General Info About Assisted Living
What Is Assisted Living?
Candidates for Assisted Living usually need assistance in performing one or more activities of daily living. Assisted Living facilities will provide a number of services including help with bathing and dressing, meal preparation, housekeeping and laundry, and medication management. A person who wants to maintain some independence but may need help with bathing, walking, dressing, bed transfer, toileting, or eating may be a candidate for Assisted Living.
Residents of Assisted Living Communities typically have their own private apartment and are usually provided with shared services of dining facilities, recreational and social activities, religious services and transportation to shopping, medical appointments and local events. There will be staff on site 24 hours a day, but residents can maintain the independence that suits their particular situation.
Assisted Living Insurance Options
Long-Term Care Insurance
Many Long Term Care Insurance policies provide benefits toward the costs of Assisted Living expenses. While coverage specifics can vary based on the policy terms and conditions, long-term care insurance typically helps offset expenses related to assisted living, including accommodations, personal care services, and other support as needed. You can learn more about that here.
Veterans Aid & Attendance Benefit
Veterans and their spouses may be also eligible for the VA Aid and Attendance benefit, which can cover part of the cost of Assisted Living expenses. The specific amount of Aid and Attendance benefits awarded to an individual is determined based on various factors, including the level of care needed, the applicant’s income and assets, and their marital status. You can learn more about that here.
General Info About SNF Short Term Rehab
What Is Short Term Skilled Nursing Rehab?
A Short Term Rehab Facility, also known as a SNF (pronounced “sniff”), will have professional medical staff who are trained to help speed the rehabilitative process including doctors, registered nurses, audiologists, vocational nurses, and rehabilitation specialists. A SNF may be needed for someone who is ready for discharge from the hospital but not able to return home. The SNF will provide a high level of medical attention with the goal of the patient completing their rehabilitation and returning to their prior living environment.
Short Term Rehab Insurance Options
For the first 20 days for a covered event Medicare will pay 100 percent of the cost. For the next 80 days Medicare pays 80 percent of the cost. After 100 days Medicare makes no payments.
Conditions which have to be met for Medicare to pay include:
- A qualifying hospital stay
- Doctor’s recommendation that daily skilled care is needed
- Part A coverage with days remaining
- Services are provided by a Medicare certified SNF
So, what you pay is:
- Days 1–20: $0
- Days 21–100: Approx. $200 Copay each day (typical amount, check with your SNF for an exact number)
- Days 101 and beyond: You are responsible for all costs but Long Term Care Insurance policies can also help pay if you have it. However, most long-term care insurance policies will have an elimination period that will not pay for the first 60 – 100 days. You can learn more about that here.