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My estate planning and elder law practice have given me insights into these topics that I never thought possible. I encounter questions on a daily basis in my practice, how can an individual get the most out of retirement and how do you stretch your money and protect your wealth for future generations?
I am an estate planning and elder law attorney who happens to have a Master's in Law and Taxation as well as a Certified Elder Law Attorney under the authorization of the Pennsylvania Supreme Court. However, more than any class or degree I have received, representing numerous families over the years and watching their decisions, and in some cases mistakes, has really provided me the most prevalent insight into these questions and their answers.
I firmly believe it is very important to work with a financial professional to assist you during your working or earning years, as well as heading into your retirement years. Although it is possible for some people to “do it alone,” I’m a firm believer in hiring professionals to provide assistance in their area of expertise.
The small fee you will pay will be far worth it in the long run versus what you would save in the short term. Having a financial professional and a plan for retirement, not only how to get there, but also how you will live during retirement — is imperative. Stretching your money during retirement is similar to when you were saving for retirement, being disciplined, and having a goal in mind.
The one piece that no one ever wants to talk about is the cost of long-term care and how we’re going to pay for it. Although none of us really want to receive long-term care in our home or in a nursing facility, statistically it is a likely possibility that we need to consider.
Long-term care in a nursing home will cost anywhere from 10,000 to $12,000 a month. And in-home care, depending on the amount of care that is being received, can cost anywhere from $17,000 to $20,000 a month. This care is often necessary and needed but if there isn’t a plan in place, it can devastate a family pretty quickly and wipe out all of their savings.
The most obvious way to pay for long-term care is to simply self-insure, and make certain you have enough assets or investments to cover the cost. I find this to be a very difficult proposition, not only because it is impossible to know ahead of time how much care you are going to need, but also because the cost of the care in the future is very unpredictable. I remember at the beginning of my career the cost of a nursing home was around $5,000 a month, and now it is well over $10,000 and in some cases in our area $12,000.
I honestly don’t think it is out of the realm to predict the cost will more than double in a short period of time. But for the people who were planning to self-insure, it was certainly a shock to them when they finally got to the point of needing it and learning that we were closer to $12,000 a month. Although this can be possible for wealthy individuals, it is not typically possible for the middle class, since they cannot accumulate enough wealth to absorb $12,000 a month in costs. The other thing to remember is that often times one spouse is the caregiver for another spouse, and when the good spouse ends up needing care himself or herself, both spouses end up in the nursing home to the tune of $25,000 a month. It would be very difficult to self-insure this kind of need.
Another option is long-term care insurance. I am not licensed to sell insurance and have done numerous blogs on the topic of long-term care insurance. I am a big fan in general of insurance because I love that it could keep an individual in their own home for as long as possible. If you are looking at long-term care insurance policies, I would definitely look at a rider that will pay for in-home care.
Pennsylvania has products that are hybrid policies which are life insurance policies, as well as riders that provide in-home care or nursing care. Pennsylvania also participates in the partnership plan, which will allow an individual who has a long-term care policy to exempt a number of assets equal to the amount of benefit that they have received. I am a big fan of both of these and if an individual is able to afford it, I believe it is absolutely a good investment. You certainly want to talk to an agent to determine if it is something that is possible for you and your loved one, as well as whether it is financially doable.
In many cases, self-insuring or long-term care insurance is not an option, for a myriad of reasons, but often times we are stuck in a situation where a spouse does not have any way to pay for the long-term care, and they are reliant upon the crisis rules. Currently, in the state of Pennsylvania, the crisis rules are very favorable and will allow us to protect 100% of the assets of the spouse in the community. If you are interested in learning more about Medicaid crisis planning, please call our office at 717-844-9218, or click the link here to RSVP to our upcoming workshop to learn more about it.
Pennsylvania Link is not just a program; it's a movement committed to improving access to long-term care supports through an integrated network of partners dedicated to expanding community-based solutions. With a focus on promoting consumer-directed decision-making, enhancing efficiency, and elevating the quality of service, Pennsylvania Link is transforming the landscape of care for residents across all 67 counties. The Aging and Disability Resource Centers (ADRC), also known as PA Link for Pennsylvania, is designed to offer a seamless approach for seniors and adults with disabilities seeking assistance with activities of daily living. PA Link is not just a service provider; it's a lifeline for those navigating the complex terrain of care services. PA Link has woven a web of collaborative Partners with local professionals and organizations, to improve the navigation of care services. This integrated network ensures that individuals receive the support they need, regardless of age, physical/developmental disability, or ability to pay. Through cross-training and information sharing, PA Link is breaking down barriers, reducing duplication, and responding to the diverse needs of its community. No Wrong Door: A Statewide Gateway to Assistance PA Link provides a lifeline for those seeking assistance through its free statewide number 1-800-753-8827. Trained counselors stand ready to guide residents through identifying services, determining eligibility, and seamlessly navigating the application process. It's a "no wrong door" approach, ensuring everyone has a clear and direct path to the information and support they need. Personalized Pathways with Person-Centered Counseling In addition, PA Link offers Person-Centered Counseling (PCC). This free counseling and assistance program takes a detailed approach, crafting plans tailored to individual needs, values, and preferences. PCC sets dates, deadlines, and follow-ups to ensure success, making it a beacon of support for those in need. Join the Movement: Pennsylvania Link Pennsylvania Link to Aging and Disability Resource Centers has helped thousands with their seamless and thoughtful approach to finding care and resources! All PA Link services are FREE and anyone can call! To see how PA Link can assist you or to join the initiative, visit the PA Link Website at https://berkslancasterlebanonlink.org/, or call the statewide PA Link Call Center at 1-800-753-8827.
Why Hire an Elder Law Attorney? Elder law attorneys specialize in estate planning, incapacity planning, and end-of-life care for seniors, helping them remain in their homes and protect against abuse. They are essential in planning for the future and addressing the needs of a vulnerable population. How Can an Elder Law Attorney Help? Long-Term Care Planning: As the number of Americans over 65 is projected to exceed 80 million by 2040, planning for long-term care is increasingly important. Elder law attorneys assist seniors in creating financial plans to cover essential needs like food, rent, and medical care. They also guide clients in applying for public benefits such as Medicaid and Medicare. Housing: Many seniors wish to age in place. Attorneys can represent clients in landlord-tenant disputes, helping them navigate issues like city ordinance violations. They also protect seniors against housing discrimination under the Fair Housing Act. Estate Planning Document Preparation: Elder law attorneys draft critical documents such as wills, health care directives, and powers of attorney, ensuring that seniors rights are protected regarding retirement benefits and medical decisions. A solid estate plan reduces family stress and potential inheritance disputes. Incapacity Planning: Attorneys can help document care wishes for seniors facing disabilities or conditions like dementia. With the rising number of Alzheimers cases, having a plan for incapacity is vital for protecting financial and physical well-being. Guardianship: In cases where an older adult cant make decisions due to conditions like dementia, attorneys assist family members in securing guardianship, which involves legal proceedings and court hearings. They can also advocate for the seniors autonomy by exploring alternatives to full guardianship. Combating Elder Abuse: Elder abuse is a significant public health issue, affecting one in six adults aged 60 and older. Elder law attorneys are well-versed in the rights of seniors and can provide legal recourse against abusers while implementing safeguards like advance directives to protect against financial exploitation. By addressing these diverse needs, elder law attorneys play a critical role in supporting the aging population and ensuring their rights and well-being are protected. Editors Note: This article is for informational purposes only and is not intended to be legal advice.This article was submitted by Ashley Day, Esq. Reach her at 251-277-3377.
When I ask our younger clients if they would like to complete a Health Care Directive, they often say no, stating that they are too young to need such a thing. My response is always, What does age have to do with end-of-life decisions? I can think of at least fifty examples of a young person ending up in the end stage of life and a family member having to make difficult decisions on their behalf. Please, do not get lulled into complacency by thinking that age is protection. I was in my doctors office recently when I noticed a large collage talking about the importance of having a Living Will or Health care Directive. It emphasized the importance of having such a document, regardless of how old you are, reinforcing to me what our office always stresses to our clients and the community. A Health care Directive is a document in which each of us tells our loved ones how we want the end of our life to be handled. When we are in a permanent vegetative state, a permanent state of unconsciousness, or in the end-stage of a medical condition, all with no reasonable likelihood of any significant recovery, it provides answers such as Do you or do you not want to be resuscitated, to you want tube feeding, and appoints an agent that can serve to make decisions for you once you are unable to do so yourself. One of the quotes on the doctors display said, End-of-life decisions should not be made at the end of life. Another said, For human beings, life is meaningful because it is a story, and in stories, endings matter. Another said, I have an Advanced Directive, not because I have a serious illness, but because I have a family. Most of us know what medical decisions we want at the end of our lives, but have we communicated that to our family and loved ones? When we meet with clients to help them create estate planning documents, we always point out to them that they have the option in their Health Care Directive of deciding what, if any, extraordinary measures they want to be taken at the end of their lives. Once they select those options, we then come to perhaps the most difficult question of all: Should these instructions be binding on their families and providers, or do they want their loved ones to be able to override their decisions? Many opt for binding instructions so their loved ones do not have to make any of those difficult decisions in the heat of a devastating crisis. Either way, they have expressed their desire to guide their loved ones. Age is not a factor in creating a Health Care Directive; tragedy can strike unexpectedly at any age. The expense is low, but the peace of mind comes from knowing that when our time comes, we have already made those decisions for ourselves and our loved ones. So, start the conversation with your family. Communicate your wishes to them and urge them to communicate theirs to you. Then, go to a qualified estate attorney and put those wishes on paper so that when your time comes, all involved, including your medical providers, know how you want the end of your life to be managed. We offer FREE Workshops each week. You can also call our office at (717) 208-2899.
We Educate so what happened to the Bellomo Family doesn't happen to yours!Our firms mission is to ensure that you and your family never needlessly, painfully suffer. Every team member has a personal story that has brought us here to advocate for you and your family. We want to replace your burden with peace of mind. We have the answers, but more important, we have your back.Bellomo & Associates, LLC advises Individuals and families, business owners, senior citizens, and their families about the estate planning and elder law challenges facing them today. For seniors and their families facing the issues of aging, or for those of any age who wish to protect their familys financial future, we counsel clients and provide solutions on Asset Protection; Specials Needs Trusts; Wills; Trust Design; Medicaid; Estate Planning; Nursing Home Matters; and Estate Administration. For our clients who own businesses, our team assists them with succession planning for their business in conjunction with their estate planning. We have office locations in York, PA, and Lancaster, PA.We offer FREE workshops! Our workshops are fun and entertaining ways to learn! We provide you with the information to decide what is right for you. If after attending, you decide we arent the right fit no problem! Youll never feel any pressure from our team.