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February 13, 2012
Binyamin Rose: Back to the Bunker: How a life-risking act by a Christian family during the Holocaust saved a family and built a thriving community a world away
Menachem Wecker: Business Schools Teach Real Estate Despite Troubled Housing Market
February 10, 2012
Lisa M. Krieger: Man with defibrillator demands access to his own heart's information
David G. Savage: Why activists may not be in a hurry to have High Court rule on alternative marriage
February 9, 2012
Laura McMullen: 10 Least Expensive Public Schools for Out-of-State Students
Kimberly Palmer: How to actually enjoy -- relaxing, financially -- your vacation
February 8, 2012
Warren Richey: Why momentous Prop. 8 ruling might not satisfy gay-rights groups
Menachem Wecker: Though Controversial, LL.M.'s Can Lead to Specialized Legal Jobs
The Kosher Gourmet byDana Velden: Going to the bother of making soup? You know it better be good. This CREAM OF TOMATO SOUP certainly is! And it's a cinch to make, too (Includes techinques and serving secrets)
February 7, 2012
Frank J. Gaffney, Jr.: Caught off-guard? President's Super Bowl interview with Matt Lauer gives those who need a reason not to vote for him, a darn good one
Suzanne Bohan: Leaping lizards! Tiny reptiles advancing robot design
February 6, 2012
Jonathan Tobin: Iran Threatens Israel With Destruction, But the New York Times Doesn't Hear It
Jeffrey Fleishman: In newly democratic Egypt, tens of democracy activists jailed, to stand trial; their groups are 'threatening the stability of the homeland'
Julie Deardorff : Researchers say antioxidants may not be that effective and could do more harm than good
Mark Clayton: How did Anonymous hackers eavesdrop on FBI and Scotland Yard?
February 3, 2012
Edmund Sanders : Israeli official says Iran is creating missile that could reach East Coast of US
Victoria Kim: Immigrant-smuggling ring used black drivers to avoid racial profiling
February 2, 2012
Jim Carney: Wrong number call may have saved her life
Reza Kahlili : Ex-CIA spy in Iran's Revolutionary Guard: What Obama doesn't grasp about striking deals with Tehran
Tina Susman: For woodchuck rescuer, every day is Groundhog Day
February 1, 2012
Brian Bennett: US officials see increasing threat of domestic attack from Iran
Emily Brandon: How to Take Advantage of New 401(k) Fee Disclosures
January 31, 2012
January 30, 2012
Paul Richter and Ramin Mostaghim: Misreading Teheran's limits -- deadly and economically devastating as they may be -- is a risk administration, Europe seem willing to take
Suzanne Bohan: Warning: Nap-deprived tots missing more than sleep, study finds
Meg Handley: Banks Revamping Rewards Programs to Woo Customers
January 27, 2012
Caroline B. Glick: Obama: Of course I intend to prevent a nuclear holocaust . . . in a few months
Yochonon Donn: In liberal New York City, fervently-Orthodox Jews may soon be getting a district to call their own
Jeannine Stein: An inflated ego and thinking you're 'all that' doesn't just make others sick of you, it can make you ill
Katy Hopkins: New budget rules may affect how much money you get for college
January 26, 2012
Ed Koch: To the New York Times, calling for the murder of Jews by those capable of having their incitement taken seriously isn't news
Jeannine Stein: Mental illness struck one in five U.S. adults in 2010: Report
January 25, 2012
Richard Simon: House passes two bills endorsing the use of religious symbols at military memorials
Fred Weir: Putin: Multiethnic Russia cannot survive as a US-style 'melting pot'; must find its own way
Susan Johnston: 5 Sneaky Coupon Strategies Consumers Should Watch Out For
January 24, 2012
Carol Clark: The price of your soul: How your brain decides whether to 'sell out'
Caroline B. Glick: America lost most in 'Arab Spring'. Sadly, many voters still don't grasp the extent
Warren Richey: Drug criminal scores win in GPS ruling from conservative-leaning high court
Erika Bolstad: Black conservatives gather to talk about gaining strength
January 23, 2012
Melissa Dribben: Jewish voters to play a key role in Florida's Republican primary
Jordan Rau: In quest to grow, Catholic hospital system will announce this morning its break from church
Ali Safi: U.S. envoy gives Taliban terms for peace talks
January 19, 2012
January 18, 2012
January 17, 2012
Frank J. Gaffney Jr.: No-kidding red lines: U.S. response to an Iranian nuke may be bluster, but Israel's won't be
David G. Savage: They sued their principals after slandering them online --- now the cases are headed to the Supreme Court
David Francis: Where to Invest in 2012: With stocks expected to rebound, opportunity abounds for investors
January 13, 2012
Ben Lynfield: Israeli lawmakers move to annex Jewish Judea, one museum at a time
Alexia Elejalde-Ruiz: Thriving through touch: Gentle massage helps older people with low mobility improve in mind and body
January 12, 2012
Warren Richey: Landmark Supreme Court ruling a 'resounding win' for religious groups
Warren Richey: Supreme Court says no to new rule on eyewitness testimony
John Fauber : Statins found to raise diabetes risk in postmenopausal women
Katy Hopkins : Consider This Before You Pay for an Online Degree
The Kosher Gourmet by Joseph Erdos: This mushroom and barley soup has an intense -- almost nutty -- flavor that mixes robust with Middle East. It has creaminess without cream
January 11, 2012
Shari Roan: Millions of atrial fibrillation sufferers at risk for devastating, but preventable, stroke
Tom Hussain: Pakistan -- recipient of more than $21 billion in civilian and military aid -- speeds pursuit of Iranian pipeline, defying US
David G. Savage: High court signals it won't be loosening TV's 'indecency' rules
Stephen Ceasar: Oklahoma's Islamic law amendment can't go into effect, court rules
January 10, 2012
Reza Kahlili: From an ex-CIA spy: US must exploit new split in Iran's Revolutionary Guard
Karen Kaplan: Study: Nicotine replacement products ineffective when used in real-life situations
January 9, 2012
Michael Doyle: Put through legal hell over dream home, couple fought back hard --- all the way to Supreme Court
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Jewish World Review
Feb. 26, 2007
/ 8 Adar, 5767
Paying for that long-term care
By
Jan L. Warner & Jan Collins
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http://www.JewishWorldReview.com |
Whether being hit with the realization that your loved one's care will cost thousands per month or surviving the maze of procedures needed to get them into a proper facility, Next Steps continues to explore the different levels of long-term care, including how such care is paid for.
Medicare and Medicare Supplemental Insurance: After a stay in the hospital for at least three days, if a patient's medical condition requires either 1) Rehabilitation through physical, speech and/or occupational therapy, or 2) Skilled nursing care on a daily basis, upon discharge to a nursing facility, Medicare will pay for 100 percent of the costs incurred during the first 20 days. Should the patient continue to benefit, Medicare will cover all expenses for up to the next 80 days except for a $124 per day co-payment.
An appropriate Medicare supplement policy will cover the co-payments, or they will be paid by the individual. However, should Medicare stop paying during those last 80 days, payments by the Medicare Supplemental insurance will also stop, and the patient will then either pay privately, use long-term care insurance or qualify for Medicaid.
Medicaid, a cooperative state and federal program, is the final source of payment when there is nothing else to provide medical assistance to designated classes of medically needy individuals. The federal side of Medicaid is handled by The Centers for Medicare and Medicaid Services (CMS), while Medicaid is administered for the federal government in each state by Departments of Health and Human Services (HHS).
In order to participate in Medicaid, each state must provide eligibility to mandatory categories of individuals for certain basic medical services including long-term care. Once the minimum standards are met, the states have the flexibility to either expand Medicaid eligibility to additional groups and/or expand coverage to include enhanced services. Each state's Medicaid program can be found in a "State Plan" that must be "blessed" by CMS. Medicaid is funded by both federal and state monies based on ratios that vary from year to year and from state to state.
While Medicaid will pay the total cost of nursing home care, medical care and prescriptions for eligible nursing home residents, there are disadvantages: 1) The application process can be time-consuming and difficult; 2) There are restrictive asset and income limits for both married and unmarried individuals that vary depending on the state of residence; 3) Gaining admission to a nursing facility with Medicaid as the pay source may be difficult; 4) A facility chosen by the family may not accept Medicaid; 5) There may be fewer quality-of-life benefits available to Medicaid recipients, such as private rooms; and 6) Quite obviously, the private-pay patient will have more options than his or her Medicaid counterpart.
Even though the financial-qualification standards vary from state to state and will depend upon marital status, generally speaking, the institutionalized individual will be left with little extra spending money each month. At death, the assets that did not count for Medicaid qualification during life like the family home could well be subject to a "recovery" program after death, whereby the state seeks repayment for what has been advanced.
To qualify for Medicaid, 1) You must be either a United State citizen or have been admitted lawfully to this country; 2) You must be a resident of the state in which you apply; 3) You must provide a Social Security Number or apply for one; 4) You must assign your rights to medical benefits or support to the state and cooperate in securing benefits; and 5) You must apply for any benefits to which you may be entitled.
Every weekday JewishWorldReview.com publishes what many in in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here.
JAN L. WARNER received his A.B. and J.D. degrees from the University of South Carolina and earned a Master of Legal Letters (L.L.M.) in Taxation from the Emory University School of Law in Atlanta, Georgia. He is a frequent lecturer at legal education and public information programs throughout the United States. His articles have been published in national and state legal publications. Jan Collins began co-authoring Flying SoloŽ in 1989. She has more than 27 years of experience as a journalist, writer, and editor. To comment or ask a question, please click here.
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