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Approximately 50% of all Americans who reside in nursing homes receive assistance from Medicaid to pay for their care. This is not surprising, given the extraordinarily high cost of long-term care. The real surprise is that half of all Americans don’t seek Medicaid assistance to cover nursing home costs. Why not?
Perhaps the biggest reason is the preponderance of misinformation about Medicaid, the cost of long-term care, and how to pay for it. Here are just a few examples of the myths surrounding the use of Medicaid to pay for nursing home care:
Myths like these often come from well-meaning family members, friends, and neighbors. While none of them are true, many people believe that they are.
Sometimes misinformation is spread by people we assume to be knowledgeable about the subject—nursing home intake staff, caregivers, physicians, nurses, and social workers. They might tell you, for instance, that you are too wealthy to receive assistance from Medicaid. Or that once you have moved to a nursing home it’s too late to obtain Medicaid assistance to pay for your care. Again, these folks mean well, but their information is often outdated or simply inaccurate. The fact is Medicaid planning is complicated and the rules governing eligibility for various programs are constantly changing. Even attorneys who do not focus on this area of the law may be a source of inaccurate information.
Don’t let misinformation prevent you from getting the financial assistance you need. Speak to an attorney with extensive experience in helping families obtain Medicaid assistance to pay for nursing home care.
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
Every year, plenty of families with taxable estates let one of their simplest planning tools expire quietly on December 31.I'm talking about the annual gift tax exclusion. Each person can give up to a set amount to as many people as they like each year without using any of their lifetime exemption. A married couple can effectively double it.Here's the part people miss. It doesn't carry forward. If this year's exclusion isn't used by December 31, it's gone, and January 1 simply starts a new one.So for a couple with children and grandchildren, that's real wealth that can move out of a taxable estate each year, with no complicated structure required. Skip a few years and you can't go back and claim them.It isn't free of trade-offs. Money you give away is money you no longer control, and gifts to younger family members raise fair questions about timing, trusts and readiness. Which is why the gift and the plan should be decided together, not rushed the week before New Year's.One more thing. The gift generally needs to be completed within the year, not just intended. A plan in December isn't the same as a transfer.If you have a taxable estate and haven't looked at this yet, there's still time for a conversation, ideally with your tax professional and estate attorney involved too.Thomas Kluttz, CFP, ChFC, CTFA Analog Capital Partners Naples, FloridaAnalog Capital Partners LLC is a registered investment adviser. Registration does not imply any level of skill or training. Investing involves risk, including the possible loss of principal. Diversification and asset allocation do not guarantee a profit or protect against loss. This content is for informational purposes only and does not constitute investment, tax, or legal advice. Additional information is available in the firm's Form ADV and client relationship summary, available upon request. CRD #8199461.
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.
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.