14
Resource Guide to Assisted Living 2020 The information contained in this guide is a courtesy of Manorhouse Management, Inc.

Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

Resource Guide to Assisted Living

2020

The information contained in this guide is a courtesy of Manorhouse Management, Inc.

Page 2: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

2

Table of Contents

Who is Eligible for Assisted Living or Memory Care?.. . . . . . . . . . . . . . . . . . . . . 3

When is Assisted Living/Memory Care Appropriate?.. . . . . . . . . . . . . . . . . . . . . 4

AssistedLivingvs. MemoryCare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

SignsthatYourLovedOneMayNeedMemoryCareServices . . . . . . . . . . . 5

StressMayIndicateaNeedforHelp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

How to Pay for Assisted Living or Memory Care Services. . . . . . . . . . . . . . . . . 7

1.PayforAssistedLivingwithVeteransBenefits . . . . . . . . . . . . . . . . . . . . . . . . . . 7

2.HowtoUseaLifeInsurancePolicytoPayforAssistedLiving . . . . . . . . . . 8

3.HowtoUseLong-TermCareInsurancetoPayforAssistedLiving . . . . . 8

4.HowtoUseanAnnuitytoPayforAssistedLiving . . . . . . . . . . . . . . . . . . . . . . 9

5.HowtoUseaReverseMortgagetoPayforAssistedLiving . . . . . . . . . . . 10

6.RentoutYourHometoMakeAssistedLivingMoreAffordable . . . . . . 10

7.HowtoUseMedicaidorSSItoPayforAssistedLiving . . . . . . . . . . . . . . . . . 11

8.HowtoPoolFamilyResourcestoPayforAssistedLiving . . . . . . . . . . . . . 12

9.PayforAssistedLivingWithaBridgeLoan . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Assisted Living and Memory Care Research Checklists.. . . . . . . . . . . . . . . . . . 14

Page 3: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

3

WhoisEligibleforAssistedLiving orMemoryCare?

Typically,assistedlivingcommunitiesserveseniorsintheirretirementyears.Individualsmayenteranassistedlivingcommunityfromaprivateresidence,hospital,rehabilitationcenter,ornursingcommunity.Theadmissionsprocessisthesameregardlessoftheperson’slocationpriortoadmission.

Eligibilityisbasedonanindividual’srequiredlevelofcare(acuity)andtheirabilitytopayforservices.Alsocalledresidentialcare,assistedlivingisatypeoflivingarrangementinwhichpersonalcareservicessuchasmeals,housekeeping,transportation,andassistancewithactivitiesofdailylivingareavailableasneeded.Alsoanimportantaspectoftheassistedlivingmodelistoprovidesecurity,comfortandmeaningfulactivitiesforresidents.Butunlikenursinghomes,residentsinassistedlivingremainindependent,livingontheirowninaresidentialsetting.Assistancewithactivitiesofdailylivingmayincludehelpwithbathing,dressing,toileting,diapering,medicationmanagement,helpingwithdailylivingdecisionsandmovingfromoneplacetoanother.

Assistedlivingisdesignedforpeoplewhoneedhelpwiththedailyactivitiesdescribedabove.Itisnotappropriateforpeoplewhoneeddailyskillednursingservices.Ifanindividual’sneedscannotbemanagedinanassistedlivingcommunity,anursinghomemaybeamoresuitablesetting.

Choosingtherightcommunityisanimportantprocesssincethefacilitymustprovidetheappropriatelevelofcare,meettheapplicant’sneeds,beaffordableandhaveanopeningwhenyouneedit.

Page 4: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

4

WhenisAssistedLiving/ MemoryCareappropriate?

Around70%ofadultsovertheageof65willneedlong-termcareatsomepointintheirlives,accordingtotheU.S.DepartmentofHealthandHumanServices.Whenourlovedonescannolongerliveindependently,that’swhencaregiversarefacedwiththedifficultdecisionofwhattypeofcaretoselect—becausenotalllong-termcareoptionsarecreatedequal.

Ifyourlovedoneisstillactiveandvital,butcannolongerliveindependentlyandneedsassistancewitheverydayactivitiessuchasbathing,dressingoreating,oneoftheoptionsavailabletohimorherisassistedliving.

AccordingtotheAssistedLivingFederationofAmerica(knownasArgentum),assistedlivingisdefinedas“along-termcareoptionthatcombineshousing,supportservicesandhealthcare,asneeded.”Personalcareservicesinassistedlivingoftenalsoincludemedicationmanagementandtransportation,andcareisavailablearoundtheclock.Seniorsinassistedlivingusuallyhavetheoptionofaprivateroomorsharedspaceinanapartment,dependingontheirbudgetandpreferences.

Asyourlovedoneages,theymaysimplyneedalittleextrahelpwitheverydaytasks,ortheymayrequiremorespecializednursingcareiftheyhaveage-relatedissueswithmobility,orconditionssuchasdementia.Assistedlivingcommunitiesvaryintermsofwhatservicestheyoffer,butsomeofthemdoprovidememorycareservices,usuallyinadementiaspecialcareunit(SCU).

AssistedLivingvs.MemoryCare

Althoughassistedlivingcommunitiesmayhavememorycareunitsonthepremises,thetwotypesofcarearenotsynonymous.

Memorycareisadistinctformoflong-termcarethatspecificallycaterstopatientswithAlzheimer’sdisease,dementiaandothertypesofmemoryproblems.Alsocalledspecialcareunits(SCUs),memorycareunitsusuallyprovide24-hoursupervisedcarewithinaseparatewingorfloorofaresidentialfacility.

Aswithassistedliving,ifyourlovedoneisnolongerabletocareforhimorherselfduetoprogressiveimpairment,memorycareoffersaresidentialsolution.

Page 5: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

5

SignsthatYourLovedOneMayNeedMemoryCareServices

Morethan16millionAmericansdevotetimeandenergytocaringforalovedonewithAlzheimer’sdiseaseorotherdementia,accordingtothe Alzheimer’sAssociation1,butsometimesthecostofcaregivingbecomestoohigh.Caregiversoftenfindthemselvesunabletobeartheburdenofprovidinghomehealthcarewithoutsufferingfromillnessthemselves.

Thisiswhenitmaybetimetoconsiderwhethertomovealovedoneintoassistedlivingiftheirhealthneedsbecometoomuchtohandleathome.

Movingafamilymemberisneveraneasydecision.Thereare,however,sometelltalesignsthatcaregiverscanlookforinordertorecognizewhenit’stherighttimeforassisted living:

Aggression Physical,sexualorviolentaggressionfrequentlyhappeninthosewithdementia,andcaregiversorotherfamilymembersmaysufferorbegintofeelresentful.

Caregiver Stress Caregiversymptomslikeincreasedstresscanbejustastellingasignasthedementiabehaviorsdescribedabove.

Escalating Care Needs Askyourself:“Aretheperson’scareneedsbeyondmyphysicalabilities?”or“Isthehealthofthepersonwithdementiaormyhealthasacaregiveratrisk?”Ifyou’reansweringyestothosequestions,itmightbetimetohavethattoughfamilyconversation.

Home Safety Consideryourseniorfamilymember’shealthandyourownabilitiestocareforthem.Isthepersonwithdementiaunsafeintheircurrenthome?

Sundowning “Sundownerssyndrome”—veryagitatedbehaviorthatbecomesmorepronouncedlaterintheday—isacommoncharacteristicofthosewithAlzheimer’s.Thiscantakeaheavytolloncaregivers,andwhenitbeginstoseverelydisruptfamilyroutines,thismaybeasignthatthecaregivingburdenistoohardtohandle.

Wandering Inlaterstagesofdementia,theriskposedbywanderingbecomesmuchgreaterandtheprobabilityoffallsandinjuriesincreases.

1 https://www.alz.org/alzheimers-dementia/facts-figures

Page 6: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

6

StressMayIndicateaNeedforHelp

An articleintheNew York Times 2discussedthepsychologicalcostsofcaregivingandofmakingdifficultcaredecisions,whichsomeprofessionalsarelikeningtotheeffectsofpost-traumaticstressdisorder.Caregiversmayexperiencesymptomslike:• Avoidancebehaviors• Disablinganxiety• Hyper-vigilance• Intrusivethoughtsandmore

RitaVasquezattributesthesesymptomsnotonlytothepressuresofcaringforsomeonewithdementia,butalsotothedisruptionstonormaleatingandsleepingpatternsthatresultwhenoneisspendingsomuchtimeoncaregiving.“Whenthebrainisalwaysonalert,manythingsaregoingtohappen—you’renotgoingtoeatwell,yournutritionisgoingtogodown,andphysicalhealthsuffers.”

Theemotional,mentalandphysicaltollofcaregivingcanbeparticularlypronouncedforspousesofthosewhoneedcare.InoneofthefamiliesVasquezworkswith,thewifeandprimarycaregiveris80yearsold.“She’stakingcareofher85-year-oldhusbandandit’sdrainingher,”Vasquezsays.“Whenhefellrecently,shecouldn’tpickhimupandhadtocalltheparamedics.”Incaseslikethis,itmightbeclearimmediatelywhenthedemandsofcarebecometoogreat.Inothercases,itmightnot be so obvious.

Ifyouarefeelingisolatedandalone,orifyoubegintofeelresentfulofyourlovedone,itmightbetimetoexaminethesourceofthosefeelings,saysVasquez.

“Anger,resentment,sleepdeprivation–allthosethingswillbecomepartofwhathappenstoacaregiver,”shesays.“Ofcourse,theguilt,whenyouthink,‘I’mnotdoingenough.’”Whenthathappens,itisimportanttorecognizehowmuchyou’vebeengivingtoyourlovedone,andperhapstellyourself,“Okay,I’mnotlivingalifeformyselfanymore,I’mlivingforthatperson.”

2 http://newoldage.blogs.nytimes.com/2013/02/22/for-traumatized-caregivers-therapy-helps/?src=recg

Page 7: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

7

HowtoPayforAssistedLiving orMemoryCareServices

Asyou’reweighingseniorcareoptionsforyourlovedone,costislikelyatopconsideration.Dependingonwhatcareyourlovedoneneeds,assistedlivingcanbemuchmoreaffordablethannursinghomecareorlong-termin-homecare.Assistedlivingrentsvary,butyoucangenerallyexpecttopay$3,000to$5,000permonth(comparedto$5,000to$10,000andupfornursinghomes).Ifyourlovedonedoesn’tneedclosemedicalsupervision,assistedlivingmightbeyourbestbet,financiallyspeaking.

But how will you pay for assisted living? Here are nine creative ways to afford assisted living that you may not have thought of yet.

Important note: MedicarewillNOTpayfor assistedlivingbeyondshort-termrehabilitationservices.

1 PayforAssistedLivingwithVeteransBenefits

Ifyourlovedone(oryourlovedone’sspouse)wasaveteran,you’reinluckwhenitcomestoresidentialcare.Veteransbenefitscanbeusedtopayforresidentialcareinavarietyofsituations.Onesetofbenefitsisavailabletothosewithservice-relatedinjuriesordisabilities;anothersetofbenefits,knownasAidandAttendance,isavailabletoanyveteranorsurvivingspousewho’sdisabledandwhoseincomeisbelowacertainlimit.Toqualifyforandaccessthesebenefits,you’llneedtogothroughtheVeteransAdministration,whichcanbeatrickyandtime-consumingprocess.It’sextremelyhelpfultoworkwitha

geriatricplannerwhoknowstheinsandoutsofthesystem.Manyseniorlivingcommunitiesofferafinancialconciergeservicethatcanincludeguidingyouthroughtheprocessofqualifyingforbenefits.

AnotheroptionistoworkdirectlywithservicessuchasElderlifeFinancial,whichworkswithassistedlivingandcontinuouscareretirementcommunities(CCRCs)toprovidethisconciergeservice.ElderlifeFinancialconnectsyouwithitsnetworkofveteransbenefitsexperts,whocanhelpobtainthemaximumbenefitsyourloved one is entitled to.

Page 8: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

8

2 HowtoUseaLifeInsurancePolicytoPayforAssistedLiving

Ifyourlovedonehasalifeinsurancepolicy,heprobablypurchaseditlongago,thinkingtoprovidesupporttohisfamilyafterhisdeath.Butalifeinsurancepolicycanalsoprovidefinancialsupportnow,ifthat’swhenthemoneywouldbemosthelpful.Tocashoutapolicy,askyourlifeinsurancecompanyabout“accelerated”or“living”benefits.Commonly,thecompanythatoriginallyissuedthepolicybuysitbackfor50to75percentofitsfacevalue.Theamountisdecidedbasedonthepolicyamountandmonthlypremiumsaswellasthepolicyholder’sageandhealth.Differentrulesmayapplydependingonthecompanyandtypeofpolicy.Forexample,somepoliciescanonlybecashedinifthepolicyholderisterminallyill;othersaremuchmoreflexible.

Ifthecompanythatissuedthepolicywon’tcashitin,don’tworry.Yourlovedonecanalsosellthepolicytoathird-partycompanyinreturnfora“lifesettlement”or“seniorsettlement,”whichisusuallyalumpsumof50to75percentofthepolicy’sfacevalue.Afterbuyingthepolicy,thesettlementcompanypaysthepremiumsuntilthepolicyholderdies,atwhichpointthecompany,ratherthanthepolicy’soriginalbeneficiaries,receivesthebenefits.Anotheroption,knownasa“lifeassurance”benefitorlifeinsuranceconversionprogram,allowsseniorstoconvertthebenefitofalifeinsurancepolicydirectlyintolong-termcarepayments.Lifeinsuranceconversiontypicallypaysbetween15and50percentofthevalueofthepolicy—lessthanalifesettlement—butisavailableforlesser-valuepoliciesthatmightnotqualifyforlifesettlement.

3 HowtoUseLong-TermCareInsurancetoPayforAssistedLiving

Ifyouoryourlovedoneboughtcareinsurance,you’reoneoftheluckyones.Long-termcareinsurancepoliciesapplytoassistedlivingcare;allyouneedtoknowishowtocollectonit.Somelong-termcarepolicieshaveaspecificdesignatedbenefitfornursinghomecare,basedonamentalorphysicaldiagnosis,whichcanbeusedtopayforassistedliving.Orthepolicymaysetadesignatedpaymentforhomecare,whichcanbepaiddirectlytothe

assistedlivingcommunityortothebeneficiary,whothenusesittopayforassisted living.

Onemorething:Ifyourlovedonedidn’tbuylong-termcareinsurance,it’sprobablytoolatenowtoconsiderthisoption.Butthereistimetosignupforalong-termcarepolicyyourself,soyoudon’tputyourownfamilyinthesamepickleinthefuture.

Page 9: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

9

4 HowtoUseanAnnuitytoPayforAssistedLiving

Ifyouhaveanesteggbutyou’reconcernedaboutoutlivingyourresources,anannuitymaybeagoodoption.Whenyoupurchaseanannuity,youpayalumpsumupfront—andreceiveregularpaymentsbackoverapromisedperiodoftime,usuallytherestofyourlife.Anannuitycanhelpyoustretchyourbudgetandbesurethatyou’llalwayshaveatleastsomemoneycominginevenifyoulivelongerthanyouexpect.

Thebigbenefitofannuitiesisthatyoucontinuetoreceivemoneyregularly,evenifyourpurchasepremiumrunsout.Ifyouliveareallylongtime,yougetmorebackthanyouputin.Theunderwritertakestheriskthatyoumightlivelongerthanthemoneylasts—andmakesanextraprofitifyoudieearly.Underwritersdon’tgointotheannuitybusinessexpectingtolosemoney,butannuitiescanstillbeabetterdealforyouthanjustconsumingyourmoneyyearbyyear.

Anotherbenefitisthatannuitiesaren’tfullycountedasassetsbyMedicaidwhenyouapplyforgovernmentassistance.Theincomefromtheannuityiscountedasa“resource,”butthemuchlargersumoriginallyusedtopurchasetheannuityisnot.

Annuitiesarecomplexfinancialtools.Therearemanyvariations.Someyoubuynowtogetfuturepayments,othersdeliverimmediatepayments;somearebasedonafixedinterestrate,othersworkoffvariablerates.You’llwanttodosomehomeworkandtalktoatrustedfinancialadviseraboutwhatannuityoptionsmightbeappropriateforyoursituation.

Beverycautiouswheninvestinginannuities.Thereareunscrupulousmarketingschemespushingphonyannuitydealsthattargetvulnerableseniorsthroughcommunitycenters,adulteducationseminars,telemarketing,andslantedadvertising.Andoutrightannuityfraudismorecommonthanmostpeoplerealize.Alwaysuseyourcommonsensefilter:Ifitsoundstoogoodtobetrue,itmightbeascam.You’llwanttochooseareputablecompanywhenyoubuyanannuity,andworkwitharepresentativewhocomeshighlyrecommended.Andmakesureyourrepresentativehelpsyouthinkthroughsomeofthetrickierdetails,likeinflation.

Page 10: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

10

5 HowtoUseaReverseMortgagetoPayforAssistedLiving

Ifyourlovedonesowntheirhomeoutrightorhaveonlyasmallmortgageonit,areversemortgagemightbejustthesolutionyou’relookingfor.

Areversemortgageallowsyoutocashoutthevalueofyourhomeequity,eitherinalumpsumorinaseriesofmonthlypayments.Thebankdecidesonavaluebasedonwhatthehomeisworth,interestrates,theapplicant’sage,andotherfactors,andtheloanbalancegraduallyincreasesovertime.(Ifabankholdsamortgageonthehouse,ithastobepaidbackbeforeyoucanbeginreceivingpayments.)Theborrowercanstayinthehomeuntildeath,eveniftheloanbalanceexceedsthehome’sworth.Upondeath,theloanbalancemustberepaid,whichusuallymeansselling thehome.

Reversemortgageswereoriginallydevelopedtohelpwidowsremainintheirhomesafterthebreadwinnerpassedaway.Todaytheyworkbestwhenoneparentneedsassistedliving

buttheothercanremaininthehome.Toapplyforareversemortgage,onehomeownermustbeovertheageof62,andonepersonmustcontinuetoliveinthehome.

Besuretodoyourhomeworkabouttheprosandconsofreversemortgages—theyaren’tforeveryone.Forexample,it’sprobablynotagreatchoiceforabelovedpropertythatyouwanttokeepinthefamily.

Finally,areversemortgageisabigcommitment,soit’simportanttoworkwithareputablecompany.Makesureyouunderstandthetermsandreadthefineprint,astherearemanyrulesabouthomeowners’insuranceandmortgageinsuranceandkeepingthepropertywellmaintained.Theremayalsobehighfeesinvolved,orclausesthatmakeiteasytolosethehome.TheConsumerFinancialProtectionBureaurecentlyreportedthatreversemortgagescamsandforeclosuresareontherise.

6 RentoutYourHometoMakeAssistedLivingMoreAffordable

Ifonlyoneparentisstillliving,orifbothparentsneedassistancewithdailyliving,thefamilyhomecanbeanimportantresource.Sellingisanoption,ofcourse.Butinmanyfamilies,MomandDad’shouseischerishedandfamilymembersaren’treadytomakethis

decision.Inthiscase,considerrentingoutthehouseandusingtherentalincometopayforassistedliving.Theideaofbeingalandlordmightseemscary,butforapercentagefeeyoucanhireaservicetomanagethepropertyforyou.

Page 11: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

11

7 HowtoUseMedicaidorSSItoPayforAssistedLiving

Ifyoudon’thavemuchinthewayofsavingsorotherfinancialassetsandyourincomeislow,youmayqualifyforgovernmentassistancetopayforassisted living.

StartwithMedicaid,whichisrunasapartnershipbetweenthestatesandthefederalgovernment.Inmanystatestheprogramsgobyanothername,solookupthenameofyourstate’sprogramonlineorinthegovernmentpagesofyourphonebook(example:ArizonaLong-TermCareSystem).Medicaideligibilityisdifferentfromstatetostate,buttypicallyyoumusthavelessthan$2,000inassets,inadditiontoyourhomeandyourcar,inordertoqualify.

OnlysomeassistedlivingcommunitieswillacceptMedicaid,andMedicaidbedsareusuallylimited.Tofindlong-termresidentialcareoptionsnearyou,checkwithyourlocalAreaAgencyonAging.Tohelpyounavigatethemazeofsigningupforpublicbenefits,youcanalsocallforafreeconsultationfromaGovernmentHealthInsuranceCounselor.

Importantnote:BewareoftryingtoqualifyforMedicaidby“gifting”moneyandotherassetstoadultchildrenorotherfamilymembers,alsoknownas“Medicaidspend-down.”Thisonce-

popularstrategyisn’taseasyasitsoundsandcanbackfirebadly.ThegovernmenthasbecomeincreasinglystrictaboutMedicaidqualificationandhastherighttodoa“look-back,”goingoveryourfinancialtransactionsforthepastfiveyears.Anygiftsofmoneyorassetsmadeduringthistimearecountedasresources,includingassetsputintoanirrevocabletrust.Ifyou’recaughttryingtospenddownyourresourcestoqualifyforMedicaid,thepenaltiesaresteep—includingdisqualificationfromreceivingMedicaidforalengthyperiodoftime.Consultinganelderlawattorneyearlyintheprocessishighlyrecommended.

Ifyouhaveadisability,anotheroptionissupplementalSocialSecurityincome(SSI).Alsoadministeredbythestate,SSIispartofthegovernmentalsafetynetforthosewhoareimpoverishedandpartiallyortotallydisabledbyillnessorinjury.SSIcomesintheformofmonthlypayments,whichyoucouldusetopayfornursinghomecareorassistedliving.ToqualifyforSSI,contactyourstatedisabilitydepartment.You’llneedtodocumentyourfinancialstatusandyou’llalsoneedadoctortocertifythatyoucan’tworkbecauseofamedicaldisability.

Page 12: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

12

8 HowtoPoolFamilyResourcestoPayforAssistedLiving

Ifyou’reworriedaboutMomorDadlivingalone,otherfamilymembersmaybeworried,too.Gettingeveryonetogethertotalkaboutitsometimesmakesitpossibletofindasolution,suchaspoolingassetsandtradingmoneyfortime.Forexample,ifoneortwosiblingsorfamilymembershandlethebruntofdailycare,suchasdrivingtomedicalappointments,otherswithlessflexibleworkschedulesmightcontributemoneyinstead.Orifthere’safamilyhomethatnoonewantstosellyet,siblingswithavailablefundsmightpayforassistedlivingwiththepromiseofrepaymentwhenthehouseissold.

Theresearchandpaperworkassociatedwithfindingandchoosingamongassistedlivingcommunitiesand

qualifyingforfinancialsupportisabigjob.Sometimesfamiliesgetstuckbecausenoonefeelsqualifiedtotakeonthetask.Itcanbeahugerelieftoworkwithageriatriccaremanagerorseniormovemanagerwhoknowstheresourcesinyourarea.Acaremanagercanworkwiththeentirefamilytopresentoptions,resolveroadblocks,andhelpyoufindtheperfectsituationforyourlovedone.

Moneymatterscanalsobringupfamilytensions.Ifyou’rehavingtroublecommunicatingaboutthischallengingtopic,speaktoaseniorlivingconsultantorgeriatriccaremanagerabouthowtohandlefamilyconflicts.Youmightalsoenlistthehelpofaprofessionalmediator.

Page 13: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

13

9 PayforAssistedLivingWithaBridgeLoan

Ifyourlovedonedoesn’thavealotoffreecashorfinancialassetsthatareeasilyliquidated,theanswermightbeabridgeloan,anoptiondevelopedbyElderlifeFinancial.Bridgeloansareshort-termloansofupto$50,000designedspecificallytoprovidethefundsforamovetoassistedlivingoracontinuingcareretirementcommunity(CCRC).Theycomeintwotypes.Thefirsttypeisanunsecured(nocollateralrequired)lineofcreditintendedtofinancethefirstmonthsoflivingexpenseswhileseniorsselltheirhome,obtainveteransbenefits,ortakeotheractionstofreeupfunds.

Interestratesfortheselinesofcreditrangefrom8.25to12.5percent,sothisoptionisbestusedwhenthetimetopaybackisrelativelyshort.(Borrowershaveuptofiveyearstorepay,butmostrepaytheloanswithinayear,accordingtothecompany.)

Thesecondtype,calledtheCapitalAccessProgram,isalower-interest,lump-sumloansecuredbyrealestateoranotherassetthatthecompanyrecentlyintroduced.It’sdesignedtohelpseniorscomeupwiththelargeup-frontentrancefeetypicallyrequiredforaCCRC.

Seniors(orotherfamilymembers)qualifyforbothtypesofloansbasedontheusualcriteria,suchascreditscore,credithistory,anddebt-to-incomeratio.Theseniororanadultchildcanbetheborrower,anduptosixfamilymemberscancosigntheloanapplication.Ofcourse,aswithanyloan,cosignersareliableiftheborrowerrunsintotroublewithrepayment.Inmanycases,paymentscanbemadedirectlytotheCCRCforconvenience.Importantnote:MedicarewillNOTpayforassistedlivingbeyondshort-termrehabilitationservices.

Page 14: Resource Guide to Assisted Living · called special care units (SCUs), memory care units usually provide 24-hour supervised care within a separate wing or floor of a residential facility

14

AssistedLivingandMemoryCare ResearchChecklists

ComparativeChecklistsforEvaluatingAssistedLivingorMemoryCareProperties:

• Assisted Living: http://ManorhouseRetirement.com/wp-content/uploads/2017/11/Manorhouse_Assisted_Living_Checklist_17.pdf

• Memory Care: http://ManorhouseRetirement.com/wp-content/uploads/2017/11/Manorhouse_ALZ_Checklist_17.pdf

ResourcesfromCaregiversLibrary.org:

http://www.caregiverslibrary.org/caregivers-resources/grp-checklists-forms.aspx

Clickonthetopicsbelowtolinktoadownloadablepdfoftheresources.

• Assisted Living: Costs And Contracts Alistoffinancialquestionstoaskwhenyouandyourlovedonevisitanassistedlivingfacility.

• Assisted Living: Personal Care Achecklistofpersonalandhealthcarequestionstoaskwhenyouandyourlovedonevisitanassistedlivingcommunity.

• Assisted Living: Quality Of Life Achecklistofquestionsdealingwithsocializing,meals,safety,andotherissuestoconsiderwhenyouandyourlovedonevisitanassistedlivingcommunity.

• Assisted Living: Special Care Units Ifyourlovedoneisconsideringamovetoassistedliving,youneedtofindoutaboutanyspecialcareservicesofferedbythecommunity.

• Continuing Care Questionnaire Alistofquestionstoaskwhenyouandyourlovedonevisitacontinuingcareretirementcommunity.

• Home Modification Checklist Howtosafety-proofalovedone’shome.

• Nursing Home Checklist Alistofbasicquestionstoaskwhenyouandyourlovedonevisita nursinghome.

• Questions About Hospice Care Achecklistofquestionstoaskasyoutrytofindtherighthospiceserviceforyourlovedone.

DISCLAIMER:TheinformationprovidedinthisAssisted Living Resource GuideiscompiledfromanumberofdifferentresourcesincludingManorhouseRetirement.com,ALZ.org,Argentum.org,CargiversLibrary.org,Caring.com,APFM.com,andothers.Theadviceandservicesprovidedbythesethirdpartyentitiesisnotbeingendorsedbyarepresentativeoftheorganizationthathasprovidedthisresourceguidetoyou.