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Costs Of Assisted Living

 
Dr. Karl Steinberg
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  • How much do assisted living facilities cost?
  • What services are not included in the monthly fee at an assisted living facility?
  • Are assisted living facilities eligible for Medicaid?
  • What should I look for when choosing a good assisted living facility?
  • What are the pros and cons of assisted living facilities?
  • Is there a regulating organization that ranks assisted living facilities?
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Long-Term Care
 Long-Term Care 
  1. Dr. Karl Steinberg
  2. What is long-term care? 
  3. Why should I worry about long-term care? 
  4. Who needs long-term care? 
  5. What are long-term care services? 
  6. Who pays for long-term care? 
  7. What is skilled care? 
  8. What is unskilled care? 
  9. At what age do most people need long-term care? 
  10. What are the chances I'll need long-term care? 
 Choosing Long-Term Care 
  1. Dr. Karl Steinberg
  2. Who provides long-term care? 
  3. What long-term care options are available? 
  4. What is a long-term care facility? 
  5. Are long-term care facilities federally regulated? 
  6. What kind of certification is there for long-term care facilities? 
  7. Why is the type of long-term care facility so important? 
  8. Why are there so many names for long-term care facilities? 
  9. What is the most common type of long-term care situation in the US? 
 Planning For Long-Term Care 
  1. Dr. Karl Steinberg
  2. How can I plan for long-term care? 
  3. How do I prepare financially for long-term care? 
  4. How do I prepare legally for long-term care? 
  5. How do I choose the best long-term care situation for myself? 
  6. How do I choose the best long-term situation for my parents? 
  7. Why is discussing long-term care with my parent so hard? 
  8. What can I say when my parents want me to promise they'll never be 'placed' in a nursing home? 
  9. What if I can't provide the long-term care my parents need? 
  10. Why does the thought of my parent in a long-term care facility make me feel so guilty? 
 Long-Term Care Issues In The US 
  1. Dr. Karl Steinberg
  2. What is the 'Sandwich Generation' in regard to long-term care? 
  3. Who can help me make decisions about long-term care? 
  4. Why is long-term care such a hot issue right now? 
  5. What is the biggest problem with the long-term health care system in the US? 
  6. How many Americans can't afford long-term health care? 
  7. What happens if I can't afford long-term care? 
  8. What reforms could change the long-term health care system? 
  9. What is the single biggest misconception about long-term care? 
 Aging Parents And Long-Term Care 
  1. Dr. Karl Steinberg
  2. What are the signs my parent is ready for long-term care? 
  3. What is the first thing I should do if I believe my parent needs long-term care? 
  4. Who can help me implement a long-term care plan for my parent? 
  5. What should I consider before taking on the role of long-term caregiver for my parent? 
  6. How can I determine what type of long-term care facility my parent needs? 
  7. What is an independent living residence? 
  8. What is an assisted living facility? 
  9. What are board and care homes? 
  10. What is a nursing home? 
  11. Is a nursing home and skilled nursing facility the same thing? 
  12. What is a continuing care retirement community CCRC? 
 Long-Term Care Problem Solving 
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  2. What is a geriatric care manager? 
  3. How do I find a geriatric care manager? 
  4. How do I find long-term care for a chronically ill parent? 
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  7. What if my parent is resistant to long-term care? 
  8. How do I help an aging parent if I live far away? 
 Long-Term Care Legal Planning 
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  2. How does 'power of attorney' affect long-term care? 
  3. What is an advance directive? 
  4. Why are advance directives important? 
  5. Where can I get an advance directive? 
  6. What is a declaration? 
  7. Why would I need a living trust for long-term care? 
 End Of Life Issues And Long-Term Care 
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  2. What about end-of-life decisions and long-term care? 
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 Long-Term Care Insurance 
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  2. What is long-term care insurance? 
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 Independent Living 
  1. Dr. Karl Steinberg
  2. What is independent living? 
  3. What types of independent living facilities exist? 
  4. What are the requirements for independent living facilities? 
  5. Do independent living facilities provide medical care? 
  6. How expensive are independent living facilities? 
  7. Does Medicare or Medicaid pay for independent living facilities? 
  8. How can I find a good independent living facility? 
 Assisted Living 
  1. Dr. Karl Steinberg
  2. What is the difference between assisted living and independent living? 
  3. What services do assisted living facilities provide? 
  4. How does an assisted living facility differ from a nursing home? 
  5. How many US seniors reside in assisted living facilities? 
  6. Is there 24-hour supervision at an assisted living facility? 
  7. Do assisted living facilities offer medical care? 
Costs Of Assisted Living (Now Playing)
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 Combination Facilities 
  1. Dr. Karl Steinberg
  2. What is a continuing care retirement community CCRC? 
  3. What range of services do combination facilities provide? 
  4. Does a CCRC meet its claim of 'aging in place'? 
  5. Why have CCRCs become a popular long-term care option? 
  6. Is a CCRC the same as a 'stepped care community'? 
  7. What are the advantages of a CCRC? 
  8. What are the disadvantages of a CCRC? 
 Costs Of Combination Facilities 
  1. Dr. Karl Steinberg
  2. How much does a CCRC cost? 
  3. Will the cost of a CCRC change based on the level of care I need? 
  4. Do you rent or buy units in a CCRC? 
  5. Is it wise to sign an all-inclusive contract at a CCRC? 
  6. What is a 'Life Care Contract' at a CCRC? 
  7. What is a fee-for-service contract at a CCRC? 
  8. Who decides when a patient needs to be moved from one level of care to the next in a CCRC? 
  9. Does Medicaid help pay for a continuing care retirement community? 
 Nursing Facilities 
  1. Dr. Karl Steinberg
  2. What services does a nursing facility provide? 
  3. How do I know if my parent needs to be placed in a nursing facility? 
  4. Do all nursing facilities offer 24-hour medical care? 
  5. Do I need to choose a nursing facility certified by the federal government? 
  6. What are the essential services a nursing facility must provide? 
  7. What are the most important services to evaluate when choosing a nursing facility? 
  8. Why is the staff to patient ratio so important in a nursing facility? 
  9. How important are recreational and social activities in a nursing facility? 
  10. What are the main concerns about quality of life in a nursing facility? 
  11. Is there an organization that 'ranks' nursing facilities? 
  12. What does an ombudsman do? 
 Costs Of Nursing Facilities 
  1. Dr. Karl Steinberg
  2. How much do nursing facilities cost? 
  3. What are the living arrangements in a nursing facility? 
  4. Are there any monthly fees in addition to rent at nursing facilities? 
  5. How much does Medicare pay for a nursing facility? 
  6. How much does Medicaid pay for a nursing facility? 
 Long-Term Care And Medicare 
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  2. What is Medicare? 
  3. What is the difference between Medicare A and Medicare B fee-for-service plan? 
  4. What is Medicare C? 
  5. Who qualifies for Medicare? 
  6. What does Medicare cover? 
  7. When can I enroll for Medicare? 
  8. What is the difference between Medicare and Medicaid? 
  9. What are the worst widely-held misconceptions about Medicare? 
 Long-Term Care And Medicaid 
  1. Dr. Karl Steinberg
  2. What is Medicaid? 
  3. Why is it called Medi-Cal in California? 
  4. How do I qualify for Medicaid? 
  5. Who determines Medicaid eligibility? 
  6. Is it true Medicaid can recollect the cost of care from a person's estate upon death? 
  7. What does Medicaid cover? 
  8. What does Medicaid NOT cover? 
  9. Do all long-term care facilities accept Medicaid? 
  10. Does Medicaid only pay for certified nursing facilities? 
  11. How can I find out about my state's Medicaid program? 
 Long-Term Care And Medigap 
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  2. What is Medigap? 
  3. Who is eligible for Medigap? 
  4. What does Medigap cover? 
  5. How much does Medigap cost? 
  6. How do I know if I need Medigap insurance? 
  7. Who sells Medigap? 
 Elder Care Benefits 
  1. Dr. Karl Steinberg
  2. What are elder care benefits? 
  3. Do all employers offer elder care benefits? 
  4. How can I find out more about elder care benefits? 
 The Dying Process 
  1. David Kessler
  2. What physical signs will indicate that my loved one is dying? 
  3. How will hospice make my loved one more comfortable before death? 
  4. Will hospice help me understand what my loved one can and cannot hear? 
  5. How do I explain death to my children? 
  6. How can I make my loved one more comfortable before death? 
  7. Will a hospice worker be present following death? 
  8. Will hospice help arrange for the disposition of the body? 
Karl Steinberg Dr. Karl Steinberg
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Transcript

Costs Of Assisted Living

How much do assisted living facilities cost?

There's a wide range of prices in assisted livings. It varies from one region to the next, and it varies depending on whether it's urban, suburban, or rural. It also depends on the size of the facility and the amount of services that are needed. Many of them have very different levels of services that are needed, and that's definitely one of the things that you want to look at when you're getting ready to move in. I'd say price wise, generally somewhere between two thousand dollars a month to probably upward of six thousand dollars a month, depending on just how much service you need.

What services are not included in the monthly fee at an assisted living facility?

The structuring of the fees in assisted living is quite variable, and so some of them just have a single price or will maybe just have two or three price levels for, let's say, level A, B and C. Others have a lot of a la carte stuff, and it is quite variable from one institution to the next and one corporate entity to the next. Those are things that definitely should be looked into. Every time they use a Kleenex they will charge you for it, where others have more of a comprehensive set of services that would be covered at the same price no matter what. Those are important things to consider when choosing a facility.

Are assisted living facilities eligible for Medicaid?

Assisted living facilities as the law currently is, cannot get paid by Medicaid for providing custodial care. Even though that exact same patient could move half a block away into a nursing home, and the facility would get $4,000 a month. And if you ask me why, I'd tell you, I don't know. It seems like a dumb idea.

What should I look for when choosing a good assisted living facility?

When you're shopping for an assisted living for yourself or for loved ones, I would say just use your usual common sense. See how the facility looks, how are the common areas are kept, get a look at some of the rooms, and probably most importantly, talk to some people who live there, and depending on who's going to be moving in, is it the kind of place that has the philosophy and the kind of services that they would want? Take a look at their activities schedule, and that's true of any of these settings, because the more chronically ill and dependent you are, the longer the day lasts when you're in a place like this and if they've got a lot of good activities that are right up the alley of the person that's moving in, then that can be a huge quality of life issue. So definitely talk to people that actually reside there and see what their take on it is, and what services are available. Is there transportation? Will they be able to take Mom to the doctor's office? Will they have outings to the mall? Will they do fun things that your loved one likes to do?

What are the pros and cons of assisted living facilities?

If you are trying to decipher the pros and cons of moving into an assisted living versus other kinds of settings, I'd say on the plus side, there are services available. And if you have fairly low level needs when you first move in, you probably are going to be able to stay there for a while, even as your needs increase, because they will have services that can be added on. I guess on the downside, they are somewhat more expensive than the independent settings, and also in most states, there are conditions which would mean you have to move out, even if you don't want to - health conditions particularly.

Is there a regulating organization that ranks assisted living facilities?

If you're looking for a ranking on assisted livings, there are national, and usually within the state, there are agencies that are basically trade organizations for assisted livings. And like everything nowadays, customer service and satisfaction and so on are things that are rated. I would say just doing an internet search would be a good way to find out about facilities in your area. Just take it with a grain of salt because not everybody fills those out and sometimes the people who fill them out are the people who don't like them.

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  • How much do assisted living facilities cost?
  • What services are not included in the monthly fee at an assisted living facility?
  • Are assisted living facilities eligible for Medicaid?
  • What should I look for when choosing a good assisted living facility?
  • What are the pros and cons of assisted living facilities?
  • Is there a regulating organization that ranks assisted living facilities?

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