Preserving Assets Amid Rising Long Term Care Costs: Strategic Resource

When an older adult needs help at home and sees several clinicians, a coverage decision can affect everything from prescription refills to rides. If youre considering TRU PACE in Lafayette, start by asking how enrollment would change the care and coverage you already use. How Medicare and Medicaid Fit Into PACEPACE is the Program of All-Inclusive Care for the Elderly. It coordinates healthcare and support for eligible adults who meet a state standard for nursing home-level care and can live safely in the community with PACE support at enrollment. Applicants must also be 55 or older and live in the programs service area.  TRU PACE and Your Current CoveragePhone: 303-665-0115Medicare says people with Medicaid pay no monthly PACE premium. Medicare beneficiaries without Medicaid pay premiums for the long-term care portion and Medicare Part D drugs. Medicare also says participants owe no deductible, copayment, or coinsurance for drugs, services, or care approved by their PACE team. Ask TRU PACE for an estimate based on your individual coverage before enrolling.  Doctors, Prescriptions, and Existing ServicesTRU PACE says it becomes the participants insurance provider at enrollment. Participants generally receive care through the programs provider network. Bring a list of your doctors, medications, and scheduled services. Ask which providers are in the network and how the team would coordinate any changes.  Why This Matters in LafayetteIf you regularly see a clinician near home or have a specialist visit scheduled outside Lafayette, give the enrollment team the names and dates. Ask which appointments can continue and what to do about any refill due around the enrollment date. How to Get Started1. Gather Your Coverage InformationHave your Medicare and Medicaid information, if applicable, along with details of any current plan. List the appointments and prescriptions you rely on most.2. Ask for an Enrollment and Cost ReviewCall TRU PACE and ask for your expected monthly cost, when any coverage change would take effect, and who would help coordinate the transition.  Related Seniors Blue Book CategoriesPACE Adult Day Services Care Management

A move, a change in care needs, or the loss of a spouse can turn a familiar retirement budget into a list of new decisions. Before meeting with a financial professional, identify the question you want answered. You might need to understand what a move would do to your monthly expenses or how much flexibility you have if care costs rise.What Financial Services CoverFinancial services can include financial planning, investment advice, insurance, or help with other money decisions. The scope depends on the professional and the firm. If your immediate question is about paying an overdue bill or applying for a public benefit, a local assistance program may be the better first call. If youre weighing how to use savings or investment accounts over time, ask whether an adviser can address that specific question. Jetty Financial - Rich GaldieriPhone: 303-710-5015Richard Galdieris public professional profile identifies Jetty Financial. The SECs Investment Adviser Public Disclosure database identifies him under CRD number 8206153 with Global View Capital Management LLC in Lafayette, Colorado. Ask which firm would provide the service and appear on your written agreement. The firms name gives you the information you need to review the right disclosures and direct follow-up questions.  Ask What the Engagement IncludesDescribe the decision youre facing and ask what the professional can provide in writing. That may mean a one-time review, a planning engagement, or ongoing investment management, depending on the firms services. Ask which fees apply, how they are calculated, and whether any products or third parties carry separate costs. Investor.gov offers a tool to check registration and review relationship disclosures.  Why This Matters in BoulderIf youre deciding whether to stay in your Boulder home or move closer to family, use actual costs for both options. For your current home, pull recent bills for taxes, insurance, maintenance, and any paid help. For a move, gather quotes for housing and services you expect to use. Put one-time expenses, such as moving or preparing the house for sale, on their own list so you can compare recurring costs clearly.How to Get Started1. Put Your Main Question on One PageList income sources, regular expenses, and the change you expect in the next year. Bring rough figures to an introductory conversation and ask how the firm handles confidential documents before sending account statements.2. Confirm Fees and ResponsibilitiesAsk who will work with you, what you will receive, and how much the engagement is expected to cost. If you are considering ongoing services, ask how often you would meet and what happens if you end the relationship.3. Take Time to Review the AgreementRead the written scope and fee terms before deciding. If your question also involves taxes or legal documents, identify which parts you should take to a tax professional or an attorney. Related Seniors Blue Book Categories Financial Services Elder Law Estate Planning

A utility bill can be manageable one month and hard to cover the next. If youre living on a fixed income or helping an older family member sort through overdue notices, start with the bill or expense that has the closest deadline. The City of Boulders Older Adult Services case managers can help eligible residents understand what assistance may be available and where to apply.What Financial Assistance Can Help WithFinancial assistance programs help eligible households cover essential expenses or connect with resources that reduce those costs. Programs may address a one-time problem, such as a bill that came due unexpectedly, or an ongoing need, such as difficulty paying for groceries. Each program sets its own rules and deadlines. A case manager can help you identify which applications are worth pursuing.City of Boulder Older Adult ServicesPhone: 303-441-4388 The citys Older Adult Services team works with Boulder residents age 60 and older and their caregivers. Case managers provide information and referrals, help people understand available options, and offer short-term case management. The city also provides financial assistance for eligible clients. Its published screening criteria include age, residency, income, and the type and circumstances of the request. What to Bring Up on the First CallDescribe the immediate problem in plain terms. I received a shutoff notice with a date next week gives a case manager a clearer starting point than I need help with bills. If the same expense has become hard to cover every month, say so. That gives the case manager a chance to discuss ongoing resources as well as any immediate options.Why This Matters in BoulderA Boulder mailing address and residence within Boulder city limits can mean different things for eligibility. If youre unsure whether your address qualifies, give the case manager your street address before gathering paperwork. Older adults who live elsewhere in Boulder County can start with the countys Area Agency on Aging for help identifying resources that serve their address.  How to Get Started1. Find the DeadlineHave the most recent bill or notice handy. Write down the amount due, the due date, and any shutoff date or other deadline shown. Tell the case manager about the deadline at the beginning of your call.2. Ask What Documents You NeedCall 303-441-4388 and ask which documents the city needs for your particular request and how to submit them. Keep copies of any application and the name of the person you spoke with.3. Confirm the Next StepBefore you hang up, ask who will follow up, how to check the status, and whether there is another program to contact in the meantime. If you are calling for someone else, ask whether they need to join the call or give permission for staff to discuss their application. Related Seniors Blue Book Categories Area Agencies on Aging Care Management Care Coordination