Aging at Home

Options & Entitlements

Helene Bergman, LCSW

Elder Care Alternatives, LLC

Geriatric Care Management

Planning for Later Life

• Family Conversations- Resistance & Dynamics• Content

Advance DirectivesEstate PlanningLTC InsurancePersonal Issues

• Process• Will I have to relocate?

Should I remain at home?

Location- Location!Medical IssuesHome EnvironmentSupport NetworkFamily IssuesCommunity resourcesFinancesEmotional Needs

Factors to Consider:

What resources am I entitled to?1. Social Security2. Medicare (A&B&D)3. SS Disability/Medicare4. SSI5. Transportation6. SCRIE7. MOW8. EISEP9. Social Agencies-Senior Centers10. Legal Aid11. Alzheimer’s Disease Research Centers12. Alzheimer’s Association; MS Foundation, Parkinson’s Disease 13. Website resources14. Cultural Resources

How do I secure Help at Home?

• Visiting Physicians

• Nursing Care

• Home Health Care

• Therapists

• Adaptive Equipment

• Friendly Visitors

• Geriatric Care Management

All about Home Health Care

• Levels of Care

• Sources for Home Care

Private

Agency

Registry

Medicare

Medicaid

• Issues & Liabilities

What are my relocation options?

1. Move in with family

2. Senior Residence

3. Assisted Living

4. Enriched Residence

5. Adult Home

6. Nursing Home

What happens when my money runs out?

1. Criteria for Medicaid eligibility- Means-based

2. Community Medicaid- Home Care

3. Long Term Medicaid

4. Medications, equipment, transportation

5. Medical Model Adult Day Programs