My mom does not qualify for Medicaid, nor are we financially loaded. Just a regular middle class family. I have looked into the cost of assisted living and nursing homes and I almost fell off my chair. The cheapest I have found for assisted living, which is probably the stage my mother is in now, but would then need memory care, is over three thousand dollars per month. OMG!

Are there other alternatives to assisted living like being in a group place or something else? I wish my mom could live with me but I just couldn't emotionally take it as she has moderate dementia and other personality issues.


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Thanks so much for all of your posts. Here are my answers to your questions:

I live in Roanoke, VA. I was told that if she were to share a room with someone at AL it would be $3,500 per month. If she had a room of her own, it would be $4,700 a month. Although I appreciate all of the responses about how "inexpensive" this is, it's not. It's ridiculously expensive. To only provide a room and 3 meals a day for that price is crazy. It does not include anything like medication monitoring etc. It's extra for that.

Neither her nor my wonderful father are veterans.

When I say she doesn't qualify for Medicaid I say that because my dad working his little tiny butt off and squirreled away every penny he got. He worked very hard to accumulate a small nest egg for my mom. She owns her own house and I'm pretty sure that that may qualifies as an asset that would need to be sold.

she probably gets about $1400 in SS and a few hundred more from a couple of pensions from my dad working.

She also has some stocks. And I am guessing that stocks count as assets also?
And prepared for my rant. Hey, you were warned!

I find it DISGUSTING that hard working folks like my dad who worked for decades and gave THOUSANDS AND THOUSANDS AND THOUSANDS of dollars to the US government through taxes, get screwed at the end. What the hell is the point of working so damn hard and saving and saving and buying a house and paying your taxes like a dutiful American if at the end of it all the woman who you did all this for (in this case, my mother) has to sell the home and become poverty stricken in order to get any assistance? So either way the greedy ass government gets theirs, right?!!

I have another family member who does nothing with her life. Accumulated nothing. Owns nothing. A big giant lazy ass. And when the time comes for her to go to AL, she won't have to pay a dime. Great incentive to work!

Oh, I feel SO much better now. Thanks!!
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Wow that NH/AL is a bargain. Most NH for basic services & R & B is 65K annual.

Why doesn't she qualify for Medicaid?

If it is that every month she is over her states's Medicaid income limit BUT not enough to pay in full for the NH and she qualifies for NH in every other way?? Then she can see an elder care attorney to do a "Miller Trust" or a "Special Needs Trust". Say mom gets 1K from SS and 1,500K from retirement every month. Her monthly income is $2,500. So basically she is $ 500 over the state's ceiling for monthly income. No matter what she does is always is $500 over. So this excess $ 500 is what funds the trust. The beneficiary of the trust is the state or the state's Medicaid program and upon death reverts to the state. Miller really has to be done by an attorney who does elder law as it needs to be flexible/adaptable and meet the criteria of each state's law on probate (death laws) & Medicaid rules.

Medicaid is a federal/state needs based entitlement program (and very different than how Medicare & SS are done as they are federally structured entitlement programs).Because it is needs based what was done with assets in the 5 yr window prior to Medicaid application is central to qualifying. Medicaid is designed as a safety-net for low income who can show both financial and medical necessity for long term care. The monthly income & asset ceilings and how assets are dealt with after death is set by each state.

Because Medicaid is needs-based, doing a 5 yr look-back on the applicants assets is critical for the states to operate the program. If everyone was able to transfer all of our parents assets, empty out their accounts today, spend monthly retirement and SS on nonNH stuff and put them into a NH tomorrow paid 100% by the state the system couldn't afford it and they wouldn't have any NH to go to.
Medicaid compliance is all about either doing planning OR spending your share until &/OR unless you are impoverished. Medicaid gets to the heart of the issue of who should pay for long-term care -- the public through the tax-supported Medicaid program, or users of long-term care through their personal resources, including
those after death. Good luck!
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Well, my take is this. In America we have been told we need to work hard, save our money, pay our own way, don't pay alot of taxes and keep the government out of our business. But wait, the government is really us or should be. I have a best friend who is Dutch and a sister-in-law who is French. Yes, neither of these people knew many who could afford the Mega-houses some Americans can and the fancy cars "some" Americans buy. Or the grand vacations (wait a minute most of us don't get those either). But neither one had to worry one day about the care of the their elderly parent. It was paid for by a system that makes sure all have adequate health care and elder care. Sometimes I just think we have been sold an idea that only benefits a select few. I think our country gives us more opportunity than any other. But there is room for improvement and we should not be afraid to look at the options "for the good of everyone", not just the ones who have all the money to afford it. And that is my rant.
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madge1, I could not agree with you more! You are right. We have all been led to believe we all have the potential to achieve millions, a mega mansion, a yacht, whatever we want. All we have to do is work hard. Lies. Most of us do not achieve that. Sure there are a few Oprah's and a couple of Beyonce's, but most of us are living paycheck to paycheck. Americans have been led to believe that the word "socialism" is akin to "fascism" or "communism." It ain't. Why on earth should people die because they can't afford insurance or medication. We just had a major scare from my daughter's boyfriend who is epileptic. His insurance lapsed (his mother's fault) and we BEGGED agency after pharmacy after social service agency for help. No one would. I ended up having to lend him the money or he would be having a seizure right now. The American dream is the reality of the 1%. Short sidebar rant.
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Windytown, just a thought. The 1 to 2 percent pay most of the taxes. Check it out on the IRS website. My oldest daughter is a corporate lawyer with the biggest firm in Boston. A tax lawyer. She is disturbed at what she see. Even with big tax loop holes the mega wealthy are getting richer and richer. Please don't think I am a socialist, whatever that really is, but if you know someone who actually deals with the monied ones in American you would be shocked at what is going on. America was built to give everyone oppptunities, not to build kingdoms. Many in Washington are looking out for the kingdoms.
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I wish there was a federal standard for Nursing home care. In our state, AL just provides 3 meals a day(dining room only) and room, no medicines or help. This sounds rather independent to me and our state does have independent facilities. If they give medicines or help dressing, they charge extra. If they require even a little extra help(they give points), they want to move them into NH. The next state over provides help dressing & undressing, breakfast in the room among other things in their AL. If I had known this sooner, I would have put her in another state as it was cheaper too. I don't see how a facility can claim to be AL when they do not provide any Assistance. I really thing federal regulation is needed.
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I agree with the previous poster. I happened to spend a few years working in The Netherlands and experiencing their health care and retirement systems. They have a much better approach to senior care than what we do here in the U.S. They have opportunity to earn and excel just as is claimed here but the citizens are not left to twist in the wind when they have a health crisis. My wife came down with Alzheimer's while there and their system took care of her immediately and worried about payment afterwards. Even then the costs were reasonable and not designed to impoverish me. All this and I wasn't even a citizen. Something is very wrong with our approach to these basic needs.
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Hi Karen, As a friend always says, getting older isn't for sissies. Nor is the care giving aspect! Tell me where you live - - - $3000 sounds like a bargain. My mom is in a memory care AL and the bill is $7100/month.

The least expensive solution I am aware of is to hire live in help. It provides one on one care and she gets to stay in her own home. That may work for a while and puts off the move to an AL.

If she or her husband was a veteran, there may be benefits available there. As you spend down her assets, she may become eligible for medicaid at some point.

As part of my search, I did find a group home for memory care. 15 residents in the home. I wasn't impressed with the one I saw and it was the only one in the area.

These are the best ideas I can come up with, perhaps others will have more ideas. Good luck.
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You say that the mother of your daughter's boyfriend is the one that allowed his insurance to lapse. How is that anyone else's fault? Should not his mother be responsible?

A lot of us don't think you have to be Oprah or Beyonce' to be living the American dream. That 1% stuff is piffle.

100 million people throughout history have died from living under the various "isms" you mention. Our system may be far from perfect but I'd rather live free than have the government tell me how to live my life.

Sorry this is off-topic, but I can't help but respond to a post like yours.
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rdarrelt, good comments on your part. I find it interesting some people want to have answers about the problems with health care yet do not want to discuss public healthcare. So they want to find a solution where there is none. It will remain the same old same old for profit if it continues as it is now. So when someone gives the advice to look at this from all angles, they get angry. If there is no healthcare program in American, then Americans will pay for it themselves at the terrible costs we now see. Nothing will change. Profits are to be made.

The person who said the rich can pay and the poor get it for free, but the middle class pay for the poor needs to read up on the what the top 1 - 2% pay in taxes. Who is really paying the taxes in America and why they do not want change to that tax code. My brother in law and sister in law are CPAs, my daughter a tax attorney with the largest firm in Boston.

In this country the wealthy are paying less than ever. I am not liberal. I am moderate, I am also part of the 1%.
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