At first, many older adults pay for care in part with their own money. They may use personal savings, a pension or other retirement fund, income from stocks and bonds, or proceeds from the sale of a home. Much home-based care is paid for using personal funds (“out of pocket”).
There are five ways to pay for Long Term Care in a Nursing Home, ALF or Home and Community Based Care:
A nursing home doesn’t take all of your money the second you walk through the door. Nursing homes do cost a tremendous amount of money – often over $200 a day – so, eventually, a person may end up paying all of his money to the nursing home, if he lives long enough in the nursing home.
Neither the state nor the federal government has any particular requirements about how the Social Security check gets to the nursing home. In that case, the check could come to the resident or the spouse in the community and they would be responsible for paying the balance to the nursing home.
If you are unable to pay for care because of financial difficulties, you can apply for financial hardship assistance from the Government. If your application is successful, the Government will lower your accommodation costs.
In the United States, the average private room in a nursing home is $8,365 per month or $275 per day. The average cost of a semi-private room is $7,441 per month and $245 per day. Annually, a semi-private room costs an average of $89,297 and a private room costs an average of $100,375.
If your name is on a joint account and you enter a nursing home, the state will assume the assets in the account belong to you unless you can prove that you did not contribute to it. This means that either one of you could be ineligible for Medicaid for a period of time, depending on the amount of money in the account.
The basic rule is that all your monthly income goes to the nursing home, and Medicaid then pays the nursing home the difference between your monthly income, and the amount that the nursing home is allowed under its Medicaid contract. You may need your income to pay off old medical bills.
6 Steps To Protecting Your Assets From Nursing Home Care Costs
WHAT HAPPENS TO MY SSI BENEFITS IF I GO INTO A NURSING HOME OR HOSPITAL? Generally, if you enter a nursing home or hospital (or other medical facility) where Medicaid pays for more than half of the cost of your care, your Supplemental Security Income (SSI) benefit is limited to $30 a month.
If you eventually need nursing home care, any income streams you receive from your pension, deferred compensation, or other plan, will go to the nursing facility. Taking a lump sum from a pension allows it to be treated as an asset that you can transfer to a protective trust structure.
Medicare covers up to 100 days of care in a skilled nursing facility (SNF) each benefit period. If you need more than 100 days of SNF care in a benefit period, you will need to pay out of pocket. If your care is ending because you are running out of days, the facility is not required to provide written notice.