Medicaid Benefits

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Medicaid Benefits

medicaid for seniors and elderlyAnyone with a parent or loved one who needs long term care such as a nursing home likely knows that the cost is thousands of dollars a month. How is it affordable if you don’t have the financial resources but need care? The governmental financial program which will help pay these costs is Medicaid.

It is based on financial need. Currently an individual must have assets of $2000.00 or less and an income of $1869 or less. (These numbers do change so stay informed).  Basically, once you are accepted on Medicaid, the facility will receive your Social Security check and Medicaid dollars will make up the balance of room & board.

Medicaid assists aged and disabled people with the costs of nursing facility care and other medical expenses.  Eligibility for Medicaid is usually based on the families or individual’s income and assets.

In Florida, The Agency for Health Care Administration (AHCA) is responsible for Medicaid.  They are the equivalent of the corporate head office.  The Department of Children & Families (DCF) acts as an agent by enrolling people in Medicaid.  We contract with other state agencies and private organizations to provide the broad range of services that Medicaid offers its participants.

Again, we recommend you speak with a licensed Financial Planner or Elder Care Lawyer (yes, it is worth the investment) to discern the best financial plan for your individual situation. They can also prepare the application. Note that once you receive financial assistance from one Governmental source, it may affect future assistance from other Governmental sources. This is another reason to consult an expert.
Learn more at: http://ahca.myflorida.com/medicaid/

Studies have shown that it is more cost effective to keep people in the lowest level of care, such as at home or in an Assisted Living facility (ALF) rather than the high level of care provided in a nursing home. Most people do not require 24 hour nursing care so why should the individual or government pay for it when not essential?  You guessed it, there ought to be some type of program to bridge the gap and make care at home or in an ALF more affordable.

The state and local governments therefore have a Nursing Home Diversion Program and Medicaid waivers which help pay for the cost of care when the person can remain home or in Assisted Living. These programs are based on financial need, and health care needs. There is usually a long wait list but with planning these programs can make a positive
Learn more: ahca.myflorida.com/medicaid/hcbs_waivers/index.shtml