How am I Going to Afford Assisted Living or Home Care When I Need It?
Working with many seniors and families over the years from many different backgrounds and socioeconomic situations, makes this a somewhat scary and serious topic for many. Will I have enough money to afford care? I don’t want to be a burden on my family. I planned to stay in my home till I die. Social Security and Medicare should cover my costs for care, right? Let’s talk about the costs, misconceptions, and options for paying for Assisted Living and Home Care. Knowing what to plan for and expect before you need it will provide peace of mind for not only you.
Cost of Home Care and Assisted Living
Let’s start by talking about the big elephant in the room. The need for a caregiver, Assisted Living, and Memory Care is expensive! The average in Home Caregiver charges $25-$35/hr., which can up quickly. Once one needs 24/7 it can be upwards of $18,000/mo.+ for a private caregiver. This is where Senior Assisted Living and Memory Care Communities can provide 24/7 care needed in a safe environment at a more affordable rate, typically ranging from around $4,000-$9,000/mo. in the DFW area depending on the location, community, type of room and level of care needed. When one ages significantly or has a medical condition that warrants care, many find that they are not fully prepared for the care that may be necessary long-term.
Medicare Misconception
We often hear the question: “I have Medicare and a supplemental insurance. Doesn’t that cover the care I need?” This is a common misconception. While Medicare and supplemental insurance like AARP cover your medical needs in the hospital, rehab, and Home Health (Physical Therapy, Occupational Therapy, Speech Therapy), it does not cover Home Care/Caregiving Assistance which provides the individual assistance needed for Activities of Daily Living (ADL). ADLs include things like bathing, dressing, grooming, toileting, meal preparation, feeding, etc.
Payment Options
There are several options available when looking at paying for Senior Living and caregiving expenses: How to Pay for Assisted Living: 10 Ways to Cover the Costs (seniorht.com)
1. Personal Savings – Savings and Investments put aside for retirement.
2. Social Security Income – Income and retirement $
3. Pension Plans & Retirement Benefits – Company pensions and retirement benefits are great resources to have.
4. Long-Term Care Insurance (LTC) – These plans are costly but are designed to cover the costs of Assisted Living and when ADL assistance is needed. There are many different types of LTC plans. Make sure to look over carefully and read the fine print when choosing the right one for you.
5. Veteran’s Benefits – If one qualifies for veteran’s benefits and meets the criteria for pension and/or aid and attendance can receive financial assistance. You may be able to even receive care in a VA Medical Facility or “VA Facility”, but the challenge many faces is that they are already full due to overwhelming demand. There is often a waiting list to get in.
6. Medicare – Covers 100% of the cost of care up to 20 days at a skilled nursing facility and approximately 80% of the cost up to 80 more days. This care must be after an overnight inpatient hospital stay and for recovery. Cost of room and board or personal care in assisted living is not covered, but it will pay for the medical costs, such as physical therapy, incurred while in assisted living. So, this is important to understand when looking at needs for ongoing care.
7. Medicaid – This would be for those that have spent down or do not have significant assets and income of no more than $2k/mo. This happens to more than you realize as the assets and saved retirement $ is gone and one has only Social Security. Note there is a shortage of Medicaid beds, and one must need skilled nursing in addition to low income to even qualify.
8. Supplemental Security Income - Anyone can apply for SSI and there is no charge. Check out if you’re eligible through an online screening you can find at https://ssabest.benefits.gov/. Different states have different rules, and the amount is nominal but can still be beneficial to check.
9. Reverse Mortgage – This option allows seniors to borrow against the equity in their home. This works great if one is able to/wants to stay in their home but can present a significant challenge when care needs become too great, and a transition is needed.
10. Life Insurance Policy – This is a not so commonly known resource that could be available to help pay for Senior Living costs. Note that these options would potentially reduce or eliminate any payout or benefit to beneficiaries once the policy holder dies.
a. Some policies have a living benefit options (accelerated death benefit), that allows the policyholder to take a portion of their death benefit early when they have a terminal illness or serious chronic illness.
b. Sell Your Life Insurance Policy – Many policies can be sold to a life settlement company for a lump sum that can be used toward senior living and care expenses.
No matter how you decide to plan and pay for your “Golden Years” in retirement, talking with a financial planner, estate/elder law attorney, and having those discussions with trusted family members is recommended. Knowing what to plan for and expect before you need it will provide peace of mind for not only you, but for your loved ones too. Ruby Care Senior Living Advisors has helped countless families transition into Senior Living Communities throughout DFW with our personalized complementary services that aid families in finding a community that is a right fit based on budgetary, care, family, and geographic needs. We are passionate about helping seniors and their families navigate the overwhelming options and choices when it comes to senior living and ensure the best care, environment, resources, and quality of life for you and/or your loved one.
Britt Hemsell – Ruby Care Senior Living Advisor & Blog Contributor
Resources:
Senior Home Transitions https://seniorht.com/pay-assisted-living/
Veteran’s Services Offices
Collin County - https://www.collincountytx.gov/veterans
Tarrant County - https://www.tarrantcounty.com/en/veteran-services.html
Dallas County - https://www.dallascounty.org/departments/veteran-services
When Going Home Isnt the Next Step: A Guide for Monmouth & Ocean County FamiliesWhen an older loved one needs more support, families in Monmouth and Ocean Counties often find themselves navigating unfamiliar territory. A hospital discharge may lead to rehabilitation. A fall may reveal that living alone is no longer safe. Or a family caregiver may realize that managing medications, meals, personal care, and medical appointments has become too much to handle alone.The good news is that senior care isn't one-size-fits-all. Depending on a person's needs, there are options ranging from short-term rehabilitation to assisted living and long-term skilled nursing care.For families across the Jersey Shore, Complete Care provides a continuum of senior care services through multiple communities in Monmouth and Ocean Counties, including locations in Holmdel, Long Branch, Ocean Grove, Wall, Shrewsbury, Toms River, and Brick.Understanding the Right Level of CareOne of the most important steps in choosing senior care is understanding what type of support a loved one actually needs.Post-Acute RehabilitationAfter a hospitalization, surgery, stroke, illness, or injury, an older adult may not be ready to return home immediately. Post-acute rehabilitation provides a bridge between the hospital and home, helping individuals regain strength, mobility, and independence.Depending on the location and individual needs, Complete Care provides physical, occupational, and speech therapy along with nursing and clinical support.For families in Toms River, Brick, Wall, and surrounding communities, having rehabilitation options nearby can make it easier for family members to remain involved during recovery.Skilled NursingSome individuals need more than therapy. Skilled nursing may be appropriate for people who require ongoing medical monitoring, wound care, medication management, chronic disease management, or other specialized clinical services.Complete Care communities offer a variety of clinical programs, with services differing by location. These may include orthopedic and postsurgical care, cardiac care, wound care, neurological and stroke care, pulmonary care, and memory care.When comparing skilled nursing communities, families should ask specifically about the clinical services available at each location.Assisted LivingAssisted living can be a good option for older adults who need help with daily activities but still want to maintain as much independence as possible.Support may include assistance with bathing, dressing, medications, meals, and other everyday routines, along with opportunities for social engagement and activities.For families in Holmdel, Middletown, Red Bank, Freehold, and neighboring Monmouth County communities, assisted living can offer an alternative to managing increasing care needs at home.Long-Term CareFor some seniors, rehabilitation is only one step in a longer care journey. Chronic illness, cognitive impairment, disability, or increasing difficulty with daily activities may eventually require ongoing nursing support.Long-term care provides assistance around the clock while also addressing the social and emotional needs that contribute to quality of life.A Local Presence MattersFor families choosing senior care, location can be an important consideration.Being close to home makes it easier for spouses, children, grandchildren, and friends to visit regularly and remain involved in care. That's particularly meaningful in Monmouth and Ocean Counties, where families may live in neighboring communities but still want their loved one to remain close to their established support system.Complete Care has a broad local presence, with communities serving residents throughout the region. Its Monmouth County locations include communities in Holmdel, Long Branch, Ocean Grove, Wall Township, and Shrewsbury. Ocean County options include multiple communities in Toms River and Brick Township.Because services vary by location, families should contact the individual community to determine which level of care and specialized programs are available.What Should Families Look For?Whether you're looking for assisted living in Monmouth County, skilled nursing in Ocean County, or rehabilitation following a hospital stay, consider more than just the building.Ask: What level of care does my loved one need today? What happens if their needs change? What rehabilitation and therapy services are available? Does the community offer specialized clinical care? How involved can family members be in the care plan? What activities and social opportunities are available? How close is the community to family? And whenever possible, visit in person.Notice how staff interact with residents. Ask questions. Talk with the admissions and care teams. Pay attention to whether residents appear engaged and comfortable.These observations can help families understand what daily life may actually feel like for their loved one.Planning Before a CrisisMany families begin researching senior care only after a crisisa fall, hospitalization, diagnosis, or caregiver burnout.Planning ahead can provide more choices and less pressure.Even if your loved one isn't ready for assisted living or long-term care today, learning about senior care communities in Monmouth and Ocean Counties can help your family understand what resources are available if circumstances change.Having these conversations early also gives older adults an opportunity to participate in decisions about their own future.Complete Care in Monmouth & Ocean CountiesFor families looking for assisted living, post-acute rehabilitation, skilled nursing, or long-term care in Monmouth and Ocean Counties, Complete Care offers multiple local communities and a range of care services.The right choice will depend on your loved one's medical needs, level of independence, preferences, and family circumstances. Taking the time to understand those needsand exploring local options before a crisis occurscan make the process easier for everyone.Frequently Asked QuestionsWhat types of care does Complete Care provide?Complete Care offers assisted living, post-acute rehabilitation, skilled nursing, and long-term care. Specific services and clinical programs vary by location.Where does Complete Care serve Monmouth County?Complete Care has communities in areas including Holmdel, Long Branch, Ocean Grove, Wall Township, and Shrewsbury.Where does Complete Care serve Ocean County?Complete Care has multiple communities in Toms River and Brick Township, among other nearby locations.What is post-acute rehabilitation?Post-acute rehabilitation helps individuals recover after hospitalization, surgery, illness, or injury. Therapy and nursing services are designed to help patients regain function and return home safely when possible.If you're researching senior care options in Monmouth or Ocean County, NJ, visit Complete Care's Seniors Blue Book listing for more information about available services and local care options.
When an aging parent or spouse needs more help, families face a confusing set of choices. Should Mom move to assisted living? Should you hire a caregiver to come to the house? Or is adult day care the answer? Each option has real strengths, and the right choice depends on your loved one's needs, your family's schedule, and your budget.Here's a straightforward comparison to help you think it through.In-Home CareIn-home care brings a paid caregiver into your loved one's home for a set number of hours to help with bathing, meals, companionship, and household tasks.Best for: Seniors who need one-on-one help and do best in their own home, or who have difficulty leaving the house.Keep in mind: Costs rise quickly as hours increase, and one-on-one care at home doesn't always solve loneliness or provide much social stimulation.Assisted Living and Memory CareAssisted living and memory care communities are residential. Your loved one moves in and receives meals, care, and activities around the clock.Best for: Seniors who need support at night or around the clock, or whose care needs have outgrown what the family can safely provide at home.Keep in mind: It's the most significant life change of the three and usually the most expensive. Many seniors, especially those with dementia, find leaving home very difficult.Adult Day CareAdult day care provides supervision, activities, meals, and health support during the day at a center. Your loved one comes home each evening.Best for: Seniors who shouldn't be alone during the day, including those with dementia, who still live at home with family, and caregivers who work or need regular breaks.Keep in mind: It covers daytime hours only, so families still provide evening and overnight care.Why Many Families Start with Adult Day CareFor many families, adult day care is the middle path. It keeps a loved one in familiar surroundings at night while giving them structure, friendship, and professional support during the day. It also gives caregivers the break they need to keep going, which often allows families to delay or avoid a move to residential care.Adult day care and in-home care can also work together. Some families use adult day care three days a week and a few hours of in-home help on the other days.A Different Kind of Adult Day CareSome families picture adult day care as a room with a TV and a few board games. Town Square University Parkway in Sarasota is designed to change that picture. The center is a nostalgic, mid-century town square with 15 themed storefronts, and its daily rate includes meals, snacks, activities, medication management, and nursing oversight.Members can also access primary care, psychiatric care, therapy, lab work, mobile x-rays, showering, and grooming services on-site, which brings many of the benefits people look for in assisted living into a day program, while your loved one still sleeps in their own bed.Questions to Help You DecideIs your loved one safe alone at night? If not, residential care may be needed.Is loneliness or lack of stimulation part of the problem? Adult day care offers built-in social connection.Do you, the caregiver, need predictable time for work or rest?What does your budget allow over the next year or more?Talk It ThroughYou don't have to decide alone. Town Square University Parkway offers free assessments that can help clarify your loved one's needs, whatever you ultimately choose. Families in Sarasota, Lakewood Ranch, Bradenton, and across Manatee County are welcome to call or schedule a tour.About Town Square University ParkwayTown Square University Parkway is an adult day center serving families in Sarasota, Lakewood Ranch, Bradenton, and throughout Manatee County. It offers a nostalgic setting, purposeful programming, nursing oversight, on-site medical services, and free caregiver support. Call today to schedule a tour or a free assessment.Town Square University Parkway8450 Lockwood Ridge Road, Unit 55, Sarasota, FL 34243Phone: 941-277-5048Web: seniorsbluebook.com/senior-resources/town-square-university-parkway
Senior Relocation in Monmouth & Ocean Counties: Why Moving Is About More Than Finding a HousePicture two homes.The first has the perfect number of bedrooms, a beautiful kitchen and a price that fits the budget.The second is slightly smaller but is closer to family, restaurants, healthcare, shopping and the activities the homeowner enjoys.Which one is actually the better home?For a senior relocation, the answer often depends on what happens outside the front door.That is why choosing a new home later in life should be about more than bedrooms, bathrooms and square footage.It should be about lifestyle.A Home Is Part of a Larger CommunityFor many older adults, the neighborhood becomes increasingly important.A senior may want to be close to a favorite restaurant in Red Bank, family in Middletown, the beaches along the Jersey Shore, golf courses, shopping or community activities.Someone else may want a quiet neighborhood where they can spend more time at home.The right choice is personal.Monica Reddin's professional background and local market experience give her an understanding of the communities that make up Monmouth and Ocean Counties and the surrounding Central Jersey area.Think About the Next Five to Ten YearsA common mistake is choosing a home based exclusively on what works today.Instead, consider what may matter several years from now.That does not mean assuming something will go wrong.It means choosing flexibility.Ask: Is there a first-floor bedroom? Are the bathrooms convenient? Is there excessive maintenance? Are there stairs? Is the home easy to enter and exit? Is shopping nearby? Is family reasonably close? Is there access to transportation? Can the homeowner remain socially connected? These considerations can make a home more adaptable.The Importance of Right-SizingSome homeowners do not need a dramatically smaller house.They simply need a better-fitting house.That is the idea behind right-sizing.Maybe the homeowner wants: A smaller yard Fewer stairs Less exterior maintenance A garage A first-floor primary suite A manageable condominium An active-adult community A home closer to family A home closer to healthcare and shopping The goal is to match the property to the lifestyle.Why Local Knowledge MattersOnline real-estate searches can show properties, but they do not always explain what daily life feels like in a particular location.Local expertise matters.A REALTOR who works across Monmouth and Ocean Counties can help buyers understand differences among communities and neighborhoods.For example, a buyer considering Middletown may have very different priorities from someone looking in Toms River or Howell.Even neighboring communities can have different housing stock, commuting patterns, amenities and lifestyle characteristics.Moving to a New Community Can Be ExcitingRelocation is sometimes portrayed only as a difficult transition.But a move can also open the door to new experiences.A smaller home can mean less maintenance.A 55+ community can provide new social opportunities.Moving closer to family can mean more spontaneous dinners and visits with grandchildren.Relocating near the Shore can make it easier to enjoy favorite Jersey Shore destinations.A move can also provide an opportunity to finally choose a location based on how you want to live rather than where you needed to live decades earlier.What Should Buyers Look For During a Home Tour?Don't simply walk through the rooms.Imagine living there.Stand in the kitchen and picture making breakfast.Walk from the bedroom to the bathroom.Consider where groceries would be unloaded.Look at the stairs.Open cabinets.Check lighting.Think about where guests would sit.Then step outside.How easy is it to get to the car?How busy is the street?What is nearby?Would you feel comfortable walking?This type of practical evaluation can reveal things that photographs never show.Make the Move About the PersonSenior relocation works best when the older adult remains at the center of the process.Family members may have opinions.Adult children may have concerns.Professionals may provide advice.But the senior's goals should remain an important part of the conversation whenever possible.Monica's approach emphasizes that personal dimension.Family and community mean everything to me, and I bring that same care to real estate.What Makes a Senior Relocation Specialist Different?A senior-focused REALTOR understands that the transaction may involve more than buying or selling property.It can involve: Downsizing Decluttering Timing the sale and purchase Relocating closer to family Comparing 55+ communities Planning for lower maintenance Coordinating with other professionals Transitioning from a longtime home Evaluating a new community Monica holds the Seniors Real Estate Specialist designation, reflecting specialized education focused on the needs of older adults in real estate.Frequently Asked QuestionsWhat is senior relocation?Senior relocation is the process of helping an older adult transition from one home or community to another while considering real-estate, lifestyle, timing and practical needs.Why should seniors work with a senior-focused REALTOR?A senior-focused REALTOR can bring specialized knowledge to situations involving downsizing, 55+ communities, relocation closer to family and later-life housing transitions.What areas does Monica Reddin serve?Monica's professional profiles identify Monmouth and Ocean Counties along with other Central Jersey communities.Is moving to a 55+ community the only option for seniors?No. Seniors may choose a condominium, townhouse, smaller single-family home, active-adult community or another housing option depending on their goals.What should I do first if I am considering a senior move?Start with a conversation about lifestyle. Identify what is working, what is becoming difficult and what you want the next chapter to look like before focusing on individual properties.Learn MorePlanning a senior relocation in Monmouth, Ocean or surrounding Central Jersey communities? Visit Monica Reddin's Seniors Blue Book Listing: Homepage - MonicaReddin