If You Care for a Senior or Disabled Person, Here Are Answers to Common Questions: Part 1
Caring for a person in need can be exhausting and frustrating. Having to make decisions for another person’s health is almost a full-time job. I know. I did it for my mom for three years. During that time, I’ve learned things that can help you avoid mistakes I made. So, here are some answers to commonly asked questions.
First let me start by saying, those of you who are in this role, you are angels without wings. As you age, you will see how important the assistance you provided was and the huge difference it made in savings, comfort, peace of mind and, of course, quality of life. So, when you feel like throwing in the towel, take a deep breadth and know you are storing treasure in Heaven and making a difference.
This will be a four-part series covering 16 questions regarding care for seniors and the disabled, whether veteran or civilian. We will talk about:
So, if you have not subscribed to our newsletter, you may want to do so to avoid missing these must-read articles. Okay, let’s get to the first four questions.
There are several ways you can check eligibility:
The easiest and most beneficial is the last one. By calling a fiduciary, like YourCareRep.com, you have an agent who does not work for any insurance carrier; however, he or she contracts with multiple to be able to find the best fit for your needs. We can call very easily and learn what your care receiver is eligible for and provide guidance on other programs (if he or she qualifies) that they may qualify for.
Medicare and Social Security are behemoth organizations who are not designed for individual assessment. While an agent specializes in your area and having helped hundreds of people, know the intricate details of the system and how they best help you.
If your care receiver is on Medicare, then he or she may qualify for the Extra Help (LIS) program. LIS stands for low-income subsidy. There are certain criteria that must be met. They include:
If you click here, then click on See 2021 Federal Poverty Levels, you can see the qualifications. If you do qualify or believe you may, you can go apply for Extra Help here.
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If you are having difficulty sustaining yourself financially, you can also apply for a Medicare Savings Program (MSP – Medicaid assistance). When you looked at the 2021 Federal Poverty Levels to see if you qualify for Extra Help, if you fall into the 135% or less column, then you may also qualify for an MSP.
When filling out the application for Extra Help, you will see the following question:
If you wish to apply, DO NOT CHECK THE BOX! If you check the box, they will not send your information to the state to apply for an MSP.
This is a very good question. While you can figure this out on your own, it would be easiest to speak with a fiduciary agent. They will conduct a needs analysis to identify what your care receiver may be eligible for and make suggestions based on:
When choosing a plan, all the above must be considered. If your care receiver qualifies for the aforementioned programs (Extra Help and MSP), they will help you enroll. If they don’t, there may be plans that provide Part-B premium givebacks that help pay the premium Medicare deducts from his or her social-security check.
If your care receiver is a frequent traveler, certain plans need to be considered that may provide a broader network that can be used while traveling, and/or emergency and urgent care while on the road. While many plans offer the latter, not all benefits are equal. You will want to look at the Summary of Benefits to determine which one is right for your care receiver.
Also, many plans offer different forms of additional benefits and incentives that add up to real money in one’s bank account. Such as:
If you feel you may have the wrong plan, you can change it during an election or enrollment period. There are four kinds of election periods:
SEPs are triggered when special circumstances occur. There are quite a few. While this list is not extensive, it gives you an idea of when you may be able to change a plan, should the need arise.
If you feel you need to change your plan and do not know if you are eligible to do so, always remember you can engage an agent who will help you. We have access to resources that allow us to get you answers quickly, instead of being on endless hold with Medicare or Social Security.
Again, if you found this article on Facebook or LinkedIn and found it helpful, subscribe to our newsletter so you don’t miss the next three (3) articles in the series. Furthermore, if you have a particular question, feel free to email it to email@example.com, or post it in the comments section below. I will get back to you rapidly with an answer. Stay tuned!