Archive for the ‘Health Care’ Category

Veterans Benefits

Monday, July 12th, 2010

Contact Sean McGuire @ (562)920-6100

General Qualifications for Non-Service Connected Aid and Attendance

Veteran, Widowed Spouse, and Dependent or Disabled Child (Any May be a Claimant)

  • Veteran Must have Served at Least Ninety Days Active Duty with One Day of the Ninety During a Qualified War Period (Ninety Days Must Generally be Consecutive, with Some Exceptions)
  • Veteran Must have had an “Other Than Dishonorable Discharge”
  • Claimant’s Physician Must Declare Him/Her as Housebound and in Need of Assistance from Another Individual, Which May Include Services Offered by Assisted Living
  • Claimant Should have Less than $80,000.00 in Household Assets; Excluding Primary Home, Car, and Personal Belongings (If Assets are Jointly Owned by Other than Spouse, Only the Claimant’s Share is Generally Countable.  In the Case of a Married Veteran, Both His/Her Assets are Countable.  Although $80k is Typically the Asset Cap, the VA May Also Consider the Claimant’s Life Expectancy and Demand Lower Total Assets.  In the Case of Excessive Assets, It May be Best to Consult an Elder Law Attorney)
  • Claimant’s Household Out-of-Pocket Yearly Medical Expenses Must Exceed or Come Close to His/Her Total Yearly Household Gross Income (Total Yearly Cost of Assisted Living is Typically Considered a Medical Expense)
  • Widowed Spouse Must have been Married to the Veteran for at Least One Year, OR have had Children by the Veteran if Married Less than One Year, AND Never Remarried
  • Widowed Spouse Must have been Living with the Veteran at the Time of the Veteran’s Death, Unless the Separation was Due to Medical or Military Reasons (There May be Some Exceptions Related to Separations Due to Abuse)
  • Minor or Disabled Adult Children May Qualify for Limited Benefits on Their Own

2010 Maximum Pension Rates for Aid and Attendance

Single Veteran                          $1,644.00 Per Month or $19,728.00 Per Year

Married Veteran                       $1,948.00 Per Month or $23,376.00 Per Year

Widowed Spouse                     $1,056.00 Per Month or $12,660.00 Per Year

Veteran Married to Veteran      $2,400.00 Per Month or $28,800.00 Per Year

Once Awarded Aid and Attendance or Housebound Status, a Veteran May Obtain Free Medications, Medical Equipment, Incontinence Supplies, Glasses, and Hearing Aides from the VA Hospital/Clinic via U.S. Mail Without Going to the VA Clinic or Hospital.  A Separate Application Must be Made Through the Health Care System.

**Note:  Each VA Claim is Unique and the Above Criteria is Generic in Nature and May Not be Applicable to Each Claimant.

Plan Ahead: Learn the Tricks to Choose the Right Nursing Home

Tuesday, March 30th, 2010

One of the toughest choices you may ever make will be whether or not to put a loved one who needs constant care into a nursing home facility. It’s an emotionally draining, scary and often traumatic experience- just ask anyone who has had to do it. Selecting the right nursing home for your family member requires research, a lot of question asking and patience. Don’t be afraid to ask the tough questions. Don’t be afraid to shop around. And if anything makes you feel uneasy- move on!

Rule #1 for nursing home hunting is to do it before you actually need one. Do it now when your loved one can give their input; when you are all feeling cool, calm and collected. When you wait until your loved one is under duress, seriously ill or otherwise it’s not the best time to remember to ask all your questions and get the valuable answers you need to feel secure in your decision.

The cost of nursing home care is another source of stress for most families. Learn ahead of time what Medicare or private insurance covers and what the gaps might be so you can have your loved-ones estate plan setup to handle the costs. You should also realize that Medicare does not pay for what’s called “custodial care”, that includes: help with walking, eating, bathing and other daily activities. The average cost of nursing home care is $200-$300/day. And that doesn’t include whatever additional fees you may face in situations of Alzheimer’s of dementia when additional specialty staff and care is required.

Do your research! The Centers for Medicare and Medicaid Services collect valuable data on over 15,000 nursing homes cross-country. The data includes health inspection, staffing and a measure of the quality of care all combined to score each facility with an overall ranking from one to five stars. Additionally, the site offers a nursing home compare tool as well as a brochure titled “Medicare’s Guide to choosing a Nursing Home” for each facility.

Visit the home often, and at different times. Similar to when you are house hunting and want to check out the neighborhood different days of the week and times of the day- choosing a nursing home is the same way. Pop in to see if the experience feels different. Pay attention to patients looking for help, bad smells, or anything else that feels neglectful or just not right.

And take the checklist from the nursing home compare website with you so after you’ve toured each facility you can sit down as a family and discuss your findings together; carefully weighing the pros and cons of each facility. Also, bring your own list of questions along. Some questions to ask include: Do you engage in “person-centered care” as well as “consistent assignment” care? Ask what the daily schedule is, visiting hours, security of the building, activities or classes offered, and eat the food while you’re there. All of these things should weigh into your final decision.

If you are looking for help in California, try the California Elder Law Center. For access to a free clinic to learn more, we offer them every Wed at 2pm or for additional information please call (888-500-6700).

2 Million Californians Left Without Health Insurance Post-Recession

Monday, March 22nd, 2010

If you thought that the record high job losses were the worst end result of this recession for Californians you will be shocked after reading this new article from the UCLA Center for Health Policy Research. Luckily, the U.S. House voted 219-212, approving the Senate’s health bill which can now be signed into law by President Obama. Soon after passage, the House narrowly approved a reconciliation bill that included changes to the Senate bill. No Republicans voted for either measure, roughly 33 Democrats voted against both packages. It remains to be seen how this new bill will trickle down to effect the Californians now without health care coverage… I guess we just wait and see.

“Nearly 2 million Californians lost their health insurance during 2008 and 2009 – years characterized by a deep recession and mass layoffs – bringing the total number of uninsured in the state to more than 8 million, according to new estimates from the UCLA Center for Health Policy Research.

The number represents a 25 percent increase in the number of uninsured since 2007, when 6.4 million Californians lacked insurance, according to the authors of the new policy brief, Number of Uninsured Jumped to More Than Eight Million from 2007 to 2009. Today, nearly one-quarter of all adult Californians lack health insurance.

“These estimates help us understand the scale of the damage inflicted on California over the last two years,” said Shana Alex Lavarreda, the center’s director of health insurance studies and a co-author of the study.

The estimates are based on 2009 enrollee data from health insurance companies and the public health insurance programs offered by the state of California. Those counts were then used to update 2007 California Health Interview Survey health insurance rates, adjusting for 2009 population growth and changes in insurance status.

Researchers found that the number of uninsured likely increased among all age groups, even among children, despite their access to public health insurance safety-net programs.

The hardest hit, however, were California’s working adults. From 2007 to 2009, the proportion of unemployed in California’s workforce jumped from 5.4 percent to 12.3 percent. That increase contributed to the rapid rise in the number of uninsured adults, from 5.3 million to an estimated 6.8 million between 2007 and 2009 – a jump of nearly 6 percentage points.

The harsh economic conditions of 2008 and 2009 reduced the rate of job-based coverage to less than 50 percent for all non-elderly (under 65) Californians, according to adjusted estimates.

Although public coverage among Californians increased from 15 percent in 2007 to an adjusted estimate of 16 percent in 2009, this surge did not offset the decline in employment-based insurance.

“The number of Californians who lost their insurance simply because they lost their job is the clearest indicator yet that our current system of health insurance is broken and that urgent change is needed,” said Dr. Robert K. Ross, M.D., president and CEO of the California Endowment, which, along with The California Wellness Foundation, funded the study.

Recent rate increases for individual health insurance policies offered by private health insurers leave the newly unemployed with hard choices.

“Do they pay their rent or buy an individual policy?” asked Gary Yates, CEO of the California Wellness Foundation. “Few out of work Californians can afford to do both. As a result, many unemployed Californians may go without essential health coverage, increasing the health risk to themselves and their families and the costs of our emergency care system.”

Read the Original Brief

Q & A

Thanks to the UCLA Center for Health Policy Research for sharing this important article with us.