Posts Tagged ‘Medicaid’

Maine Senior Health Programs in Danger

Monday, June 3rd, 2013

Maine senior health programs are in danger. Jessica L. Maurer, head of the Maine Association of Area Agencies on Aging, sent a message over the weekend outlining what is happening in the budget process in Maine. Here’s how you can help save Maine senior health programs:

“Budget negotiations are going very badly at the State House this weekend. It is looking more and more likely that there will be deep cuts to both the Drugs for the Elderly (DEL) Program and the Medicare Savings Program (MSP) if we don’t act immediately. These programs help low-income seniors pay for medications and health care.

Members of the Appropriations Committee, particularly Republicans, need to hear from everyone – young and old, affected and not, that we do not want to balance our budget by taking life-saving benefits away from low-income seniors who cannot earn more money to pay for the medications and treatments they need to stay healthy.

Maine Senior Health Programs Critical

The message is simple – these cuts are bad for seniors and bad for our economy. Here’s why:

Maine senior health programs are critical for continued medication support for elders· If low-income seniors lose these benefits, they will stop taking health-sustaining medications and treatments that they cannot afford. Some will have critical health events that will result in use of emergency services, hospitalization and long term care (nursing home care costs $88,000 per year) – all more expensive than providing the MSP and DEL benefits, which are mostly paid for by the tobacco settlement, Racino proceeds, and the federal government. Maine senior health programs are critical in controlling health care costs.

· Dollars spent through the MSP and DEL programs – again, which are largely federal dollars, not state general fund dollars – infuse hundreds of millions of dollars into our health care system each year. These dollars support our primary care practices, home health agencies and hospitals. Cutting these programs will mean less money coming into our health system and could result in reduced health care access, particularly in rural areas. maine senior health programs are critical to continued rural health funding.

· We’re on the eve of an incredible health care transformation in Maine, where health care institutions are being paid to keep populations of people, specifically older adults, healthy instead of treating them when they’re ill. Cutting DEL and MSP, which are health-sustaining programs, at this time will significantly undermine these critical health care reform efforts. Maine senior health programs are critical to long-term sustainability of our health payment system.

The Governor is bent on eliminating the DEL program entirely and rolling eligibility for MSP back to federal minimums. 80,000 low income seniors and disabled Mainers will lose their benefits if this happens. Decisions about these cuts will made in the next few days. If we don’t act right now to save these programs, deep cuts are all but certain.

Click here to get contact information for members of the Appropriations Committee. If they have cell phone numbers listed, please call those numbers – they’re all at the State House right now and need to hear from you. This is the best way to communicate with them. You can also email them, but if you do, please send individual ones –not one email to all members!

Please make a call or send an email right now! Then, forward this note to five friends and ask them to do the same. We have to stop these cuts and there’s only one way to do it – with calls and emails to Appropriations Committee members right now!

Thank you! Jess

Jessica L. Maurer, Esq.  Executive Director

Maine Association of Area Agencies on Aging  Cell: 207-592-9972    jmaurer@maine4a.org

Fiscal Cliff: Retirees Near the Edge

Monday, October 8th, 2012

This opinion piece talks about the fiscal cliff faced by some folks nearing retiremen. Written by the Morning Sentinel in Waterville and worth sharing!

OUR OPINION: Near-retirees heading for their own fiscal cliff

It’s no question that we live in an age of economic anxiety, but new research tells us what group is feeling its age the most.

According to polling done by AARP, the people most worried about meeting their economic goals are people between the age of 50 and 65, the baby boom cohort on the verge of the traditional age of retirement.

It’s easy to see why, considering the economic events of the last five years.

The people in this group were in mid-career when home values collapsed during the recession. They also may have lost their pensions and health insurance and even their jobs at the same time.

retirees headed off the fiscal cliff Retirement accounts suffered in a stock market crash, and many people who had them were forced to cash them in to meet current financial responsibilities when the stock prices were down. One-third of this age group is heading into retirement with no savings at all.

So, at a time in their lives when people expect to face increased health care expenses, they have fewer resources to draw on as their working lives draw to an end.

No wonder less than half of boomers expect that they will ever be able to retire. No wonder they are anxious.

Fiscal Cliff Featured in Debates

This is the background for what will be a massive debate about reforming the major entitlement programs, Social Security and Medicare, which is likely to dominate Washington next year.

The programs are targeted by budget hawks in both parties who claim that trimming benefits or pushing back eligibility ages are necessary to save them for future generations.

There probably will not be enough time after the election for a lame-duck Congress to make a permanent fix for the fiscal cliff — the mandatory tax increases and spending cuts created by the 2011 debt ceiling debacle.

Expect Congress, if it can do anything at all, to punt the real work to the next session.

When so many people rely so heavily on these core programs, this is not just some academic budget exercise, and the debate should focus on people, not just numbers.

For a long time, it has been the height of political sophistication to talk about entitlement reform as a necessary element of deficit reduction. When that means cutting services to people who are going to need them, however, that should be made explicit.

Increasing the age of eligibility for future retirees might seem like an easy fix to current seniors or young people (who have already been convinced that the programs will not be there for them anyway). For aging workers who are just hanging on to a job, however, it could mean a collapse into poverty or even a premature death.

The AARP research shows a broad consensus across all age groups and political stripes that these programs are not handouts. People feel that they have paid into them to support current elders, and they have a right to draw those benefits when they are older, too.

The goals should be fixing the programs so they not only take care of the seniors of today, but also ease the anxiety of the next group to come along.

Of the two, the need to fix Social Security is the least pressing. With no changes, it is solvent until 2033, and minor fixes could extend that date without drastically altering the lifestyles of future recipients.

Medicare does require some help, but the changes should not be made using the usual budget math.

Changing the Cost of Health Care to Avoid Fiscal Cliff

It’s not just a question of raising taxes or cutting benefits. A third lever can and should be employed, and that’s reducing the cost of health care.

Changes in the way that doctors bill for services already are stemming the steady rise of health care inflation, and they are the kind of programs, not extending the eligibility age or cutting benefits, that should be how Medicare is rescued from insolvency.

After all, we don’t need to use our imaginations to picture what life would be like without these programs. We just need to look at how things were in the United States before Social Security and Medicare, when people who didn’t have a private pension or savings couldn’t afford a place to live or food to eat if they didn’t have a relative to support them. Or a time when retirees who could not afford medical care would just go with out.

We traded that financial insecurity for a system by which current workers help support their elders, knowing that the same support will be there for them when they need it.

Committing to keeping that security alive will go along way to reducing people’s anxiety.

(fiscal cliff, AARP, economic anxiety)

Filial Responsibility: will I have to pay for my parent’s care?

Sunday, June 24th, 2012

Filial responsibility laws were in the news recently when a Pennsylvania court ruled in May that an adult son had to pay his mother’s $93,000 rehab bill.  She recovered and moved back to Greece before her medicaid application was approved—and before she paid the nursing home. Pennsylvania is one of 30 states with filial responsbility laws. Filial responsibility laws outline adult children’s duty to support their poor or indigent parents.

Making children responsible for their parents’ bills if they can’t afford to pay is the basis of the filial responsibility laws. Because it’s getting harder and harder to qualify for long term care with Medicaid, some nursing homes are trying to enforce their state’s filial responsibility laws in order to get paid. (Filial responsibility can work both ways; parents can be found responsible for their poor adult child’s care bills as well.)

Maine does not have a filial responsibilty law, but Massachusetts, New Hampshire and Vermont do. The states with filial responsibility laws include: Alaska, Arkansas, California, Connecticut, Delaware, Georgia, Idaho, Indiana, Iowa, Kentucky, Louisiana, Maryland, Massachusetts, Mississippi, Montana, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oregon, Pennsylvania, Rhode Island, South Dakota, Tennessee, Utah, Vermont, Virginia, and West Virginia.

filial responsibility connects grandfather, son and grandsonWorried about filial responsibility?

If you’re worried about the your filial responsibility (in a legal sense), talk to an elder care attorney, especially if your parent lives in a state with a filial responsibility law. Make sure you understand your parent’s financial state before they enter an assisted living or nursing home. Don’t hedge their assets; be clear about how soon they may be eligible for Medicaid. Make sure you stay on top of the Medicaid application if appropriate. Long term care insurance can sometimes be purchased through work for your parents, which might help them meet any obligations.

Filial responsibility cases are rare, but will filial responsibility laws be a payment recourse in the future, as Medicaid funding tightens? It’s possible. Courts take into consideration the adult child’s own financial situation and future, including their funding of their own children’s college, their living expenses/mortgage, and the adult child’s own retirement planning.

Long Term Care Insurance in Maine: What you don’t know just might lose you a few hundred thousand dollars.

Wednesday, February 22nd, 2012

By Nova Ewers, Beach Glass Transitions, LLC

Patricia Nelson-Reade, R.N., CELA, recently gave a presentation on Long Term Care planning to  the Cumberland County Networking Group for Senior Service Providers at Sedgewood Commons in Falmouth, Maine.

Today Patty told the group about  The Long Term Care Partnership Act. The gist: this act can help you save hundreds of thousands of dollars potentially.  Yet, most people are unaware of its existence – including quite a few insurance professionals.

Here are the details:

The Long Term Care Partnership Act “permits purchasers of ‘approved’ long term care insurance policies to protect from Medicaid an amount of assets equal to the amount of the long term care insurance if the purchaser relies on Medicaid after exhaustion of the long term care insurance.”  (quoted from Patty’s blog).  So in other words, if you purchased an LTCI policy with a $300,000 payout, and you have activated a claim on your policy, you may access MaineCare when your assets are equal to or below $310,000 as opposed to the normal asset limit of $10,000 for a single person without an approved LTCI policy.

Sounds great, right?  But the problem is that with the passing of this Act in 2009, it only covered policies sold after the enactment date, which does little for the vast majority of policy holders out there.  And insurance companies were refusing to reissue older policies with new policies that could be endorsed in the Partnership Program, even if the old policies met the eligibility criteria because the insurance companies had no incentive to do so and were not required by the Act to do so.  So in 2011, Maine added a statute to the Act that said insurance companies must reissue all policies that qualify for the Partnership Program as long as the policy holder submits a request by the determined deadline – September 28, 2012. Read More…

2012 Tax Update: Maine Tax and Medicaid Law

Monday, January 23rd, 2012

Learn how to avoid “cracks” in your nest egg at a free seminar for seniors Wednesday, February 8, from 10 a.m. – noon at the Knights of Columbus Hall in Brunswick, 2 Columbus Drive.

The workshop has been especially planned for seniors. John Nale, an estate planning attorney, and Bruce Macomber, a national speaker on retirement issues, will be joining retirement planning specialist Jac. M Arbour in discussing a 2012 update of estate tax laws, medicare and medicaid issues, and nursing home costs. The two hour discussion on asset preservation will cover lots of information on taxes, probate and Wall Street risks. The organizers say that nothing will be sold at this workshop.

To make reservations or learn more, call 207-620-7265.

Rich Vs. Poor in America: now it’s the seniors fault

Monday, November 7th, 2011

An Associated Press article that ran in this morning’s Portland Press Herald is titled Wealth Gap Widest Ever Between Young, Old and goes on to have what I think is an amazing subhead: young adults bear the brunt of the economic downturn while the federal safety net buoys retirees. Really, you have to read the article. Let me know if you’re as completely annoyed as I was!

Essentially, the article states that the huge and growing gap between wealth held by those over 65 and wealth held by those under 35 is somehow the fault of our seniors, because they held jobs, saved money, and paid off their mortgages.

The wealth difference was highlighted in a recent report. From the article: 

The report, coming out before the Nov. 23 deadline for a special congressional committee to propose $1.2 trillion in budget cuts over 10 years, casts a spotlight on a government safety net that has buoyed older Americans on Social Security and Medicare amid wider cuts to education and other programs, including cash assistance for poor families.

“It makes us wonder whether the extraordinary amount of resources we spend on retirees and their health care should be at least partially reallocated to those who are hurting worse than them,” said Harry Holzer, a labor economist and public policy professor at Georgetown University who called the magnitude of the wealth gap “striking.”

Like all averages, the average in the article is deceptive. To get a median net worth in households of people 65 and over of $170,494, there have to be lots of people below that level. And to be honest, a median net worth of $3,662 in households headed by 35 year olds probably does reflect college debt and sometimes upside-down mortgages, but those debts are choices made on on the premise that jobs would be available and housing would increase in value.

What’s really scary is that senior care in Maine costs around $6,500 a month on average in assisted living. So even if your household does have a net value of $170,000, that’s only a few months over two years of senior care. $170,000 is just not that much!

And as far as the federal safety net buoying seniors, many of those programs have been cut repeatedly in the past few years, and MaineCare (Medicaid) hasn’t paid the full cost of care for years now, leaving doctors, nursing homes, private pay residents and hospitals to cover the gap.

In all, the article is a bit inflamatory, somehow making seniors the bad guys, the fat cats, the selfish horders. Untrue and unfair.

Maine nursing home care: Maine’s elderly will lose as Congress gambles on Medicare cuts

Thursday, October 6th, 2011

Richard Erb, president of the Maine Health Care Association, writes about balancing the budget on the backs of our nation’s elders in today’s editorial section of the Portland Press Herald.

Although we think of Medicaid as a program supporting the poor, about 75% of seniors in Maine nursing care communities depend on Medicaid (MaineCare) for payment. Maine is the oldest state in the nation, so this figure is not likely to go down, and if Medicaid and MediCare budgets are slashed, a primary payment source for  Maine’s needy elders will be drastically reduced.

Sometimes the newspaper doesn’t keep articles on-line long, so you can read Maine’s elderly will lose as Congress gambles on Medicare cuts here. 

Ask Lynn

Thursday, March 24th, 2011

Q: I’m a social worker trying to help a friend who lives in Maine. I understand all you have said (referring to a recent blog on Medicaid), but am wondering, if a spouse who will remain in the community, partially retired, with a 401K he still hasn’t touched, will his 401K have to be spent down?

A: Kerry Peabody, our expert blogger on LTC insurance, says that the 401K is considered. “If they’re married,” says Kerry, “the community spouse’s 401k is still considered a “countable resource.” So it would be included in determining eligibility, and subject to the spend down requirements.”

Maine Medicaid: What’s Your Plan Part II

Thursday, March 24th, 2011

In my last blog, (Maine Medicaid: What’s Your Plan?) we talked about Medicaid/MaineCare financial qualification. It boils down to this – you can ask the state for help, but before they’ll help you, you need to spend down to the required asset levels. You can keep a few things, and a little bit of money, but if you have resources, you’re going to need to use them to pay for care before the state will help you. And, really, isn’t that the way it should be?

Fortunately, if you plan now, before you find yourself in the middle of a crisis, you do have options. There are many steps that you can take that will help you prepare for potential care needs and expenses.  

First, you need to stop hiding from it. Talk to your kids, your siblings, your spouse, and even your parents about this. You can’t have a plan if you don’t acknowledge the need for one, so have the discussion. Practice this line: “We need to talk about what I’d like to happen if I need help with things around here for some reason, or if I can’t make decisions for myself.” That’s not so hard, is it? I’ve had that discussion with my wife (she’s pretty sure that I can’t take care of myself now). Once you open the door for discussion, everyone will slowly become more comfortable with the topic, and then you can make some progress on discussing your wishes.

Once you’ve talked about what your wishes are, you can move to “If this gets to the point where I need regular help with things, it’s going to be expensive. How can we pay for this?”

Here’s where you need to think long and hard about how much LTC costs, and what your resources really are. You may feel that you have enough savings to cover a need, but if you don’t accept the real costs involved with LTC, you could come up far short. Most people say to themselves “I’m never going in a nursing home, so it’s not that expensive.” Think about this. Unskilled care costs, on average, $22 per hour in Maine. If you need someone in the house for eight hours a day, five days a week, that’s $880 per week, or $45,760 per year in today’s dollars. What if you need 24-hour care? Basic care services at home would cost $192,720 per year. That’s a lot of money. Perhaps you can spend that much on your own needs, but what if your spouse needs that money? Or what if you’d planned to leave it to the kids?

At that point, you may choose to find a quality assisted living facility as a less-expensive option. Private assisted living facilities cost anywhere from $3,000 to $6,000 per month, so you’re paying less than you would to get round-the-clock coverage at home. If you look at long term care insurance claims experience, most clients are managing to stay out of the nursing home, simply because they have the financial resources to pay for care in these other settings. So, having a plan will help to keep you out of the nursing home, not force you into one!

So, what’s your plan? Next time, we’ll talk about the most common ways to pay for care.  

Kerry L. Peabody, CSA, CLTC, a Long Term Care Insurance Specialist with Clark Insurance

Maine Medicaid: What’s Your Plan?

Thursday, March 17th, 2011

by Kerry L. Peabody, CSA, CLTC, a Long Term Care Insurance Specialist with Clark Insurance

“I don’t want the state to take everything I have.” I often hear this when I begin discussing Medicaid with my clients. Medicaid is a good program, but it’s designed to help people who have very limited assets. If you’ve managed to build a decent nest egg, and you don’t want to be forced to spend it to qualify for Medicaid, then there may be better options. Let’s discuss “I don’t want the state to take everything.”

(Remember, I’m NOT an attorney, so I’m not qualified to give legal advice. I’m simply providing some very basic interpretations of generally accepted guidelines here. Consult a qualified professional for legal advice on this topic.)

So, let’s say you’ve worked for the past 40 years, and now you’ve retired. You’ve managed to pay off your mortgage, you’ve got a decent car, and you have $400,000 in retirement savings. But, your husband just had a stroke, and you want to get some help to pay the nursing home bill, so you apply for Medicaid benefits for him.

The state will say something like this: “Gee, Mary, we’d love to help, but first we need to take a look at your assets, to see if you qualify financially.” So, you provide all of your financial documentation for them to review. In general, they’re going to let you keep:

1)    your primary home

2)    your primary vehicle

3)    $110,000 for a couple. A single person can keep about $2,000.

But you have more than that, right? Don’t panic (yet), they’re not going to take the extra stuff or money you have when you apply. But… they won’t provide you with any financial help while you still have it. 

This is where “spend down” comes in. If you have a camp on the lake, a vacation home, the RV, or that extra retirement money, then you’ll have to get rid of them and spend the excess money. The “cash” you can keep would be capped at the $110,000. So, if you end up with $400,000 in “excess,” you’ll have to “spend down” $290,000 of that before you’d qualify financially.

This is where people generally say “Well, I’ll just give it to the kids.” Nice try. The state will “look back” five years from the date you apply for help, and they’ll want to see everything you did with your money that counts as a “transfer.” This is giving anything away, selling it for less than fair market value, paying for something for someone else, etc.

So, if you gave your grandson $50,000 for college, that counts against you. If you’ve been “gifting” $13,000 per year to your children, that counts against you. If you sign the camp over to the kids, or put everything into an irrevocable trust within the last five years, that all counts against you, and makes you ineligible for a certain period of time.

Let’s face it – the state doesn’t want your house, or your car, your clothes, your dog, or anything else. People seem to have this impression that someone from the state is going to kick down the front door and start carrying out your furniture if you apply for Medicaid, but that’s not so. What the state will do is refuse to help you financially while you still have assets above and beyond what they say you can keep. You’ll be forced to “spend down” to acceptable levels before you can get any help. The questions then become “Is this really what I wanted to do with my money, and what will this mean for my spouse and family?” This is why you need to plan ahead, before you find yourself in a crisis.

How do you plan ahead? That’s for the next installment! Thanks!

Kerry Peabody, CSA, CLTC