
Plan early for long term care. When a crisis hits, it may be too late.
In addition to being the month of Halloween, October is also Squirrel Awareness month, National Popcorn Poppin’ month, and most importantly to us…. October is Long Term Care Planning month.
Planning for long term care is one of the most important things you or your loved one can do. Statistics show that 6 out of 10 people will need long term care, and often times when a crisis happens, it’s too late to plan for it. Loved ones can be left wondering what kind of options are available, how they will finance it, and what the person receiving care would prefer.
You may think that it’s too early for you to be thinking about long term care (or to be thinking about long term care for your loved one). You may think you won’t need it, or that when the time comes your family or friends will provide all the care you need. However, the need for long term care can arise suddenly. And family and friends may not always be able to provide the skilled and intensive care that may be needed
People often have concerns when planning for their long term care. They want to stay independent and in their homes as long as possible. They dread being a burden or financial drain on their families. They also worry about how they will afford or maintain adequate care. And lastly, they wonder what will happen if they don’t have enough money to cover long term care or if they outlive their assets. These are all valid concerns that should be addressed.
When addressing concerns and making long term care decisions, remember to plan ahead and plan early. A crisis is the worst time to make important decisions. Also, loved ones can be resistant to discussing long term care, whether it be a parent who doesn’t want to think about aging or an adult child who doesn’t want to discuss the possibility that their parent may not be able to care for themselves. So try and work it into everyday conversation where the topic can be less intimidating. Be sure to listen to your loved ones’ preferences and concerns and involve others. You may prefer that your parent live close to you so that you may provide care, but being a sole caregiver can become overwhelming.
Before looking around for long term care, you should consider a few questions. First, what kind of care will be needed? Do you or your loved one need occasional help with things like personal care or medication reminders? Or is there a need for more intensive medical assistance? Also, you should consider personal preferences. Do you or your loved one prefer a single room or is a roommate ok? Do you prefer to be close to friends or loved ones? Finances should be considered as well. What are the monthly fees and will you be able to afford any extra services? Lastly, you should compare options. Does the nursing home you’ve chosen receive good ratings? Does the assisted living facility you are considering offer more amenities than you would get in your home?
After formulating general answers for those questions, it’s time to start looking at the options. And there are quite a few! A few of the options for long term care are:
- Home Care - caregivers or home health aides visit the home and provide assistance with daily activities such as bathing, dressing, meal preparation, and housekeeping. Home Instead Senior Care is an expert in providing this type of care. Home Care may also come in the form of Home Health which is considered medical and provides a nurse, physical therapist, and sometimes a bath aide in the home for a limited amount of time.
- Day Programs - day programs can provide exercise and social interaction for those seniors who do not require constant care. Many programs also offer transportation to and from the facility as well as some primary assistance such as medication reminders and basic medical monitoring.
- Independent Senior Housing - Retirement communities that offer housing for seniors are becoming more and more abundant. Often times they consist of rental apartments that offer basic services like meals, housekeeping and transportation.
- Assisted Living - assisted living facilities provide apartments that allow seniors to live somewhat independently within the facility. Staff at the facility may help with daily living activities, meals, housekeeping, and laundry. There may also be various amenities such as a hair salon or fitness room.
- Nursing Home - these skilled care facilities offer 24 hour nursing care for those recovering from illness or injury, those requiring constant skilled care, and for those requiring end of life care. Nursing homes provide the most intensive level of care available.
- You may also notice that many communities will offer varying levels of care. Within the same facility, there may be senior housing, assisted living, and nursing home care available. Be sure when looking at long term care facilities that you compare them and check their ratings before choosing one.
After you’ve made your decision concerning what type of long term care to use, you may wonder how to finance it. There are several options available for financing, such as:
- Private Pay - you or your loved one can set up a personal savings designated for long term care. However, long term care can be costly, and many people do not have sufficient funds to cover all of their long term care needs.
- Long Term Care Insurance - with this option, monthly premiums are paid which can increase with age. Long term care insurance can cover nursing home care and other long term care services. Check and see that the services you want are covered before choosing a policy.
- Medicaid - this option is designed for people who meet certain income limits. Coverage for other long term care options like home care or assisted living varies by state. Visit http://www.cms.gov/home/medicaid.asp for more information.
- Medicare - this option is only for people over 65 and those who have certain disabilities. It does not cover long term care, but may cover limited nursing home care in certain situations. Visit http://www.medicare.gov/ for more information.
Planning for long term care can be scary and overwhelming, but it doesn’t have to be. We’d love to help you create a plan that fits your needs. Feel free to call our office at 502-515-9515 to ask about all the long term care planning resources we have available. Be sure to ask about our 40/70 Rule resource booklet which can help make discussions about long term care easier for everyone. Or ask about our Home Care Solution resource booklet which discusses what home care is and who it is appropriate for.
Also, we’d like to thank the Mayo Clinic for contributing information for this post. For additional resources on long term care planning and aging, visit www.mayoclinic.com.