Covering the Costs of Personal Care Home: Your Comprehensive Guide

An older adult woman being assisted by a personal care home staff fix her bed. Phil Justin Dagalea

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Moving into a personal care home is a big decision that not only affects the individual but also their loved ones. One of the biggest concerns when considering a personal care home is the cost. With rising healthcare costs and limited government funding, it can be overwhelming to think about how to cover these expenses.

There are several financing options available for those who need help covering the costs of personal care homes. Some of these options include:

  • Long-term care insurance
  • Medicare
  • Medicaid
  • Veterans Benefits
  • Personal funds
  • Medical tax deductions
  • Other resources like private loans or life settlement

Understanding the Costs of a Personal Care Home

Before diving into the various ways to cover the costs of personal care homes, it’s important to clearly understand what those costs entail. The main expenses associated with personal care homes include room and board, personal care services, medications and medical supplies, specialized care services, and additional services. It’s important to research and compare the costs of different communities to find one that fits within your budget.

Let’s look at each of these costs in more detail:

  • Room and board: This includes rent for a private or shared room, as well as meals and utilities.
  • Personal care services: This covers assistance with activities of daily living, such as bathing, dressing, and grooming.
  • Medications and medical supplies: This includes any prescribed medications and necessary medical supplies.
  • Specialized care services: Some individuals may require additional specialized care, such as physical therapy or occupational therapy.
  • Additional services: These can include transportation, recreational activities, and other additional services offered by the personal care home.

Financial Assistance Options for a Personal Care Home

There are various financial assistance options available that may help offset some of the costs of a personal care home.

Long-Term Care Insurance

One potential option for covering the cost of personal care homes is long-term care insurance. This type of insurance specifically covers the cost of long-term care services, including personal care homes. 

It’s important to note that not all policies are the same and may have different coverage limits and requirements. It’s essential to carefully review your policy and speak with your insurance provider to determine if this is a viable option for covering the cost of a personal care home.

Medicare

Medicare is a federal government program that primarily provides healthcare coverage to individuals aged 65 and older. While Medicare does not cover the cost of personal care homes, it may cover certain medical expenses related to long-term care services, such as medication management or skilled nursing care.

Medicaid

Medicaid is a program funded by both the state and federal government that helps cover medical and care costs for seniors with limited resources. Unlike Medicare, Medicaid can cover long-term care in skilled nursing communities or, in some states, assisted living or personal care settings. 

Eligibility for Medicaid is based on financial need, with limited financial resources being the main criterion. Keep in mind that the financial criteria and fund allocation can vary significantly from state to state, so it’s recommended to contact the Medicaid office in your state of residence.

Veterans Benefits

Veterans and their spouses may also be eligible for financial assistance through the Department of Veterans Affairs (VA). The VA offers a variety of programs to help cover the cost of long-term care services, including personal care homes. Eligibility requirements and benefits may vary depending on the veteran’s service record and current health status.

Personal Funds

Canadian bills beside a black wallet.

In some cases, individuals may choose to pay for personal care homes using their personal funds. This option allows for more flexibility and control over the choice of personal care homes and level of care. However, it’s important to carefully consider the cost of long-term care and its potential impact on personal finances.

Medical Tax Deductions

Some medical expenses, including those related to long-term care services, may be tax-deductible. This can potentially help offset the cost of personal care homes for individuals who choose to pay using their own funds.

Other Resources

There are also other resources available to help cover the cost of personal care homes, such as loan options or assistance from private companies like Senior Living Financial Specialist. There’s also life settlement, which allows for the sale of a life insurance policy to help cover long-term care costs. It’s important to research and consider all available options when planning for long-term care.

Discover Compassionate & Affordable Senior Care at Juniper

Finding affordable and suitable long-term care options can be challenging, but there are various options available for individuals in need of personal care homes. It’s important to carefully consider personal needs, finances, and all available resources when making a decision. Seeking guidance from a financial advisor or elder care specialist can also help navigate this process.

At Juniper Senior Living, our team is dedicated to providing compassionate and cost-effective care for seniors in a safe and comfortable environment. We offer various options for financing and payment plans to provide everyone access to the care they need. Contact us today to learn more about our personal care home options and how we can support you or your loved one in this next chapter of life.

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