Both Medicare and Medicaid can assist you with your individual long-term care plan. While the two programs sound similar, there are important differences to consider.
Let’s start with a brief definition of each program. First, it’s true, both programs provide medical care. However, Medicare is an entitlement program; meaning that everyone who reaches the age of 65 and is eligible to receive benefits from Social Security can also receive Medicare. In contrast, Medicaid is a public assistance program, meaning it is designed to help people with limited income and assets to pay for medical care. Recipients of Medicaid assistance must meet certain income and asset eligibility guidelines.
Now, let’s look at some of the fundamental differences between the programs.
Medicare is completely run by the federal government, whereas Medicaid is run as a joint, federal-state program. A few states use different names for their Medicaid programs. For example, Medi-Cal in California and MassHealth in Massachusetts.
Typically, the federal government pays for approximately one-half of a state’s Medicaid Program, with the state paying the balance. The eligibility rules will differ from one state to the next. However, in order for the state to receive money from the federal government, the program must adhere to certain federal guidelines.
Medicare, by and large, does not cover long-term nursing home care. For example, Medicare Part A will only cover up to 100 days in a skilled nursing facility for a particular illness, and only after the patient has spent at least three days in a hospital. And, from day 21 to day 100, the individual at the skilled nursing facility must make a copayment of $167.50 per day. Few people actually receive Medicare coverage for the full 100 days, in part because of the copay, and in part, because restrictions and conditions for coverage are quite stringent.
In contrast, Medicaid covers long-term nursing home care for people who meet its income and asset limits. It does not matter whether you need assistance for one hundred days, one year, or five years—Medicaid will pay for the care as long as the recipient is eligible. Given the high cost of nursing home care, the dearth of affordable alternatives, and the restrictions inherent in Medicare coverage, Medicaid is now the single largest payer of nursing home stays in the United States.
If your income and assets are less than your state’s guidelines, you are already eligible for assistance. However, if your income and assets exceed state limits, you will have to take the appropriate steps to become eligible. An experienced elder law attorney will be able to determine the best way for you to secure your Medicaid benefits.
But be careful! Being eligible is not as simple as giving your “stuff ” away a few weeks before entering a nursing home, expecting Medicaid to pay for your stay. Instead, when you apply for Medicaid, any gifts or transfers of assets made within five years of the date of application will be subject to penalties that delay your benefits. This is known as the look-back period, and the penalty period is determined by dividing the amount transferred by what Medicaid determines to be the average private pay cost of a nursing home in your state. A skilled elder law attorney will be able to guide you through the planning and application process so you can receive your Medicaid assistance as expeditiously as possible.
In short, while Medicare can help you afford a short-term stay in a nursing home, Medicaid will be able to pay for your long-term care, if you are eligible. Through early and proper planning, you can obtain assistance from Medicaid to pay for your nursing home care and protect your hard-earned assets in the process.
As retirement draws near, many people find themselves confronted with both the physical and emotional challenges of downsizing. While the idea of simplifying life and reducing possessions can be refreshing, it can also feel daunting. This transition offers a chance to rethink your lifestyle, and understanding the emotional landscape of downsizing is crucial. Here are essential tips to help you navigate this process during retirement.Understanding the Emotional Journey of DownsizingDownsizing is about more than just getting rid of things; it marks a significant shift in identity and lifestyle. Many people experience sadness, anxiety, or even guilt when letting go of belongings that have accumulated over the years. Recognizing that this emotional journey is a common experience can alleviate some of the stress.To manage these emotions, consider writing in a journal or discussing your feelings with someone who understands. A study from the American Psychological Association found that expressing emotions can significantly reduce anxiety levels. Engaging in conversations about your feelings can make the process feel lighter.Creating a Vision for Your RetirementBefore you begin the downsizing process, take time to visualize your ideal retirement. Ask yourself what activities excite you the most. Do you want to travel the world, spend more time with family, or pick up new hobbies? Having a clear vision will help you identify which items enhance that future and which ones can be eliminated.Creating a vision board can be a powerful tool. Gather images and words that resonate with your retirement goals. Displaying this board can serve as daily motivation and a guide throughout the downsizing journey.Setting Realistic GoalsSetting achievable goals is essential for a smooth downsizing experience. Break the process into manageable tasks. For example, you might allocate specific days to focus on particular areas: one day for the garage and another for the living room. Establish a timeline; perhaps aim to declutter one room each week over the course of two months. Celebrating these mini-milestones can provide motivation and a sense of accomplishment.Involving Family and FriendsDon't hesitate to lean on family and friends during this important time. Involving others can offer both emotional support and practical assistance. They may have insights into the sentimental value of items or even wish to take some belongings off your hands.Such interactions can transform the downsizing experience into a collaborative effort, making it not just a task, but a meaningful shared journey. Prioritizing Sentimental ItemsWhile decluttering is vital, it's equally important to recognize items that hold sentimental value. Consider creating a "memory box" to store your most cherished belongings. Think of items like wedding rings, baby shoes, or family photos that evoke strong memories.By focusing on a limited selection of meaningful objects, you honor your past while making room for future experiences. Embracing the Concept of "Joy"Inspired by Marie Kondo's philosophy, allow the idea of "joy" to guide your decision-making. As you sift through your belongings, ask yourself if each item brings happiness. If not, consider letting it go.For example, a kitchen gadget you havent used in years may be taking up valuable space. Releasing items that do not bring joy can create a more positive mindset and simplify your living space.Exploring the Benefits of MinimalismMinimalism goes beyond owning less; it offers a path to enhanced well-being. Studies show that clutter can heighten stress and distract you from what truly matters. By reducing distractions, you can create a serene environment that aligns with your envisioned lifestyle in retirement. Imagine waking up each day in a space that feels open and calming, fostering clarity and focus.Knowing When to Seek Professional HelpIf the emotional weight of downsizing feels overwhelming, dont hesitate to seek professional support. Many experts specialize in the emotional and logistical aspects of this journey.Professional organizers, therapists, or support groups can provide practical guidance and emotional reassurance. Reflecting on Your AchievementsAs you progress, take a moment to acknowledge your efforts and celebrate your achievements. This practice can boost your motivation and assist in emotional processing during this significant change. Consider keeping a journal to document your feelings, accomplishments, and insights gained throughout the downsizing journey. This reflection fosters a deeper understanding of your emotional landscape and helps maintain your focus on the transition.A New Chapter of FreedomDownsizing as you retire can be an emotional process, but it also represents a unique opportunity for personal growth and freedom. By understanding the emotional aspects, setting a clear vision, involving loved ones, and embracing a minimalist lifestyle, you can thrive in this new phase of life.Approach this transition with an open heart. Let go of what no longer serves you, making space for joy and a fulfilling retirement. Every step you take towards emotional downsizing brings you closer to the enriching life you desire
Protecting Your Loved Ones Independence and Well-Being at HomeHelping a family member remain independent and living at home is a labor of love, but at times it can be overwhelming. There is so much to consider beyond just their overall health and well-being. Depending on the situation, a loved one may need immediate or future help coordinating medical care or managing finances. Having the proper Power of Attorney credentials established can help caregivers navigate the complexities of the system and avoid costly or time-consuming pitfalls during their loved ones aging journey.Here is a basic overview of two of the most common Power of Attorney documents:Financial Power of Attorney (Durable)With a Financial Power of Attorney (POA), a person known as the principal appoints an agent to carry out financial and other activities, as instructed by the principal. Often the person designated is a family member but note that it may be advisable to name a primary agent and an alternate agent. Principals may choose whether the POA becomes effective immediately or only in the event of illness/disability. Ideally, the POA document should have language indicating that it is durable (remains in effect even after the person is legally incapacitated). In Pennsylvania, the Financial POA must be notarized and witnessed. The law also stipulates that a POA must exercise the powers for the benefit of the principal, keep the assets of the principal separate from their own, and exercise reasonable caution and prudence. Financial Power of Attorney ceases after the principal passes away.Medical Power of AttorneyPennsylvania recognizes two types of advanced directives for healthcare decisions: Medical Power of Attorney and Living Wills. The Medical Power of Attorney, also known as a Healthcare POA or healthcare proxy, is broader in scope than a Living Will in that it empowers the caregiver to make all medical decisions if their loved one is unconscious, incapacitated, or mentally incompetent. The appointed person will be able to access medical records, speak to healthcare professionals, and make healthcare judgments and medical decisions based on their loved ones treatment (or non-treatment) preferences. A Medical POA is a crucial component of advance care planning, allowing your loved one to ensure that their healthcare preferences are honored. The document must have two witnesses and be notarized.Information and downloadable Power of Attorney pdf documents are available online. During the application process to Senior LIFE, a Senior LIFE outreach coordinator can also help you get started with the POA process. Contact us today.
In recent years, scammers have increasingly targeted seniors, preying on their trust and vulnerability to perpetrate fraudulent schemes. According to a report by the FBI, Baby Boomers alone were scammed out of more than $3.4 billion in 2023, with losses from reported scams surging by 11% from the previous year. With imposter scams on the rise, it's essential for seniors to be vigilant and informed to protect themselves from falling victim to these schemes.Imposter scams often involve criminals impersonating trusted figures, such as relationship managers or financial advisors, and setting up fraudulent websites to deceive victims. To avoid falling victim to these scams, it's crucial to recognize the warning signs, including:Unexpected phone calls or emails requesting personal information or payments.Phone calls stating you have missed Jury Duty and have to pay a fine or you will be arrested. Urgent requests to fill out forms or provide sensitive information.Poor website design quality, grammatical errors, or misspellings on fraudulent websites.Website domains that use the name of the relationship manager rather than a reputable firm. To protect themselves from imposter scams follow these best practices:Verify all anomalous communications or requests for payments by double-checking the sender information and independently confirming the source using verified contact information.Do not open emails that do not look normal - it could be a phishing email which could put a virus on your computer. Never rely solely on caller ID to determine the legitimacy of a caller. Let an unknown caller go to voicemail. Refrain from sending payments or sensitive information without independently verifying the identity of the recipient.Avoid giving out sensitive information, such as account numbers, over the phone or through a website unless certain of the recipient's identity.Cut off contact with anyone suspected of impersonating a professional and report the incident to authorities.Never give cash to a vendor, Zelle payments or meet them in a common area. Additionally, you can decrease any chances of falling victim to imposter scams by proactively establishing mutually understood defense measures with professional contacts.By remaining vigilant and informed, seniors can protect themselves from falling victim to imposter scams and safeguard their financial well-being. Education and awareness are key to empowering seniors to recognize and avoid fraudulent schemes targeting them.
Pam Buff Baker, Esq., owner and founder of Safe Harbor Law Firm works closely with clients to meet their legal needs. In particular, Pam works in all areas of Estate Planning, Elder Law, Probate and Trust Administration. Pam graduated magna cum laude from Tulane University, having majored in chemical engineering. Since graduating from Tulane, Pam has worked in sales, marketing, and technical support for Eka Chemicals (part of Akzo Nobel), a company division that supplies water purification and treatment systems. Later, Pam moved to Naples, Florida. Since then, Pam graduated summa cum laude from Ave Maria School of Law, where she was Associate Editor of the Law Review and a scholarship winner. During her time at Ave Maria School of Law, Pam worked in the legal department of Arthrex and interned for several local law firms. Pam is a champion golfer, having been a varsity player at Tulane, inducted into the Hall of Fame. She was an All-American golfer, three-time conference champion, conference player of the year, and student athlete of the year. When she has free time, Pam likes to play golf and go to the beach and pool with her family. Originally from Chicago, Pam has lived year-round in Naples, Florida since 2005.
At Safe Harbor Law Firm (formally known as Buff Law Firm PLLC), we focus on estate planning, elder law, and closely related practice areas. Our true focus, however, is helping families plan for and take control of their future. This can involve:Ensuring your assets will go to the people you want, when you want, in the manner you want after you pass awayPreparing for the possibility that you or your spouse will need expensive long-term careand helping you find ways to pay for itEnsuring that people you trust have the authority to make financial and medical decisions on your behalf in the event of incapacityProtecting your assets and those of your heirs against threats such as creditors, lawsuits, divorce, the high cost of long-term care, and moreGuiding your loved ones through the probate and/or trust administration processSafe Harbor Law Firm has helped families from all walks of life find solutions to challenges like these and many more. We welcome the opportunity to do the same for you. Ultimately, our goal is to help you enjoy the peace of mind that comes from having a plan in place for the future. We invite you to contact us for a personal meeting to discuss your particular needs and goals.
At Safe Harbor Law Firm (formally known as Buff Law Firm PLLC), we focus on estate planning, elder law, and closely related practice areas. Our true focus, however, is helping families plan for and take control of their future. This can involve:Ensuring your assets will go to the people you want, when you want, in the manner you want after you pass awayPreparing for the possibility that you or your spouse will need expensive long-term careand helping you find ways to pay for itEnsuring that people you trust have the authority to make financial and medical decisions on your behalf in the event of incapacityProtecting your assets and those of your heirs against threats such as creditors, lawsuits, divorce, the high cost of long-term care, and moreGuiding your loved ones through the probate and/or trust administration processSafe Harbor Law Firm has helped families from all walks of life find solutions to challenges like these and many more. We welcome the opportunity to do the same for you. Ultimately, our goal is to help you enjoy the peace of mind that comes from having a plan in place for the future. We invite you to contact us for a personal meeting to discuss your particular needs and goals.