Downsizing is an inevitable part of life. Eventually, a home can feel too large to keep up with, or perhaps its time to transition into a senior community. Whatever the reason, most people will downsize their home at least once in their life. But what do you do when you think its time for your parents or loved ones to downsize? No one wants to be seen as pushy or nosey, but if you genuinely believe it would be for the best, discussing options is a great place to start.Before you talk to your parents about downsizing, it is beneficial to be able to recognize the type of relocation they may need. Several telltale signs can indicate someone is struggling with their current space. One of the first things you should consider is if your parents need to downsize or if they need to move into Assisted Living. If you notice multiple warning signs, it might be time to sit down and have an honest conversation with your parents. The signs that someone may need to downsize are:Do your parents mention the desire to lower monthly housing costs?Do your parents talk about relocating?Are there signs that upkeep is becoming difficult? (Untended yards, dirty rooms, etc.)Are your parents starting to think of plans for their future?Are your parents looking for more independence and fun?Any of the above signs can indicate that now is the time to start considering downsizing. Once someone downsizes, they will have fewer monthly expenses, less to clean, and less to worry about! This can provide more freedom for your parents to explore new things and experiences.The signs that someone may need to downsize into Assisted Living:Are your parents eating balanced meals regularly? Are your parents still able to get around safely? (Keep an eye out for bruises or minor injuries that may indicate recent falls/accidents)Are they wearing fresh, clean clothes each time your visit? Are they laundering towels and linens regularly?Are they able to manage their medications appropriately? (Look for stockpiled or expired medications)Do they have difficulty moving around their home? (Are there blocked walkways or stairs that are causing issues?)If you notice that your parents are struggling to stay safe and healthy in their home, then it is time to consider discussing assisted living. Keeping an eye out for warning signs can give you time to talk about moving before they have an accident. Once you decide that your parents should downsize, what do you do? The best way to broach the subject is to have an open and honest conversation with your parents. Explain your feelings and concerns but let them know that the decision is theirs.Giving your parents the CHAT:Communicate openly. Explain your concerns and why you believe that downsizing would be beneficial. If you are worried about their safety or if you want them to be closer to you, be direct and say so. Have an open mind. Your parents may have different opinions and feelings towards the situation. Respect their position and listen when they talk.Ask questions. Ask how your parents are feeling about the conversation and about downsizing. If they have concerns, address them.Talk to an expert. Reach out to your local Senior Move Manager and ask questions about the downsizing process. If your parents have any questions, pass them along.The hardest part of the process is having an open and honest conversation. Something to keep in mind is that this process takes time! There will be strong feelings and deep emotions; you will most likely need several sessions of talking with your parents before any decision is made. Don't be tempted to rush your parents into a choice they are not 100% on board with. But if you start the process and take the time to have meaningful conversations, both your parents and yourself will feel more confident about a transition to a new space. More tips about helping your parents decide to downsize and transition can be found in our book, Chronological Order: The Fine Print for a Large Life.

Will Long-Term Care Insurance Cover Assisted Living?March 24, 2023Will long-term care insurance cover assisted living? Yes. A good long-term care policy will help pay for assisted living and include coverages in other settings. But the real question is whether or not you currently have a long-term care policy.Most seniors do not. And by the time you need one, you might not qualify due to age or pre-existing conditions.More than 70% of American seniors over 65 will likely need long-term care at some point. But only 10% of Americans have any long-term care coverage.Without long-term care insurance, you or your family will most likely pay for your long-term care costs from savings, retirement accounts, equity loans against your house, or other private sources.And depending on if you decide to age in place at home or choose an assisted living community, these costs are challenging for most families. Using Sarasota, Florida as an example, according to Genworth Financial, the 2023 monthly costs average about $6,700 for Home Health services, $4,570 for assisted living, and $10,500 for a semi-private room at a nursing home.What is Long-Term Care Insurance?Long-term care insurance provides many services not covered by regular health insurance. Every policy is different and has specific coverage. But most long-term care policies include assistance with routine daily activities, like dressing, bathing, or getting in and out of bed.Where Does Long-Term Care Apply?Long-term care insurance helps seniors pay for the services and support they need as they age. And long-term care is for more than just assisted living communities. These policies often cover long-term care provided at:Your homeAn assisted living residenceA nursing homeAn adult day care centerWhat Is Covered Under Long-Term Care Insurance?Long-term care policies help with areas often ignored by other health insurance policies. A long-term care policy can help cover the costs of chronic medical conditions, a disability, or a condition like Alzheimer's. This includes:Assistance with your activities of daily living (ADLs)Certain homemaker services that are in conjunction with personal careSkilled nursing carePhysical, speech, and rehabilitation therapyRespite CareWhat Is Not Covered Under Long-Term Care Insurance?Like most insurance policies, long-term care policies have limitations and exclusions. It is essential to read and understand the policy to know what is covered and what is not.Many long-term care policies do not cover:Pre-existing conditions for a certain period of time. Understanding this clause is crucial. A pre-existing condition is typically defined as receiving medical advice or treatment or having symptoms within a certain period before applying for the policy. Some companies look further back than others, and some do not have restrictions for pre-existing conditions at all.Self-Inflicted InjuriesCertain nervous disorders or mental conditionsDrug and alcohol abuseWhy buy long-term care insurance?The reason to buy long-term care insurance is the same reason you purchase other insurance, like car, home, and health insurance: peace of mind. You pay a little each year or month, so you don't have to worry about paying a large amount of money should the unexpected happen.But long-term care is different, because needing it is expected and a normal part of aging in the US. More than 70% of the population will need long-term care help not covered by regular health insurance.Suppose you are fortunate enough to be wealthy and can easily cover all long-term care expenses out of pocket. In that case, long-term care insurance may not be for you. But for most Americans, long-term care insurance can be a valuable part of their financial planning.Do Medicare and Medicaid Cover Long-Term Care?Long-term care insurance policies are specifically designed to help with most long-term care costs.  Medicare does not pay for long-term care. Medicaid is a state-run program designed for those whose assets and income are under the states low threshold. Even then, the program is complex, the benefits are limited and minimal, and the waitlist can take years. Medicare Does Not Pay for Long-Term CareMedicare is of little help with long-term care costs. The Medicare website is pretty blunt about this subject, stating, "Medicare and most health insurance, including Medicare Supplement Insurance (Medigap), don't pay for long-term care." The site goes on to explain it is important to plan for long-term care to maintain your independence and get the care you need in the future.Medicare does pay for limited stays in rehabilitation facilities, like in-patient physical therapy for a hip replacement. But, the limit is 100 days. And suppose after that you must move to assisted living or a nursing home. In that case, Medicare does not cover your custodial costs.Medicaid Is Very Limited and Can Take YearsFor seniors over 65, Florida Medicaid is a minimal program. You must require nursing-facility-level care, and your assets must be below Florida's low threshold. The program was designed to help the frail and neediest first, and you can be on the waitlist for years. Medicaid recipients typically have a low income and have exhausted most of their savings. Because of the complexity, uncertainty, and length of time required to access any benefits, expecting Medicaid to help with long-term care needs may not be the best option.When Should You Buy Long-Term Care Insurance?The time to buy long-term insurance is before you need it. And the premiums are less when you are younger. Typically, most long-term care insurance buyers are between 50 and 65. It is becoming challenging to buy long-term care coverage over 70 due to health conditions, insurance company policies, expensive premiums, and pre-existing conditions.And even if you are age-qualified, the insurance company might reject your application if any of the following are true:You currently need help with daily activities (ADLs).You are already receiving long-term care.You have been diagnosed with dementia or another cognitive impairment.You have a progressing neurological condition like Parkinson's or ALS.You have had a stroke.You have specific cancer diagnoses. However, a diagnosis of cancer does not automatically get you declined. It depends on the type of cancer, how long ago you were diagnosed, and the individual insurance companies' underwriting guidelines.The best advice is to buy long-term care insurance before you need it and while you are younger and healthy.Summary: Should You Get Long-Term Care Insurance?Everyone ages and almost everyone will need help with senior care expenses, whether they age in place at home or choose an assisted living community.But paying for that care can be overwhelming and severely impact a family's budget and savings. Many families are forced into difficult financial challenges with an additional and unexpected $5,000 to $10,000 monthly expense for care.Long-term care insurance can help you plan for the future and give you and your family peace of mind.Whether your senior loved one is deciding to age at home or considering an assisted living community, Florida Senior Consulting can help.And if they don't have long-term care insurance, we can help you navigate all the other options.We are a Florida-based company with expert knowledge of the Florida senior market. While senior options can seem confusing, this is all we do. Florida Senior Consulting helps seniors decide their next best steps and the easiest way to afford the transition.We have certified staff, licensed nurse advocates, and decades of experience in the field.Senior living should be on your terms, and the choice should always be yours.Call us, and we will answer all your questions and help you decide what is best for you or your senior loved one.For peace of mind, call us at (800) 969-7176 or visit FloridaSeniorConsulting.com.

Presbyterian SeniorCare Network, one of western Pennsylvanias largest aging services providers, opened a first-of-its-kind on-site health clinic to serve the residents of its affordable housing apartments in the Washington area. The clinic is located inside Bellmead Apartments, 815 S. Main St., Washington, which serves about 120 residents. A ribbon cutting and dedication ceremony was held March 16.  The new, on-site clinic means Bellmead residents can make doctors appointments and visit the clinic without having to leave the apartment building.  Residents of two other nearby apartments operated by the Network HaveLoch Commons and Heritage House of Houston can schedule appointments to receive care directly inside their apartments. These two apartments serve a combined 90 residents.This Collaborative Healthy Living Model was made possible by a $500,000 Healthy Aging Challenge grant from the Henry L. Hillman Foundation. Curana Health, a primary care medical provider group, is partnering with Presbyterian SeniorCare Network in this effort. Celeste Golonski, senior vice president of strategic initiatives for Presbyterian SeniorCare Network, said this will help older adults to navigate the healthcare system more easily. We understand the healthcare system is overwhelming, complicated, and frustrating especially for seniors, Golonski said. Our goal is for every senior to get the care and services they need, when needed, in the way they choose. More clinics are expected to open throughout the year in affordable housing communities across the Network. The overall effort is an outgrowth of the new Center for Innovation and Care Transformation at Presbyterian SeniorCare Network. About Presbyterian SeniorCare NetworkFor 95 years, Presbyterian SeniorCare Network has been focused on Making Aging Easier  for older adults and their families. Presbyterian SeniorCare Network serves more than 6,500 older adults through in-home and community-based programs across 11 Western Pennsylvania counties.