyglass Hill Road, Viera, FL 32940 321-751-6771 715 Douglas Avenue, Altamonte Springs, FL 32714 407-949-6733

Page 3: PERSONAL PLANNING RESOUR E GUIDE · One Senior Place OneSeniorPlace.com revard/Space oast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715

Playing it Safe

It is important to make sure you know where all your important documents are stored. Use the space below to let your designated family member know who to contact for those documents and where they are kept.

Personal Information for

Street address

City State Zip

Phone No. Cell Phone

Social Security No. Driver’s License No.

Emergency Contact Phone

Veteran? Yes No If yes, Service No.

DD-214? Yes No Location of DD-214

Health Information

Primary Care Physician Name

Street address

City State Zip

Phone No.

Other Physicians/Specialists/Dentist:

Name

Specialty Phone No.

Name

Specialty Phone No.

Name

Specialty Phone No.

Name

Specialty Phone No.

Call Today for a Free Consultation 866 -751-6771

8085 Spyglass Hill Road, Viera, FL 32940 321-751-6771 715 Douglas Avenue, Altamonte Springs, FL 32714 407-949-6733

Page 4: PERSONAL PLANNING RESOUR E GUIDE · One Senior Place OneSeniorPlace.com revard/Space oast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715

Chronic Health Conditions

Hearing Aids

Audiologist/Hearing Aid Specialist

Manufacturer

Warranty Contact information

Health Insurance

Company Name

ID No. Phone

Secondary Insurance

ID No. Phone

Prescriptions

Pharmacy Phone

Pharmacy Phone

Medication/Dosage/Prescribing Physician:

Drug Allergies

Call Today for a Free Consultation 866 -751-6771

8085 Spyglass Hill Road, Viera, FL 32940 321-751-6771 715 Douglas Avenue, Altamonte Springs, FL 32714 407-949-6733

Page 5: PERSONAL PLANNING RESOUR E GUIDE · One Senior Place OneSeniorPlace.com revard/Space oast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715

Financial

Name of Bank

Type of Account Account No.

Names on the Account

Location of Statements

Name of Bank

Type of Account Account No.

Names on the Account

Location of Statements

Name of Bank

Type of Account Account No.

Names on the Account

Location of Statements

Location of Safety Deposit Box and Key

Pension/401K/IRA/Survivor’s Benefit Plan

Employer Name

Benefit Coordinator Phone No.

Employer Name

Benefit Coordinator Phone No.

Employer Name

Benefit Coordinator Phone No.

Call Today for a Free Consultation 866 -751-6771

8085 Spyglass Hill Road, Viera, FL 32940 321-751-6771 715 Douglas Avenue, Altamonte Springs, FL 32714 407-949-6733

Page 6: PERSONAL PLANNING RESOUR E GUIDE · One Senior Place OneSeniorPlace.com revard/Space oast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715

Life Insurance

Company

Policy Owner Policy No.

Agent’s Name Phone

Amount Beneficiaries

Company

Policy Owner Policy No.

Agent’s Name Phone

Amount Beneficiaries

Long-term Care Insurance

Company

Policy Owner Policy No.

Agent’s Name Phone

Auto/Renter’s/Homeowner’s Insurance

Company

Policy Owner Policy No.

Agent’s Name Phone

Company

Policy Owner Policy No.

Agent’s Name Phone

Call Today for a Free Consultation 866 -751-6771

8085 Spyglass Hill Road, Viera, FL 32940 321-751-6771 715 Douglas Avenue, Altamonte Springs, FL 32714 407-949-6733

Page 7: PERSONAL PLANNING RESOUR E GUIDE · One Senior Place OneSeniorPlace.com revard/Space oast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715

Company

Policy Owner Policy No.

Agent’s Name Phone

Company

Policy Owner Policy No.

Agent’s Name Phone

Property Ownership

Do you have a Veteran’s Certificate of Eligibility?

Where is it located

Property Address

Mortgage Co Account No.

Location of Title

Property Address

Mortgage Co Account No.

Location of Title

Outstanding Financial Obligations

Name Account No.

Name Account No.

Name Account No.

Name Account No.

Name Account No.

Call Today for a Free Consultation 866 -751-6771

8085 Spyglass Hill Road, Viera, FL 32940 321-751-6771 715 Douglas Avenue, Altamonte Springs, FL 32714 407-949-6733

Page 8: PERSONAL PLANNING RESOUR E GUIDE · One Senior Place OneSeniorPlace.com revard/Space oast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715

Legal

Attorney Name

Address

City/ST/Zip

Phone Date Will Executed

Location of Will

Executor of Estate

Power of Attorney

Name Phone

Location of POA

Trust

Name of Trust

Name of Grantor/Trustee Phone

Living Will

Date Executed Document Location

Funeral Planning

Name of Funeral Home/Crematorium

Funeral Planner Name

Funeral Home Phone No. Prepaid information

Call Today for a Free Consultation 866 -751-6771

8085 Spyglass Hill Road, Viera, FL 32940 321-751-6771 715 Douglas Avenue, Altamonte Springs, FL 32714 407-949-6733

Page 9: PERSONAL PLANNING RESOUR E GUIDE · One Senior Place OneSeniorPlace.com revard/Space oast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715

Miscellaneous Important Information:

Location of Birth/Adoption Papers

Location of Marriage/Death/Divorce Documents

Security/Garage Door Code(s)

Memberships/Subscriptions

Computer Passwords

Online Accounts/Memberships

Provisions for Pets

Notes

Call Today for a Free Consultation 866 -751-6771

8085 Spyglass Hill Road, Viera, FL 32940 321-751-6771 715 Douglas Avenue, Altamonte Springs, FL 32714 407-949-6733

Page 10: PERSONAL PLANNING RESOUR E GUIDE · One Senior Place OneSeniorPlace.com revard/Space oast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715

Moving: Are YOU ready?

Decision Tree for Senior Retirement Options

Assess personal, physical and medical needs for yourself and your loved one.

Review income, assets, investments, value of home in order to determine what you can afford.

Review possible payment assistance benefits or programs that you might be eligible for: Long

Term Care Insurance, Veteran’s Benefits, Medicaid Waiver/ Diversion Program?

Evaluate your support network to determine where you want to be located: Stay in the same city?

Are you active in your church, have many friends? Move closer to adult children?

Educate yourself on the options available to you and schedule a lunch or dinner tour.

Things to look for when touring and inquiring about a facility:

Menu: Food choices

Staff: How do they interact with the residents? How long have they worked there? Is there

frequent staff turnover?

Residents: Do they seem happy? Do they make you feel welcome?

Activities and programs: Do they offer things that are of interest to you?

Transportation: If you no longer drive or are unable to, can they provide adequate transportation

for you?

On-site providers and services: Hair salon/barber shop, physicians, podiatrist, hearing specialist,

eye doctor?

Levels of Care Offered: Can they accommodate your needs as you age?

Selling Your Home: Senior Real Estate Specialist

Obtain a free market analysis to determine value of your home, seek suggestions to help improve

the value without spending a lot (painting neutral colors, reduce clutter, remove excess furniture,

plant new flowers in yard, power wash driveway).

Decide which furniture and belongings that you want to keep, what will fit in your new apartment.

Contact an estate sale expert to determine the best approach to getting rid of your excess

furniture and belongings – do you have antiques or valuables that should be sold separately?

Ask your family members if they are interested in any items that you no longer want or need.

Call Today for a Free Consultation 866 -751-6771

8085 Spyglass Hill Road, Viera, FL 32940 321-751-6771 715 Douglas Avenue, Altamonte Springs, FL 32714 407-949-6733

Page 11: PERSONAL PLANNING RESOUR E GUIDE · One Senior Place OneSeniorPlace.com revard/Space oast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715

Senior Retirement Living Options

Independent Senior Housing: Condos, 55+, mobile home park, apartment, single family home. No services

or amenities unless provided by private business or agency.

Independent Senior Retirement Communities: Meals, housekeeping, transportation, activities all included

in the monthly fee. Services and assistance often available onsite as your needs increase.

Continuing Care Retirement Community (CCRC): Usually a “buy in” fee, promotes “aging in place” since

they offer Independent, Assisted, Skilled Nursing, and often Memory Care and guarantee that you can

remain on the same campus until your death. Move in while considered Independent.

Assisted Living – provides assistance with activities of daily living and services distinguished by licensure:

o Standard (STD) basic assisted living license

o Limited Nursing Services (LNS) some nursing services provided

o Extended Congregate Care (ECC) highest level of care provided under ALF license

o Limited Mental Health (LMH) specific licensing and training to provide assistance to residents with

mental health diagnosis

Skilled Nursing Facility (SNF): offers short term, sub acute rehabilitation and long-term nursing care.

Who Pays for All This?

Medicare pays for “skilled care” by a nurse, occupational, speech or physical therapist, in a person’s home or

living facility. The amount of time this care will be paid for is defined by Medicare and will vary by

situation. Skilled care in a nursing facility or rehab is limited to 100 days, but may be less depending upon

the patient’s progress in rehabilitation. Medicare also covers hospice care.

Medicaid pays for skilled nursing care for people that are financially qualified. This may be both short-

term and long-term care. Medicaid will also cover hospice care, and on a limited basis, assisted living.

Long-term Care Insurance pays for care received in the home or in a facility based on the particular

provisions of the individual policies. Policy owners should be aware of the policy triggers, daily limits and

maximum policy limits.

Veteran’s Aid and Attendance Benefits pays for home care and care in a facility. Veterans and their spous-

es must meet eligibility requirements.

Private Health Insurance and Supplements may have skilled care benefits. Check with your health insur-

ance to find out the limitations of these policies.

Revolutionizing the way America shops for Elder Care and Services

8085 Spyglass Hill Road, Viera, FL 32940 321-751-6771 715 Douglas Avenue, Altamonte Springs, FL 32714 407-949-6733

OneSeniorPlace.com

Page 12: PERSONAL PLANNING RESOUR E GUIDE · One Senior Place OneSeniorPlace.com revard/Space oast: 321-751-6771 8085 Spyglass Hill Road, Viera, FL 32940 Greater Orlando: 407-949-6733 715

In-Home Care Options:

Private Duty Care provides non-medical care and assistance with activities of daily living such as meal prepa-

ration, bathing, grooming , dressing, transportation and light housekeeping. Private duty care is almost

always private pay but may be paid for by Medicare when bundled with skilled services ordered by a phy-

sician. Long-term care insurance policies may also pay for in-home care. You CAN use Veteran’s Aid and

Attendance Benefits to pay for private duty care.

Skilled Home Health Care is care given by nurses, occupational, speech or physical therapists. Medicare

pays for this care with an order from a physician. Most private insurances also pay for skilled home care.

Hospice Care can be given in a patient’s home, including residence in assisted living or skilled nursing facili-

ties. Patients must have a terminal diagnosis. Medicare and Medicaid, as well as private health insurance

(subject to terms of policy), will pay for hospice care.

Still have questions? One Senior Place is here to help. We invite seniors and interested family members to

take advantage of the free consultation process that helps connect you to the right service or product for

your individual needs. Call 866-751-6771 today and schedule your free consultation!

Revolutionizing the way America shops for Elder Care and Services

8085 Spyglass Hill Road, Viera, FL 32940 321-751-6771 715 Douglas Avenue, Altamonte Springs, FL 32714 407-949-6733

OneSeniorPlace.com

Full Range of

In-Home Care

Services Bathing, Dressing Personal Care

Meals, Housekeeping, Laundry

Transportation

Registered Nurse On Call 24/7

Alzheimer’s and Dementia Care

Geriatric Care Management

Medical Care Coordination

Medication Management

Placement Assistance

Transitional Care

Lic # 30211049 A One Senior Place Company

321-253-6336 24 hours