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V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Daughter, I agree. My maternal grandparents lived on a farm with no running water and no bathroom. They were very frugal. Never took vacations and grew their own food. Had lots of kids. My paternal grandparents were about the same.
Oregongirl, Federal law prevents members of Congress from getting full-pay retirement when they leave office.
Under the most recent pension program, adopted in 1984, the size of a pension is based on the highest three years of a member's salary, the number of years of service and a multiplier, which is 1.7 percent for the first 20 years of service and 1.0 percent for subsequent years.
Here’s an example, using a typical 25-year rank-and-file member who retired this year. The pension would be the sum of two calculations. First, multiply $172,443 [the average salary over the last three years] times 20 years times 0.017. Then, multiply $172,443 times 5 years times 0.01 and add that number to the first calculation. The total: about $67,250 per year.
A three-term Congressman (or one-term Senator) who has now reached retirement age would be eligible for an annual pension of $17,588 for six years of work. That's generous, but not close to full pay. [source: Politifact]
Freqflyer...Yes I agree, I am so thankful that my Partner was stingy with his money. He has enough to take care of himself, but will have to pay his own way in a facility for sure. We BOTH were self employed - owning our own companies. We paid our SS BOTH SIDES, but we only benefit from the Employee side. The employer side which we both were forced to pay is gone and goes into the USA pot. That hurts. I got smart toward the end of my business and became a Corporation for a few years. Should have done it sooner. I paid myself a salary. BUT STILL HAD TO PAY BOTH SIDES OF MY SS.
I am happy there is something there for people who need it. BUT that need it is growing with the costs of healthcare. I know some young people are paying the penalty instead of buying into the Obama Care. They find it cheaper to do it. I don't understand why but that is what they tell me.
As for our Govt employees and leaders. They become millionaires even tho they are on the same SS we are. Don't kid yourself. They go in (or used to) poverty and poor and become very wealthy being leaders in the Senate. They get full pay for their retirement. How many of you can say that? Maybe that is changing, but I doubt it. If you could vote for your benefits and pay what would you vote for?
I will not run from the statement that some abuse our system. PERIOD. There are people who have been on welfare from birth to death. I wanted to hire new employees and with all the unemployment, was very short on applications. I kept at least 5 to 6 people on my private office staff until the end. Then, I closed the office and went on working at home for a few years Oh how nice it was not to pay wages anymore. I never had a shortage of employees wanting work. NOWDAYS, you have to BEG people to make an application. Our Country has become hooked on government.
When I live to age 95(? in 30+ years) like my mother did last year, my entire assets may be long gone by then. I will probably either live alone in CA or move out of CA to live with a relative until unable to care for myself. I had no children, and I am the youngest member of my family. I just hope I will live in a decent, hopefully not an ant or rat infested worn down facility, assisted living whether it is in CA or elsewhere.
While I agree with much of what you said, Jeanne, I do take issue with one part. You said that it now takes two incomes to have the same lifestyle as our grandparents had with one. My grandparents' lifestyles were nothing like what most families have today. My maternal grandparents lived in a two-bedroom, 700 square foot house where they raised three daughters. They never had more than one car. No money was spent on activities for the girls, and I don't think they ever even had a bicycle. My grandmother sewed most of their clothes, they each had two dresses for school, and two pairs of shoes each year. Of course there was no money spent on big screen TVs, computers or cell phones. They had a radio (just one) in the 40s and 50s, and got a TV in the late 50s. They had a big garden and fruit trees, bought pork "on the hoof" and butchered it themselves. Grandma cooked and canned. Meals out were extremely rare, even after the girls were grown and out of the house. They were considered "average" or middle class in their area. I don't see any middle class families living like that today.
They worked hard and saved, even with one income and wage levels of the 40s, 50s, and 60's. Grandma died in her 60s, but grandpa lived to almost 92. He had some health issues in his last years, but still left an estate of over $200,000. When he died 20 years ago, nursing home costs were about $3,000 per month, so he would have been able to pay for six years or more when his social security income was factored in. Average nursing home stays are far less than six years.
While I am glad that Medicaid exists for those who are unfortunately afflicted with devastating long-term illnesses, I am disgusted by those who don't try to live below their means and save for an uncertain future. I see young families take on large car payments, and stand in line to spend hundreds of dollars on the latest tech gadget. Even worse are those who try to hide assets and expect the taxpayers to pick up the tab. Medicaid should be a safety net and not an expected benefit.
Wow, freqflyer, my hat is off to you if you've saved enough for the rainy days of your old age. I'm truly impressed.
I look at my young adult grandchildren just starting out. It is going to take them years to pay off their college loans. (My generation mostly didn't have big debts leaving college.) Then they start saving for their own children's college, hoping they can get through with lesser debt load. They are maintaining a house and supporting their children. They may be trying to save for their own old age, but it takes two incomes to live a lifestyle equivalent to what their grandparents managed on one income. Then they may be expected to help out their parents. And, for better or worse, whereas previous generations had to save for perhaps 10 years beyond their retirement and frequently died after relatively short illnesses, they are looking forward to supporting themselves for a quarter of a century or more beyond their retirement, and a high likelihood of a prolonged period of chronic (and expensive) illness.
Those in my grandchildren's generation who choose not to have children might have a better chance of being self-supporting in their old age. Those whose jobs provide a high-value pension might make it.
But the folks with three kids struggling on two or more jobs near the minimum wage? I don't think they have a snowball's chance in h*ll of preparing financially for their own old age.
Oregongirl, in order for the Federal and State government to have enough money to take care of everyone in assisted living and/or nursing homes, our tax rate would also double. How many of us would pay 40-50% of our income into taxes?
We have only ourselves to blame because how many voters gone to the polls and voted *no* to a tax increase..... thus money budgeted by the Federal and State has to be rearranged to fund new projects that we need.... thus what gets cut is usually education and health care.
As for Obama Care, put into place were new items that will benefit those who are receiving Medicare.... such as free once a year wellness exam. Go to Google and type in "ACA Medicare" to get a list of the positive changes.
Our elective officials in Washington DC are on the same retirement/health plan as every Federal worker. In fact, many are 65 and use the same Medicare as the rest of us use.
As for paying for assisted living and/or nursing home.... we all recall our parents and grandparents saying "save for a rainy day". My parents have done that, and so have I and my sig other. We just lived below our means, thus putting savings into retirement.
ORgirl - yes it can be all so frustrating. Medicare & SS are meant to be a safety net to keep those elderly with some resources for their later years. If you work, you've paid into both programs via FICA every day you worked. Both are entitlement programs with Medicare being a general entitlement & SS based on what you paid into it. Medicare is available to most (like 80% or so of over 65) and pays for majority of their health care costs. If you look at your statement from CMS carefully, the costs that Medicare pays for your vists, treatments, drugs are astounding. What you do as a copay with Medicare pales to what Medicare pays.
But neither SS or Medicare was never designed to cover or pay for any long term care costs. Medicare was done in the 1960's when the aged living situation and length of living was quite different than now. You died at 78/83 and probably at home or living with a daughter & her family and no real specialized health science centers as done today. but Medicare is IMHO a very good program which has the clout to do cost containment for covered services. If Medicare wasn't there to pay, most of us would be bankrupt from any lengthy hospital stay. SS was meant to provide for just a part of an elderly living costs - what has happened is that for many it is the only source of income.
Medicaid is for those who qualify under whatever rules are in their states program. For NH/LTC they have to be impoverished before medicaid will pay. But cover basically 100% of the basic needed LTC costs once eligible.
Health care costs in the US are astounding. Most first world countries have a system that provides care from birth to death as a part of citizenship for nominal costs. The US model is geared to private sector profitability. Most bankruptcy in the US past decade are due to health care bills.
ACA /obamacare is not about paying for long term care at all. ACA is geared for providing health services coverage for those who have aged out of qualifying for CHiP and too young for Medicare & don't have insurance provided by their employers - that's who ACA is for not the elderly needing LTC.
Pat - if you are worrying about estate recovery, this is going to be very very interdependent on your states laws on probate & just how your states Medicaid program rolls. To qualify to go onto NH Medicaid as a widow or widower you basically have to be impoverished and the only real asset left would be your house (which is an exempt asset during their lifetime); but upon death becomes non-exempt and subject to MERP review for exclusions & exemotions AND your states probate laws for claims & liens. If your late mom died with no assets, then no recovery can be done by MERP so no need to keep older paperwork.
You know in theory the executor of the estate is supposed to file a final IRS on the deceased. I'm doing this for my mom as part of the probate process. But the vast majority of family of the recently deceased elderly don't do a final tax filing.
OK, I know about the five-year look back period prior to applying for Medicaid. My mother used OR Medicaid to pay for her care from December 2013 until she passed in November 2014. I am now destroying financial documents that date back to October 2008 or earlier. I hope that is OK to do. How long do I retain the 2008 to 2014 documents after Mom's death?
Transfer penalty dates start on the date of the medicaid application now. In the past in some states was based on the date of the transfer. If your state has set a low NH room & board reinbursement rate paid by Medicaid, it could take a very very long time to get through the transfer penalty period
The only people cared for are the leaders of our Country. They get rich off of us and have tremendous care in their old age and they become millionaires after they are elected. Sorry, soap box time... When will this change. NEVER.
The Americans who worked hard, paid their bills and thought they were saving for the end of their lives, are robbed blind by the nursing homes. What will the new Obama Health care do? Anything better?
It seems so unfair that we pay our insurance, paid to put money into our medicare and when we most need it at our old age, they are gone from the picture. The elders in our Country are not taken care of at all. The only people getting rich off the older are the nursing homes and the long term Independent homes. So sad
Medicare does does not cover long term care, not even the best supplemental insurance. Medicaid does the 5 year look back without pro-rating anything that was given away. What they do is take the full amount, divide it by the average monthly cost in your state and result is the time period when they will not pay.
Another Question For Instance.... Does Medicade take the 5 years and only penalize you on a percentage if you are at the 2 year mark? Hope the question is clear enough.
I have a question regarding this.....Does Health Insurance (medicare) and the Supplement cover the care home? I have the best supplement insurance so wondered if they also step up to the plate...??
Jeannegibbs brings up a very very important point……Medicaid for an individual applicant is very very different than that of a couple in which one applies for Medicaid and the other is the "community spouse" (CS).
CS situations are way more complicated, especially so if the CS is a somewhat younger spouse (or even has kids from a May/December marriage) and will be likely to outlive the other by years or decades. CS needs really good experienced advisors to maximize the CS position and do it so that it is medicaid compliant and in advance of the Medicaid application. To me, it is not a DIY situation.
Medicaid for a elderly widow or widower is much much simpler - they have to basically be impoverished at about 2K in monthly income & 2k in assets and spend-down till that happens. If family want to keep the house, then family has to pay for all on the house from now till after they die and probate finalized.
I guess it means what you mean by protect. If the Medicaid recipient has a spouse, that person can continue living in the home. The amount the couple can keep is very different from a single person on Medicaid. So if you are thinking of how to keep Mom from losing the home when Dad goes into a nursing home on Medicaid, that is a very different question than how can the home be preserved for heirs.
If you'd like a more specific discussion, perhaps you could provide a description of the situation.
Easiest is to never apply for Medicaid. OR do whatever transfer now & wait to apply for Medicaid Fall, 2020.
Otherwise all keeping maw-maws house depends on your states MERP program for exemptions & exclusions; your states probate system; AND your or other family's ability to be able to pay on all things on the house as the medicaid reciepient will have to do a co-pay of basically all their income to the facility; you will need to keep meticulous documentation on all costs; and do this from day 1 of Medicaid till you finish out probate on your parents estate.
If you keep the house, really look at what the costs are on maw's house are. If you cannot easily pay the required on the property - like at the minimum taxes & insurance- and do this for years & years, then the math flat isn't gonna work.
Keeping their home is to me, kinda like having a 2nd or 3rd home but without secure guarantee of ownership and runs a risk. Most folks can't afford a 2nd home to begin with & most can't bear to do risk, but if you can go for it.
We would need a lot more information to answer the question about protecting a home from Medicaid recovery. It can be done under very limited circumstances.
Medicare does not cover long term care. Maybe you are thinking of Medicaid? There is a big difference. Medicaid rules vary from state to state, so check your state rules.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
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APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
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APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
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If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
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This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Under the most recent pension program, adopted in 1984, the size of a pension is based on the highest three years of a member's salary, the number of years of service and a multiplier, which is 1.7 percent for the first 20 years of service and 1.0 percent for subsequent years.
Here’s an example, using a typical 25-year rank-and-file member who retired this year. The pension would be the sum of two calculations. First, multiply $172,443 [the average salary over the last three years] times 20 years times 0.017. Then, multiply $172,443 times 5 years times 0.01 and add that number to the first calculation. The total: about $67,250 per year.
A three-term Congressman (or one-term Senator) who has now reached retirement age would be eligible for an annual pension of $17,588 for six years of work. That's generous, but not close to full pay. [source: Politifact]
I am happy there is something there for people who need it. BUT that need it is growing with the costs of healthcare. I know some young people are paying the penalty instead of buying into the Obama Care. They find it cheaper to do it. I don't understand why but that is what they tell me.
As for our Govt employees and leaders. They become millionaires even tho they are on the same SS we are. Don't kid yourself. They go in (or used to) poverty and poor and become very wealthy being leaders in the Senate. They get full pay for their retirement. How many of you can say that? Maybe that is changing, but I doubt it. If you could vote for your benefits and pay what would you vote for?
I will not run from the statement that some abuse our system. PERIOD. There are people who have been on welfare from birth to death. I wanted to hire new employees and with all the unemployment, was very short on applications. I kept at least 5 to 6 people on my private office staff until the end. Then, I closed the office and went on working at home for a few years Oh how nice it was not to pay wages anymore. I never had a shortage of employees wanting work. NOWDAYS, you have to BEG people to make an application. Our Country has become hooked on government.
They worked hard and saved, even with one income and wage levels of the 40s, 50s, and 60's. Grandma died in her 60s, but grandpa lived to almost 92. He had some health issues in his last years, but still left an estate of over $200,000. When he died 20 years ago, nursing home costs were about $3,000 per month, so he would have been able to pay for six years or more when his social security income was factored in. Average nursing home stays are far less than six years.
While I am glad that Medicaid exists for those who are unfortunately afflicted with devastating long-term illnesses, I am disgusted by those who don't try to live below their means and save for an uncertain future. I see young families take on large car payments, and stand in line to spend hundreds of dollars on the latest tech gadget. Even worse are those who try to hide assets and expect the taxpayers to pick up the tab. Medicaid should be a safety net and not an expected benefit.
I look at my young adult grandchildren just starting out. It is going to take them years to pay off their college loans. (My generation mostly didn't have big debts leaving college.) Then they start saving for their own children's college, hoping they can get through with lesser debt load. They are maintaining a house and supporting their children. They may be trying to save for their own old age, but it takes two incomes to live a lifestyle equivalent to what their grandparents managed on one income. Then they may be expected to help out their parents. And, for better or worse, whereas previous generations had to save for perhaps 10 years beyond their retirement and frequently died after relatively short illnesses, they are looking forward to supporting themselves for a quarter of a century or more beyond their retirement, and a high likelihood of a prolonged period of chronic (and expensive) illness.
Those in my grandchildren's generation who choose not to have children might have a better chance of being self-supporting in their old age. Those whose jobs provide a high-value pension might make it.
But the folks with three kids struggling on two or more jobs near the minimum wage? I don't think they have a snowball's chance in h*ll of preparing financially for their own old age.
We have only ourselves to blame because how many voters gone to the polls and voted *no* to a tax increase..... thus money budgeted by the Federal and State has to be rearranged to fund new projects that we need.... thus what gets cut is usually education and health care.
As for Obama Care, put into place were new items that will benefit those who are receiving Medicare.... such as free once a year wellness exam. Go to Google and type in "ACA Medicare" to get a list of the positive changes.
Our elective officials in Washington DC are on the same retirement/health plan as every Federal worker. In fact, many are 65 and use the same Medicare as the rest of us use.
As for paying for assisted living and/or nursing home.... we all recall our parents and grandparents saying "save for a rainy day". My parents have done that, and so have I and my sig other. We just lived below our means, thus putting savings into retirement.
But neither SS or Medicare was never designed to cover or pay for any long term care costs. Medicare was done in the 1960's when the aged living situation and length of living was quite different than now. You died at 78/83 and probably at home or living with a daughter & her family and no real specialized health science centers as done today. but Medicare is IMHO a very good program which has the clout to do cost containment for covered services. If Medicare wasn't there to pay, most of us would be bankrupt from any lengthy hospital stay. SS was meant to provide for just a part of an elderly living costs - what has happened is that for many it is the only source of income.
Medicaid is for those who qualify under whatever rules are in their states program. For NH/LTC they have to be impoverished before medicaid will pay. But cover basically 100% of the basic needed LTC costs once eligible.
Health care costs in the US are astounding. Most first world countries have a system that provides care from birth to death as a part of citizenship for nominal costs. The US model is geared to private sector profitability. Most bankruptcy in the US past decade are due to health care bills.
ACA /obamacare is not about paying for long term care at all. ACA is geared for providing health services coverage for those who have aged out of qualifying for CHiP and too young for Medicare & don't have insurance provided by their employers - that's who ACA is for not the elderly needing LTC.
You know in theory the executor of the estate is supposed to file a final IRS on the deceased. I'm doing this for my mom as part of the probate process. But the vast majority of family of the recently deceased elderly don't do a final tax filing.
CS situations are way more complicated, especially so if the CS is a somewhat younger spouse (or even has kids from a May/December marriage) and will be likely to outlive the other by years or decades. CS needs really good experienced advisors to maximize the CS position and do it so that it is medicaid compliant and in advance of the Medicaid application. To me, it is not a DIY situation.
Medicaid for a elderly widow or widower is much much simpler - they have to basically be impoverished at about 2K in monthly income & 2k in assets and spend-down till that happens. If family want to keep the house, then family has to pay for all on the house from now till after they die and probate finalized.
If you'd like a more specific discussion, perhaps you could provide a description of the situation.
Easiest is to never apply for Medicaid.
OR do whatever transfer now & wait to apply for Medicaid Fall, 2020.
Otherwise all keeping maw-maws house depends on your states MERP program for exemptions & exclusions; your states probate system;
AND your or other family's ability to be able to pay on all things on the house as the medicaid reciepient will have to do a co-pay of basically all their income to the facility; you will need to keep meticulous documentation on all costs; and do this from day 1 of Medicaid till you finish out probate on your parents estate.
If you keep the house, really look at what the costs are on maw's house are. If you cannot easily pay the required on the property - like at the minimum taxes & insurance- and do this for years & years, then the math flat isn't gonna work.
Keeping their home is to me, kinda like having a 2nd or 3rd home but without secure guarantee of ownership and runs a risk. Most folks can't afford a 2nd home to begin with & most can't bear to do risk, but if you can go for it.