So you are looking at around $60,000 per year for the least expensive nursing home.

If all other things are the same, ie: level of care, ease of access, constant health, then it would make sense to cross state lines in order to obtain more affordable, or better care for the same price.

The question then becomes how far is too far away? The choice comes down to time vs. money. An extra $2000 a month may allow your loved one (who may have Alzheimer’s and not know who you are) to be in the same zip code. Or you can drive an extra hour once a week, or a $150 flight. Only you can do the math for your situation. But the whole spend down approach just seems backwards to me.

And $280,000 per year for a Nursing Home in Alaska: As beautiful as it is up north you must really love the Aurora Borealis to stay in a NH there.

I went the other direction; I took my Grandmother abroad to Transylvania with a respite program, for about $2500 per month. More personalized care, higher staff to patient ratio. Yes I caught some grief from family, but in the last year she stayed with me no one from the family came to visit her. Thankfully there is Skype that allows me to see her more often than the traditional drive across town.

Angels Respite Program is another way to buy some time, and protect your family.

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