Source of Payment – AAA We Make Time Home Care
Private Pay – We work with individuals and families who pay privately for Home Care Services. AAA We Make Time Home Care attempts to work within budgetary resources and customize our level of care to meet your Home Care needs.
Paying For Home Care
Home Care Services can be paid for directly by the client and his or her family members or through a variety of public and private sources of payment. Private third-party payors include Commercial Health Insurance Companies, Managed Care Organizations, TRICARE, and Workers’ Compensation. Our Care Staff will discuss your options with you and help determine which programs are available to you. If you have a long term care policy or qualify for an assistance program, we will help you complete the requisite claim forms and provide supporting documentation. Here’s some basic information to get you started:
Veterans and the surviving spouses of veterans may be eligible for some in-home care assistance from the Department of Veterans Affairs (VA) — either through health benefits offered to veterans or in the form of a monthly cash benefit through the VA Aid & Attendance Program. If your loved one is homebound, these benefits may be even higher.
Long-term Care Insurance
If your loved one has a long-term care (LTC) insurance policy, it may cover some costs of in-home care. Some LTC policies only pay home care benefits to a licensed home care agency or other licensed provider; others pay a set daily amount to the insured person who qualifies for the benefits (which means your loved one can spend that money on any caregiver he or she chooses, including family members).
Read through the LTC policy itself to see if there’s coverage for in-home care and what the payment terms are: when someone qualifies, for how much, and how the benefits are to be paid.
Life Insurance for Cash
If your loved one has a life insurance policy, you may want to look into whether it could provide money now to help pay for care instead of going to family members later. Cashing in a life insurance policy can sometimes provide a substantial amount of money to pay for in-home care. Certain life insurance policies can be cashed in with the insurance company itself for 50 to 75 percent of the policy’s face value, though some policies permit these “accelerated benefits” or “living benefits,” as they’re called, only if the policyholder is terminally ill.
Medicaid, or MediCal as it’s known in California, covers short-term in-home care for acute conditions, usually following rehabilitation, or a stay in a hospital or a skilled nursing facility. In addition, some (but not all) State Medicaid Programs cover a limited amount of long-term in-home care for persons who qualify.
In California, the In-Home Supportive Services (IHSS Program) will help pay for services provided to help seniors remain safely in their own home. To be eligible, you must be over 65 years of age, or disabled, or blind. Disabled children are also eligible for IHSS. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities. To find out about eligibility and coverage for in-home care, contact the IHSS Office in your county or your local Area Agency on Aging.
Note: Neither traditional Medicare nor Medicare Advantage plans cover long-term in-home care, but both do cover short-term in-home care for acute conditions, usually following rehabilitation, or a stay in a hospital or a skilled nursing facility.
The relatively new Program of All-Inclusive Care for the Elderly (PACE) provides comprehensive home and community care for frail elders who would otherwise require nursing home care. PACE is only available in certain areas of some States, and eligibility is restricted to low-income seniors, usually those eligible for both Medicare and Medicaid. To see if there’s a PACE program operating where you live, and, if so, how to contact the program, see the Medicare official website list of PACE programs.
Use personal and family assets
Like most families, you’ll probably have to rely on your loved one’s and other family members’ personal assets to pay most in-home care costs. There are several ways personal and family assets can be used help pay for in-home care, including tapping into the equity in your loved one’s home and gathering contributions from those family members who aren’t actively helping with daily care.
In addition to public benefits, private insurance, and personal assets, you may want to explore some other avenues to help fund paid in-home care, including assistance from local churches, high schools or colleges, and adult daycare centers.