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One of the dilemmas a caregiver for someone with Alzheimer’s faces is whether or not they should continue to let their loved one drive.  No longer allowing your loved one to drive can lead your loved one to a feeling of defeat and taking away their keys can mean the loss of your loved one’s independence; however,  you must balance that loss with the safety of others on the road. An issue that many caregivers face surrounding the driving issue is their loved one’s insistence that there is no reason why they can no longer operate a vehicle.  Even if you get the doctor to insist to the patient that they should no longer drive, due to the memory loss, the patient may completely forget what the doctor told them.  So, you will find yourself in a seemingly never ending cycle of your loved one insisting on driving and you telling them no. In this case, the best thing to do is change the topic of conversation when the driving topic is brought up.  Diverting to a lighter topic of conversation by saying something like, “What do you want for dinner tonight?” may feel odd at first, like you’re ignoring your loved one, but the truth is, switching to a lighter topic of conversation can be a great stress reliever for both you and your loved one, even if it is only for a brief moment. Changing to a lighter topic should not take away from the overall seriousness of the driving issue, but for the time being, it provides some relief and you both can move forward. It is important to realize that driving is one of the most challenging issues surrounding Alzheimer’s today.  Helpful answers to this issue can come from the Alzheimer’s resource center at abferrarolaw.com/senior-resource-kits/alzheimers-resource-kit/. -Anthony B. Ferraro
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The truth is, very little of the general public knows about VA benefits because Congress keeps them, for the most part, under wraps.  There are a select few who are legally authorized to provide information to veterans about benefits, and they are: 1)      Federal Veterans Administration employees; 2)      Employees of state Departments of Veteran’s Affairs; 3)      Authorized representatives of Veterans Service Organizations (like the VFW and American Legion, among others); and 4)      Attorneys licensed to practice law in the veteran’s state and accredited by the VA. Lawyers, such as myself, are authorized to provide information on VA benefits.  However, federal law prohibits a lawyer from charging a veteran to assist in helping them prepare the VA claim form for benefits; we are supposed to work for free. Congress does not always allow lawyers to charge a veteran in order to help with a VA benefit claim form because Congress has the idea that: 1)      There are plenty of capable and trained VA employees available to help veterans fill out VA claim forms for free; 2)      There are plenty of capable and trained volunteers available at the various Veteran’s Service Organizations to help fill out VA claim forms; and 3)      Veterans should be protected from attorneys who would overcharge them by doing something that is supposedly as simple as completing and submitting a VA claim form. So, I truly do recommend that if you have not already tried to get help from the Veterans Administration or a Veteran’s Service Organization, you do so immediately. Like myself, they’re there to help. -Anthony B. Ferraro
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The key to figuring out how to save money by turning to Medicaid is understanding what exactly Medicaid benefits entail and how they may relate to you. These 7 secrets to surviving the Medicaid spend-down will help you be in a better position to protect your hard-earned savings. 1) Many couples end up spending too much money on the first spouse’s long-term care costs because they do not know the rules.  An Elder Law attorney can show you the rules and make the healthy spouse’s life better. 2) People give their assets to their children using the wrong method.  If you choose to go this route, you must do this right, or it could have terrible consequences. 3) Save money by transforming your assets.  Medicaid categorizes your assets as either available or exempt, and an Elder Law attorney can help you convert your available assets into exempt assets so that you keep them. 4) Medicaid application timing is crucial.  If your timing is off, you could lose thousands of dollars, and create a Medicaid penalty because you applied too early or too late. 5) Avoid going broke due to giving your assets away in the wrong way.  There is a Medicaid ineligibility penalty for seniors who give away their assets in the wrong way to children, churches, or charities within 5 years of applying to Medicaid. 6) Annuities are not always “Medicaid-proof”.  Don’t assume just because an annuity is touted as “Medicaid-proof” that it actually is.  Instead consult an elder law attorney, to ensure it actually is. Learn all about VA benefits – A wartime veteran and a spouse could potentially receive $2,000 or more for in-home or assisted living medical care. Stay tuned for further elaboration on the 7 Secrets to Surviving the Medicaid Spend-Down. -Anthony B. Ferraro
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Today, the world is quickly changing; medical care can be both impersonal and expensive.  But one area that has not changed with the times is traditional estate planning.  Traditional estate plans are designed to focus on just a couple of things and when creating them, most people tend to take the easy route.  Often times, people are in good health and think, “There’s nothing wrong with us now; we want our estate plan to be very simple.”  In those cases, their estate plans only really focus on who will get what when they die. The truth is, most of us are not going to die while we’re in good health.  As we venture into old age, many of us will, unfortunately, develop long-term illnesses and need specific care.  According to AARP, 70% of individuals aged 65 and older will spend part of their life living in a long term care facility.  The cost of long term care and Medicaid planning are probably not things that are included in the will or living trust you already have.  So shouldn’t we consider this when updating our estate plans? While the traditional estate plan details concerning who gets what when you die are important, it is equally, if not more important, to consider what could happen to you before you die.. -Anthony B. Ferraro
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Assuming the role of a caregiver for a loved one with Alzheimer’s is very hard. It can be a struggle, both physically and mentally.  As an Alzheimer’s caregiver, you are going to be approaching challenges that are both new and frightening. Alzheimer’s is a complex disease and it can affect your loved one in many different ways.  Someone with Alzheimer’s may struggle doing simple tasks such as getting dressed or eating.  The typical Alzheimer’s patient will also face confusion and, therefore, you will receive repetitive questions and see odd behavior. In a situation like this, it is normal to feel trapped.  However, I am here to assure you that there are ways to make you and your loved one’s journey through Alzheimer’s easier. First off, I suggest that you abferrarolaw.com/senior-resource-kits/alzheimers-resource-kit/.  There you will find many tools on how to cope through the Alzheimer’s journey, including the recording called, “Caring for and Communicating with the Alzheimer’s Patient.” Other helpful information covered on the above website includes paying for the cost of Alzheimer’s care, discovering hidden VA benefits, and how to approach crucial legal documents. -Anthony B. Ferraro
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Did you know that you may be eligible for a monthly check from the VA?  Depending on your situation, you (or your spouse) may be able to earn as much as $1,000 or $1,500 per month for serving our country, even if you served many years or even decades ago. Take a quick look at this 2010 VA Benefits chart. The 2014 numbers just came out and they are more favorable.  This may seem daunting, but don’t worry.  We’re here to help.

VA Benefits Chart (2010 figures)

Service Pension Rates (The veteran is alive):

Category: Service Pension
  • Maximum Annual Pension Rate: $11,830
  • Monthly Maximum Annual Pension Rate: $985
  • With one dependent:
    • Maximum Annual Pension Rate: $15,493
    • Monthly Maximum Annual Pension Rate: $1,291
  Category: Housebound
  • Maximum Annual Pension Rate: $14,457
  • Monthly Maximum Annual Pension Rate: $1,204
  • With one dependent:
    • Maximum Annual Pension Rate: $18,120
    • Monthly Maximum Annual Pension Rate: $1,510
  Category: Aid and Attendance
  • Maximum Annual Pension Rate: $19,736
  • Monthly Maximum Annual Pension Rate: $1,644
  • With one dependent:
    • Maximum Annual Pension Rate: $23,396
    • Monthly Maximum Annual Pension Rate: $1,949
  For each additional dependent child:
  • Maximum Annual Pension Rate: $2,020
  • Monthly Maximum Annual Pension Rate: $168 additional
 

Death Pension Rates (The veteran is NOT alive):

  Category: Death Pension
  • Maximum Annual Pension Rate- $7,933
  • Monthly Maximum Annual Pension Rate- $661
  • With one dependent child:
    • Maximum Annual Pension Rate- $10,385
    • Monthly Maximum Annual Pension Rate- $865
  Category: Housebound
  • Maximum Annual Pension Rate- $9,696
  • Monthly Maximum Annual Pension Rate- $808
  • With one dependent child:
    • Maximum Annual Pension Rate: $12,144
    • Monthly Maximum Annual Pension Rate: $1,012
  Category: Aid and Attendance
  • Maximum Annual Pension Rate: $12,681
  • Monthly Maximum Annual Pension Rate: $1,056
  • With one dependent child:
    • Maximum Annual Pension Rate: $15,128
    • Monthly Maximum Annual Pension Rate: $1,260
  For each additional dependent child:
  • Maximum Annual Pension Rate: $2,020
  • Monthly Maximum Annual Pension Rate: $168 additional
  I know that this is a lot to take in at once, so stay tuned for further explanation. -Anthony B. Ferraro
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Thinking about how you are going to cover the expensive cost of nursing home care is certainly a scary thought.  However, you have options.  Medicaid can help. Unfortunately, Medicaid assistance is not available to everyone.  Medicaid will cover the nursing homes costs for individuals who have run out of money and other resources.  For those who qualify, Medicaid covers nursing home expenses.  Medicare does not cover most nursing home expenses, so Medicaid fills that void. In truth, Medicaid is a very complex process.  So, before you begin to look into it, it is very important to consult an Elder Law attorney to avoid some very common mistakes. The biggest mistakes people makes include:
      1. Letting a nursing home, social worker, or the state Medicaid department complete your Medicaid application.
      2. Assuming there is nothing you can do because it is “too late” and there is nothing you can do to help your or your family save money because you are within five years of applying for Medicaid.
      3. Not letting an elder law attorney deal with the State Medicaid department for you.
These common mistakes can cost you large amounts money.  It’s important to consult with an Elder Law attorney to guide you through the minefield of public benefits, especially Medicaid. More to follow. -Anthony B. Ferraro
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It’s time to face the facts.  Most people wait until it’s too late to implement a great estate plan. According to PBS.com, the typical American over the age of 65 has a 75% chance of needing extra assistance with daily activities.  If your loved ones can’t be there to help you in this situation, you will, unfortunately, have to spend your savings in order to get the in-home care that you need For those who end up in nursing home care, they will have to pay as much as $7,000 to $8,000 a month!  That works out to about $100,000 per year!  With cutbacks in funding for government-run programs, you can’t afford to rely on anybody but yourself in these particular situations.  So, it is imperative that you have the proper estate planning. How do you know if you are getting the proper estate planning? For starters, everyone should have a living will and powers of attorney for health care and property – these documents state one’s wishes on what they feel would be appropriate to do in the event that they have an incapacitating terminal illness that would require life-prolonging treatment. In order to have a proper estate plan, you will need the help of a qualified Estate Planning/ Elder Law attorney.  You will be assisted in order to explain to the attorney how you would like to be protected in the event that you become incapacitated or pass away. The number one thing to remember in estate planning is that it is absolutely imperative that you consider the “what-ifs.”  This way, you and an attorney can work towards a solution that will be the most beneficial to you and your loved ones. -Anthony B. Ferraro Attorney-CPA
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Alzheimer’s has been termed “The Long Goodbye” due to its devastating effects that last for many years.  When our loved ones have Alzheimer’s, it doesn’t only affects them, it affects us.

However, there is still hope: hope in learning how to cope with Alzheimer’s.  As of today, there is no official cure for the disease, but by taking the simple steps many Alzheimer’s caregivers are using to cope, we can regain some peace of mind.

By visiting the website below, you will gain access to the Indispensable Alzheimer’s Resource Kit.  This is a helpful tool that will assist you in providing stress-free care for both you and your loved one, as well as ways to pay for Alzheimer’s care without going broke.

abferrarolaw.com/senior-resource-kits/alzheimers-resource-kit/

I also encourage you to visit www.AlzheimersHope.com, which is an internet community that will give you the opportunity to connect with Alzheimer’s caregivers from around the world.

You are not alone in your journey through Alzheimer’s, and the above websites will assure you that there are many others experiencing the same thing as you.

If you have any other questions about Alzheimer’s or any other legal-related issues, please call my office at (847) 292-1220.

-Anthony B. Ferraro

Attorney-CPA

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Recent studies indicate that only 48% of those 65 and older have financial powers of attorney. Worse yet, less than 60% have health care powers of attorney.  Caution: Boomers and Seniors –  Estate Planning is not just for the rich! Furthermore, estate planning is not just about death and dying but rather about living in the second half  of your life. This involves consideration of the following: 1. How to cover living expenses during the elder years and  retirement years, 2. How to access Medicare in the best way possible, 3. How to make the correct Social Security “take” options, 4. How to qualify for Medicaid to pay for nursing home care that Medicare won’t cover (which by the way is most of your nursing home care) 5. Finally obtaining the right powers of attorney, wills and/or trusts after receiving the correct counseling so you can determine which approach personally fits you the best. So let the conversation begin about: – social benefit programs (Medicare, Social Security, Obamacare, Medicaid, etc.) – transferring assets to and from joint ownership, – the variety of trusts that are used based on the advice of competent counsel such as: _standalone third-party special needs trusts, _self settled special needs trusts, _special needs trusts for a disabled love one, – powers of attorney that have built into them not just what the standard form contains but other important provisions that only competent elder care counsel can insert that will help you the senior,  but not hurt your agent from a fiduciary responsibility or tax standpoint. You know that much has been discussed over the years about automated document production software that is easily available through the Internet. All these systems can create plenty of paper, but they cannot create the professional judgments that go into the formation of a document that will serve you and your needs. For example, there is no  document creation software that can make professional judgments for you, personally, about: – tax provisions, – investment and property management provisions – principal/income provisions, – the ability of fiduciaries to appoint agents, – specific gifts to persons, – whether a “pot trust” or separate trusts are better for younger beneficiaries, – disposition of tangible personal property items, – issues pertaining to expenses and tax/cost apportionment, – how to handle IRA’s,  401-k’s, and  insurance policies, annuities, etc., that are not        covered in your      will or trust, and – how to deal with special beneficiary problems for either minor or adult disabled      persons. Finally lets start discussions about basic asset protection, such as: – how much liability insurance should you carry? – when you should buy long-term care insurance? – what type of long-term care insurance you should buy (traditional or hybrid)? – what sort of asset protection entities might help you (corporation v. LLC etc.)? – in what jurisdiction should they be formed (Illinois or elsewhere)? – should your home be in a trust or in tenancy by the entirety or something else? –  what is the appropriate way to use 529 accounts? – what is the appropriate use of UTMA custodial accounts? – what sort of protection can we derive from retirement accounts? – what sort of asset transfers are appropriate to protect against litigation and/or creditors? – what sort of asset transferring can be done to protect against the devastating cost of nursing care     $6,000 to $10,000 a month) at the end of life?  Boomers and Seniors: Think you’re done? The truth is most of us have not even started.       .
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