There are misconceptions regarding Long Term Care and who is responsible for paying for any care. This information may be used for informational purposes only. For more information, or to speak with an experienced Medicaid planning attorney, contact Dan Baron at Baron Law.
In Ohio, Medicare only pays for Long Term Care IF you require rehabilitative care or skilled services. Skilled services are:
- If you are in a nursing home, the maximum number of days Medicare pays for is 100; however the average covered stay is much shorter at 22 days
- If you are able to stay at your own home, Medicare pays for skilled home health care or other skilled in-home services but only for a short period of time
- Medicare does not pay for any non-skilled assistance for your ADL’s (Activities of Daily Living) which tend to make up the majority of in home Long Term Care.
- You are solely responsible for paying for Long Term Care services provided to you that would not be covered by any other public or private insurance programs. For additional information regarding Medicare, please visit https://www.medicare.gov/
- Pays for the largest portion of Long Term Care services, provided your income meets the states minimum eligibility requirements.
- Medicaid will cover your costs depending on how much assistance you need with Activities of Daily Living.
- There are numerous considerations when considering Medicaid and it’s important to talk with a Medicaid planning attorney. To learn more about some considerations, visit this Medicaid Considerations Article.
- There are other federal programs available for specific populations and circumstances that may pay for Long Term Care
- Older Americans Act
- Department of Veterans Affairs
Private Health Insurance
- Employer sponsored or private health insurance, cover the same kinds of limited services as Medicare
- If your carrier does cover Long Term Care, typically it will only be for skilled care but only short term
Other Private Payment Options can include
For more information on reviewing your goals for Long Term Care as part of your Estate Planning, contact Daniel A. Baron of Baron Law at 216-573-3723.